What Is the Treatment of Lentigo Maligna? Surgical Excision with Clear Margin Control

Lentigo maligna is a melanoma in situ that requires definitive local treatment. The central objective is complete removal of the lesion with histologically confirmed clear surgical margins, and guidelines identify surgery as the first-line approach.

Treatment Approach

First-line management centres on surgical excision with controlled margin assessment. The choice of surgical technique and how margins are evaluated depends on lesion location and clinical circumstances — the full algorithm, including technique-specific considerations, is detailed in the protocol.

Treatment Goal

Complete removal of the lesion with clear (negative) histological surgical margins.

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References

DOI: 10.3390/jcm13092527

Guidelines recommend surgical excision as first-line treatment in LM, as previously mentioned.
Surgical excision to achieve clear histological margins is the first-line therapy according to guidelines, with surgery with controlled margins being the treatment of choice.

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