MAJOR AMPUTATIONS FOR MELANOMA

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Abstract
Major amputation is an infrequently performed procedure for melanoma. Less than 1% of patients seen at this hospital have had a major amputation for melanoma. Patients (32) who had a total of 34 amputations are reviewed in this article. The most frequent indication for amputation has been intractable local recurrences not responding to other forms of treatment. Amputation is only considered in patients with no evidence of systemic disease. The procedure has a palliative role in some cases of advanced localized melanoma, with a few long-term cures.