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Novel Surgical Approach in Cutaneous Melanoma Patients: “Daring Ideas Are Like Chessmen Moved Forward. They May Be Beaten, But they May Start a Winning Game!?”
For the first time, but again, we propose the idea of a one-step melanoma surgery as a “golden, unified standard” that should be at least discussed and, possibly accepted shortly as the “gold standard” for the treatment of patients with skin melanomas. Critical points or comments have been made to t...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Republic of Macedonia
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661726/ https://www.ncbi.nlm.nih.gov/pubmed/29104697 http://dx.doi.org/10.3889/oamjms.2017.199 |
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author | Tchernev, Georgi |
author_facet | Tchernev, Georgi |
author_sort | Tchernev, Georgi |
collection | PubMed |
description | For the first time, but again, we propose the idea of a one-step melanoma surgery as a “golden, unified standard” that should be at least discussed and, possibly accepted shortly as the “gold standard” for the treatment of patients with skin melanomas. Critical points or comments have been made to the current melanoma’s treatment approach, which has been “transcendently followed” for years and which, according to some colleagues, is not logically justified. This approach needs serious changes, the only goal of which is to achieve a better outlook for the patients. Although the proposed by us approach is not even a possible option in the European and American recommendations for the treatment of melanoma, it finds widespread use (or acceptability) in clinical practice in the form of specific, individually informed consent. Guidelines are not mandatory, and standards are not always met. Whether “good medical practices” will prevail as a logic and stereotype of clinical behaviour, whether they will be finally recognised and whether they will find an extra international response is unclear at the moment. However, the fact that they are enforced with success, indirectly speaks that the “wave of change” is already rising and the hope is to “remove the debris” and illogically justified decisions often defined by the American dermatological school as “expert”. The choice of right solutions lies in following the logic, as well as in its simplicity. Often these decisions are in front of our eyes, but we look at the distant horizons: “Do we want to be discoverers?” Without even trying to give a simple answer to the question: “Aren’t the treasures very often in front of us?” |
format | Online Article Text |
id | pubmed-5661726 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Republic of Macedonia |
record_format | MEDLINE/PubMed |
spelling | pubmed-56617262017-11-03 Novel Surgical Approach in Cutaneous Melanoma Patients: “Daring Ideas Are Like Chessmen Moved Forward. They May Be Beaten, But they May Start a Winning Game!?” Tchernev, Georgi Open Access Maced J Med Sci Letter to the Editor For the first time, but again, we propose the idea of a one-step melanoma surgery as a “golden, unified standard” that should be at least discussed and, possibly accepted shortly as the “gold standard” for the treatment of patients with skin melanomas. Critical points or comments have been made to the current melanoma’s treatment approach, which has been “transcendently followed” for years and which, according to some colleagues, is not logically justified. This approach needs serious changes, the only goal of which is to achieve a better outlook for the patients. Although the proposed by us approach is not even a possible option in the European and American recommendations for the treatment of melanoma, it finds widespread use (or acceptability) in clinical practice in the form of specific, individually informed consent. Guidelines are not mandatory, and standards are not always met. Whether “good medical practices” will prevail as a logic and stereotype of clinical behaviour, whether they will be finally recognised and whether they will find an extra international response is unclear at the moment. However, the fact that they are enforced with success, indirectly speaks that the “wave of change” is already rising and the hope is to “remove the debris” and illogically justified decisions often defined by the American dermatological school as “expert”. The choice of right solutions lies in following the logic, as well as in its simplicity. Often these decisions are in front of our eyes, but we look at the distant horizons: “Do we want to be discoverers?” Without even trying to give a simple answer to the question: “Aren’t the treasures very often in front of us?” Republic of Macedonia 2017-10-14 /pmc/articles/PMC5661726/ /pubmed/29104697 http://dx.doi.org/10.3889/oamjms.2017.199 Text en Copyright: © 2017 Georgi Tchernev. http://creativecommons.org/licenses/CC BY-NC/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). |
spellingShingle | Letter to the Editor Tchernev, Georgi Novel Surgical Approach in Cutaneous Melanoma Patients: “Daring Ideas Are Like Chessmen Moved Forward. They May Be Beaten, But they May Start a Winning Game!?” |
title | Novel Surgical Approach in Cutaneous Melanoma Patients: “Daring Ideas Are Like Chessmen Moved Forward. They May Be Beaten, But they May Start a Winning Game!?” |
title_full | Novel Surgical Approach in Cutaneous Melanoma Patients: “Daring Ideas Are Like Chessmen Moved Forward. They May Be Beaten, But they May Start a Winning Game!?” |
title_fullStr | Novel Surgical Approach in Cutaneous Melanoma Patients: “Daring Ideas Are Like Chessmen Moved Forward. They May Be Beaten, But they May Start a Winning Game!?” |
title_full_unstemmed | Novel Surgical Approach in Cutaneous Melanoma Patients: “Daring Ideas Are Like Chessmen Moved Forward. They May Be Beaten, But they May Start a Winning Game!?” |
title_short | Novel Surgical Approach in Cutaneous Melanoma Patients: “Daring Ideas Are Like Chessmen Moved Forward. They May Be Beaten, But they May Start a Winning Game!?” |
title_sort | novel surgical approach in cutaneous melanoma patients: “daring ideas are like chessmen moved forward. they may be beaten, but they may start a winning game!?” |
topic | Letter to the Editor |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661726/ https://www.ncbi.nlm.nih.gov/pubmed/29104697 http://dx.doi.org/10.3889/oamjms.2017.199 |
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