New melanoma guidance urges wider excision margins

There's one big change to the 2008 guidelines

Wider excision margins for melanoma in situ are recommended in updated management guidelines.


A review of the latest evidence, published in the Medical Journal of Australia, has prompted Cancer Council Australia to recommend definitive excision margins of 5-10mm.

However, the council’s working party does not endorse any change to its 2008 guidelines on invasive grade B melanoma excision margins.

The group points to recent evidence that suggests 5mm margins may be inadequate and could result in significant rates of recurrence.

Doctors should instead