{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T22:18:40Z","timestamp":1724365120028},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,12,30]],"date-time":"2013-12-30T00:00:00Z","timestamp":1388361600000},"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":["Int J Dermatology"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Melanoma is responsible for 75% of all skin cancer\u2010related deaths. Lentigo maligna (<jats:styled-content style=\"fixed-case\">LM<\/jats:styled-content>), the most prevalent melanoma <jats:italic>in situ<\/jats:italic> (<jats:styled-content style=\"fixed-case\">MIS<\/jats:styled-content>), accounts for 79\u201383% of all <jats:styled-content style=\"fixed-case\">MIS<\/jats:styled-content>. Its location in the head and neck area requires that tissue be spared in the course of clearing the tumor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a therapeutic study based on our practice experience with the so\u2010called \u201ccollarette\u201d skin biopsy technique used in the management of <jats:styled-content style=\"fixed-case\">LM<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010one patients were diagnosed with <jats:styled-content style=\"fixed-case\">LM<\/jats:styled-content> in the head and neck area. These included 16 women and 15 men with a mean\u00a0\u00b1\u00a0standard deviation (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>) age of 64.4\u00a0\u00b1\u00a013.6\u00a0years (range: 33\u201388\u00a0years). The majority (36%) of lesions were located on the cheek. To clear the tumor, surgery was performed using margins of &gt;10\u00a0mm in 71% of cases. The average surface area of the surgical defect was 5.8\u00a0cm<jats:sup>2<\/jats:sup> (range: 1.1\u201315.5\u00a0cm<jats:sup>2<\/jats:sup>). Reconstructive skin grafts were performed in the majority (68%) of cases. After the removal of the central tumor, 16 cases of <jats:styled-content style=\"fixed-case\">MIS<\/jats:styled-content> and 15 cases of invasive melanoma were identified. Only one patient experienced recurrence over a mean\u00a0\u00b1\u00a0<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> follow\u2010up of 31\u00a0\u00b1\u00a016\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The so\u2010called \u201ccollarette\u201d or \u201cspaghetti\u201d skin excision and biopsy technique is an advantageous and efficient way to achieve tumor clearance and represents an equally effective alternative to Mohs micrographic surgery in the treatment of <jats:styled-content style=\"fixed-case\">LM<\/jats:styled-content> in the head and neck area.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.12430","type":"journal-article","created":{"date-parts":[[2013,12,30]],"date-time":"2013-12-30T09:58:52Z","timestamp":1388397532000},"page":"899-903","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The \u201ccollerette\u201d technique for skin excision and biopsy: an efficient method for managing lentigo maligna of the head and neck"],"prefix":"10.1111","volume":"53","author":[{"given":"Komenan","family":"Kassi","sequence":"first","affiliation":[{"name":"Department of Dermatology and Infectious Disease School of Medicine University of Cocody\u2010Abidjan Abidjan Ivory Coast"},{"name":"Dermatology Center Treichville University Hospital Abidjan Ivory Coast"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romain","family":"Vanwijck","sequence":"additional","affiliation":[{"name":"Department of Plastic and Esthetic Surgery Catholic University of Louvain Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Marie","family":"Kanga","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Infectious Disease School of Medicine University of Cocody\u2010Abidjan Abidjan Ivory Coast"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2010.01618.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2010.04423.x"},{"key":"e_1_2_6_4_1","first-page":"1087","article-title":"Surgical margins for lentigo maligna melanoma. 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