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Study identifier: NCT07354152 Synced from ClinicalTrials.gov · July 30, 2026
● Recruiting

COmparison of the Use of a PERforator Flap Versus Total Skin GRAft in the Management of Loss of Substance After Resection of Cutaneous Melanoma - Pilot Study

Condition: Stage II Cutaneous Melanoma  ·  Sponsor: Nantes University Hospital

PhaseN/A
Planned participants40
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

Melanoma is an aggressive and potentially fatal skin cancer and was the fifth most commonly diagnosed cancer among both men and women in the United States in 2022. When detected early, cutaneous melanoma has a favorable prognosis, with a 5-year survival rate exceeding 90%. Because melanoma frequently affects younger patients, wide local excision according to international guidelines may result in substantial functional and aesthetic morbidity. Reconstruction is therefore a critical component of locoregional management and should aim to optimize functional and aesthetic outcomes without compromising oncologic control. To date, no consensus exists regarding the optimal reconstructive strategy. Skin grafts are often favored for their presumed ability to facilitate early detection of local recurrence but are associated with donor-site morbidity and suboptimal morphofunctional outcomes. Flap reconstruction has been reported to improve healing time and aesthetic results; however, it is not commonly considered first-line after melanoma excision, largely due to the unsubstantiated concern that flaps may delay recurrence detection. Notably, objective data supporting this concern are lacking. Only two retrospective studies have addressed this issue. The largest, including 165 patients, reported that perforator-based pedicled flaps achieved favorable functional and aesthetic outcomes without adversely affecting locoregional disease control. A smaller study of facial melanoma similarly…

This description comes directly from the study's public registry record.

Talk to the study team

Ugo Lancien, MD  ·  02 40 08 73 04  ·  ugo.lancien@chu-nantes.fr

Alexandra Poinas, PhD  ·  +33 2 53 48 28 57  ·  alexandra.poinas@chu-nantes.fr

Always discuss trial participation with your own doctor first.

Locations (1)

CHU Nantes-Department of Severe Burns and Aesthetic SurgeryNantes, Nantes, FranceRecruiting

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Source record: clinicaltrials.gov/study/NCT07354152