[Melanoma of the skin of the concha auriculae]

The results of treatment of 25 cases of malignant cutaneous melanoma of the floor of the auricle are presented. The involvement of the central area of the organ was matched by the least favorable clinical course. All patients of the latter group developed regional metastases. Therefore, a simultaneous removal of primary tumor and fascial-capsular excision of regional lymph nodes should be carried out unless the lymphatics are involved. The involvement of lymphatics makes the case for Crile's operation. In cases of peripheral position of melanoma, the approach to lymph node treatment should consider such factors as tumor invasion degree, growth pattern, histological type, patient's age and condition.