{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T05:30:42Z","timestamp":1771997442172,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T00:00:00Z","timestamp":1760313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While peripheral excision margins in cutaneous melanoma are well established, the optimal excision depth remains unclear. In plantar melanoma, the fat pad plays a key functional role, raising concerns about whether full excision is necessary for thin and intermediate\u2010thickness lesions. This study evaluated the association between excision depth and oncologic outcomes in T1\u2013T3 plantar melanoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with primary T1\u2013T3 plantar melanoma who underwent wide excision between 2008 and 2022 were reviewed. They were grouped by excision depth: intra\u2010adiposal (partial fat pad preservation) and suprafascial (complete removal). Oncologic and functional outcomes, assessed via the Foot Function Index (FFI), were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety\u2010four patients (40 intra\u2010adiposal, 54 suprafascial) were analyzed (median follow\u2010up, 43 months). Tumor\u2010free margins were achieved in all cases. Baseline characteristics were similar, except for lesion location. Recurrence rates were comparable, and excision depth was not significantly associated with recurrence\u2010free survival. FFI scores from 26 patients (13 per group) tended to be better in the intra\u2010adiposal group, though not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In thin to intermediate\u2010thickness plantar melanoma, intra\u2010adiposal excision may be oncologically safe if tumor\u2010free margins are achieved, potentially offering functional benefits without compromising oncologic outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70108","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T01:56:30Z","timestamp":1760406990000},"page":"1366-1375","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Excision Depth and Prognosis in T1\u2013T3 Plantar Melanoma: Is Complete Excision of Plantar Fat Pad Necessary?"],"prefix":"10.1002","volume":"132","author":[{"given":"Kyeong\u2010Tae","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sungjin","family":"Kim","sequence":"additional","affiliation":[{"name":"Banobagi Plastic Surgery Clinic Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3481-7978","authenticated-orcid":false,"given":"Goo\u2010Hyun","family":"Mun","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,13]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"American Cancer Society.CA: A Cancer Journal for Clinicians72 no.5(2022):1\u201393."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2021.06.012"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-3-25"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2016.02.008"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2034861"},{"issue":"3","key":"e_1_2_7_7_1","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1097\/00000658-199309000-00005","article-title":"Efficacy of 2\u2010cm Surgical Margins for Intermediate\u2010Thickness Melanomas (1 to 4 mm). Results of a Multi\u2010Institutional Randomized Surgical Trial","volume":"218","author":"Balch C. M.","year":"1993","journal-title":"Annals of Surgery"},{"issue":"4","key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"364","DOI":"10.6004\/jnccn.2021.0018","article-title":"NCCN Guidelines\u00ae Insights: Melanoma: Cutaneous, Version 2.2021","volume":"19","author":"Swetter S. M.","year":"2021","journal-title":"Journal of the National Comprehensive Cancer Network"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2009.01265.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24442"},{"key":"e_1_2_7_11_1","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1001\/archdermatol.2010.156","article-title":"Variation in the Depth of Excision of Melanoma: A Survey of US Physicians","volume":"146","author":"DeFazio J. 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R. D.","year":"1997","journal-title":"Annals of Surgical Oncology"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medengphy.2010.02.018"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.5858\/133.10.1560"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12094-017-1755-6"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(03)70028-3"},{"issue":"11","key":"e_1_2_7_25_1","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.3390\/medicina58111589","article-title":"Sentinel Lymph Node Biopsy in Cutaneous Melanoma, a Clinical Point of View","volume":"58","author":"Branisteanu D. E.","year":"2022","journal-title":"Medicina (Kaunas)"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/life13020489"},{"issue":"3","key":"e_1_2_7_27_1","first-page":"119","article-title":"Plantar Lymphatic Network","volume":"51","author":"M. Amore R. 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