[Operative management of acral skin tumors].

Special knowledge is required to treat acral skin tumors. These lesions are encountered relatively often by dermatologic surgeons. A tissue-sparing operative approach is essential. Especially when dealing with malignant tumors, complete excision must be strived for. One must also consider the methods of local spread of the different tumors. Highly-sensitive 3D histology allows one to combine complete removal and tissue sparing. This helps in preserving function. The operative approach is made simpler by automatic subcutaneous infusion anesthesia with epinephrine added to the local anesthetic; this can also be employed without concern in acral regions.