Meticulous use of skills finds missed melanoma
The only way to prevent death from melanoma is to detect it and excise it before the melanoma metastasises.
True, in situ melanomas cannot metastasise because there are no blood vessels or lymphatics in the epidermis.
If a melanoma has penetrated through the basement membrane of the epidermis, it can metastasise and the likelihood of that increases as the thickness of penetration increases.
For this reason, the aim of the clinician must always be to detect melanomas as early in their development as