Simultaneous upper limb melanoma and breast cancer related lymphedema management

margin excision for all cases of MIS and, in particular, for LMM and for acral subtype, allowing a clinical judgement on a case-by-case basis.The possibility of achieving a single, histologically clear excision could alleviate the burden on patients to undergo a second surgery.This approach could also mitigate the overload of surgical interventions, thereby reducing the number of negative histological samples for pathologists.We hope that our monoinstitutional experience inspires similar data analyses at other institutions, ultimately fostering a national consensus on the management of suspicious melanocytic lesions and MIS.