Novel Surgical Approach in Ð¡utaneous Melanoma Patients: ÊºDaring Ideas Are Like Chessmen Moved Forward. They May Be Beaten, But they May Start a Winning Game!?Êº
Keywords:Surgery, Novel approach, Melanoma, Challenge, Survival benefits
For the first time, but again, we propose the idea of a one-step melanoma surgery as a "golden, unified standard" that should be at least discussed and, possibly accepted shortly as the "gold standard" for the treatment of patients with skin melanomas. Critical points or comments have been made to the current melanoma's treatment approach, which has been "transcendently followed" for years and which, according to some colleagues, is not logically justified. This approach needs serious changes, the only goal of which is to achieve a better outlook for the patients.
Although the proposed by us approach is not even a possible option in the European and American recommendations for the treatment of melanoma, it finds widespread use (or acceptability) in clinical practice in the form of specific, individually informed consent. Guidelines are not mandatory, and standards are not always met. Whether "good medical practices" will prevail as a logic and stereotype of clinical behaviour, whether they will be finally recognised and whether they will find an extra international response is unclear at the moment. However, the fact that they are enforced with success, indirectly speaks that the "wave of change" is already rising and the hope is to "remove the debris" and illogically justified decisions often defined by the American dermatological school as "expert". The choice of right solutions lies in following the logic, as well as in its simplicity. Often these decisions are in front of our eyes, but we look at the distant horizons: "Do we want to be discoverers?" Without even trying to give a simple answer to the question: "Aren't the treasures very often in front of us?"
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Tchernev G, Chokoeva AA. New Safety Margins for Melanoma Surgery: Nice Possibility for Drinking of "Just That Cup of Coffee"? Open Access Maced J Med Sci. 2017;5(3):352-358. https://doi.org/10.3889/oamjms.2017.068
Tchernev G. One Step Surgery for Cutaneous Melanoma: "We Cannot Solve Our Problems with the Same Thinking We Used When We Created Them?" Open Access Maced J Med Sci. https://doi.org/10.3889/oamjms.2017.168
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