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These estimates underscore the argument that prophylactic excision of dysplastic nevi is unlikely to be cost effective and might, in addition, give patients a false sense of security, since an increased risk of melanoma may remain after these nevi have been removed. (Naeyert, N Engl J Med 2003;349:2233-40.) She further states that prophylactic excision is not warranted for lesions diagnosed clinically as dysplastic nevi, since the probability that a single lesion will develop into melanoma is very low and since excision does not clearly reduce the overall risk of melanoma. However, excision with 2 mm margins is always indicated where melanoma is suspected by a clinicians inspection

Su biocompatibilidad (27,28), potencial alergnico (29) y efecto antibacteriano (30) son favorables para su utilizacin en el mbito mdico

Multiple studies have demonstrated the diagnostic accuracy of SLNB, with false-negative rates of 0% to 2%.[8,12-17] If micrometastatic melanoma is detected, active surveillance with ultrasound of the draining nodal basin is an acceptable treatment recommendation that has widely replaced complete lymph node dissection (CLND).[18,19] A complete regional lymphadenectomy can be considered in select populations