1.指南来源（Guide Source）: 

NCCN临床实践指南：皮肤黑色素瘤（2023.V2）.发布已获NCCN肿瘤学临床实践指南(NCCN指南®)许可。©2022美国国家综合癌症网络公司.保留所有权利。未经NCCN明确的书面许可，不得出于任何目的以任何形式复制NCCN指南®和文中的插图。要查看NCCN指南的最新完整版本，请访问NCCN.org。NCCN指南是一项持续进行的工作，可能会随着新的重要数据的出现而不断完善。  

2.免责声明（Disclaimers）：

NCCN对其内容、使用或应用不做任何形式的担保，并否认以任何方式对其应用或使用承担任何责任。

在下载本篇指南前，请先您详细阅读并同意以下协议：

NCCN内容不得用于商业目的，以及NCCN作为NCCN内容的许可方，不作任何陈述或保证，并明确否认NCCN指南适用于任何特定患者的护理或治疗，任何医院、寻求使用《NCCN指南》治疗患者的临床医生或其他医疗服务提供者(“提供者”)应根据特定患者护理或治疗的具体临床情况做出独立的医疗判断，NCCN不建议、推荐或认可任何提供者(无论是否与被许可方相关)进行任何有偿或无偿的医疗治疗、咨询或服务，也不应因被许可方建议、推荐或认可任何此类提供者的作为或不作为而直接或间接承担责任。详见《NCCN最终用户许可协议》

3.专家名单（Staff）：

*Susan M. Swetter, MD/Chair ϖ Stanford Cancer Institute

*John A. Thompson, MD ‡ †/Vice-Chair Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance

Mark R. Albertini, MD †University of Wisconsin Carbone Cancer Center

Christopher A. Barker, MD §Memorial Sloan Kettering Cancer Center

Joel Baumgartner, MD ¶UC San Diego Moores Cancer Center

Genevieve Boland, MD, PhD ¶Massachusetts General Hospital Cancer Center

Bartosz Chmielowski, MD, PhD ‡ †UCLA Jonsson Comprehensive Cancer Center

Dominick DiMaio, MD ≠Fred & Pamela Buffett Cancer Center

Ryan C. Fields, MD ¶Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

Martin D. Fleming, MD ¶The University of Tennessee Health Science Center

Anjela Galan, MD ≠Yale Cancer Center/Smilow Cancer Hospital

Brian Gastman, MD ¶Case Comprehensive Cancer Center/ University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute

Samantha Guild ¥ AIM at Melanoma Ashley Holder, MD ¶O'Neal Comprehensive Cancer Center at UAB

John Hyngstrom, MD ¶ Huntsman Cancer Institute at the University of Utah

Douglas Johnson, MD † Vanderbilt-Ingram Cancer Center

Richard W. Joseph, MD ‡ †Mayo Clinic Cancer Center

Giorgos Karakousis, MD ¶ Abramson Cancer Center at the University of Pennsylvania

Kari Kendra, MD, PhD † The Ohio State University Comprehensive Cancer Center -James Cancer Hospital and Solove Research Institute

Maija Kiuru, MD, PhD ϖ UC Davis Comprehensive Cancer Center

Julie R. Lange, MD, ScM ¶ The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Ryan Lanning, MD, PhD § University of Colorado Cancer Center

Anthony J. Olszanski, MD, RPh † Fox Chase Cancer Center

Patrick A. Ott, MD, PhD † ‡ Þ Dana-Farber/Brigham and Women's Cancer Center

Merrick I. Ross, MD ¶ The University of Texas MD Anderson Cancer Center

April K. Salama, MD †Duke Cancer Institute

Rohit Sharma, MD ¶ UT Southwestern Simmons Comprehensive Cancer Center

Joseph Skitzki, MD ¶Roswell Park Cancer Institute

Jeffrey Sosman, MD ‡ Robert H. Lurie Comprehensive Cancer Center of Northwestern University

Katy Tsai, MD † UCSF Helen Diller Family Comprehensive Cancer Center

Yan Xing, MD, PhD City of Hope National Medical Center

Evan Wuthrick, MD § Moffitt Cancer Center

NCCN Nicole McMillian, MS Mai Nguyen, PhD

4.临床试验（Clinical Trials）：

NCCN认为任何癌症患者都可以在临床试验中得到最佳治疗，因此特别鼓励患者参与临床试验。 寻找NCCN成员组：https://www.nccn.org/home/member-institutions

5.NCCN对证据和共识分类（ NCCN Categories of Evidence and Consensus）：

推荐均为2A类，除非另有说明，请参见下表：

6.NCCN首选分类（ NCCN Categories of Preference）： 

所有建议均视为合理，请参见下表：