This population-based study compared sentinel lymph node biopsy utilization rates between melanoma patients treated with Mohs surgery versus wide local excision. The analysis revealed differences in SLNB rates between surgical approaches, raising questions about optimal staging integration in Mohs-treated melanoma patients. The findings highlight the importance of coordinating SLNB with surgical planning regardless of excision technique.

SLNB utilization rates may differ between Mohs surgery and WLE for melanoma, potentially reflecting practice pattern variations.

Coordinating SLNB with Mohs surgery requires careful procedural planning, ideally performing SLNB before or concurrent with Mohs.

All eligible melanoma patients should receive SLNB staging regardless of the primary excision method chosen.