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Excision of malignant melanoma overlying a pacemaker.
Anne M Chapas1, Dennis Lee, Gary S Rogers
1Department of Dermatology, Surgical/Oncology Division, New England Medical Center, Tufts University School of Medicine, Boston, Massachusetts 02111, USA.
Summary
Dermatologic surgeons must understand implantable cardiac devices for safe melanoma excision. Successful surgery requires knowledge of pacemaker anatomy and coordination with specialists.
Area of Science:
- Dermatologic surgery
- Cardiology
- Electrosurgery
Background:
- Increasing prevalence of patients with implantable cardiac devices (ICDs).
- Need for dermatologic surgeons to be familiar with ICDs and potential surgical interference.
Observation:
- Case report on the excision of a 1 cm malignant melanoma in situ.
- Lesion located on the skin directly overlying a patient's pacemaker.
Findings:
- Successful excision of malignant lesions near ICDs is achievable.
- Requires understanding of pacemaker implantation anatomy.
Implications:
- Adherence to established guidelines for electrosurgery in patients with ICDs is crucial.
- Close collaboration with cardiac and anesthesia specialists ensures patient safety.