Giant congenital melanocytic nevi: 40 years of experience with the serial excision technique

Although giant congenital melanocytic nevus is a rare lesion, it causes significant deformity and carries a risk of malignant degeneration. Different surgical techniques for the lesion removal are described, including serial resection, resection with skin grafting, and resection and coverage with ex...

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Published inAnais brasileiros de dermatología Vol. 92; no. 2; pp. 256 - 259
Main Authors Mutti, Lais de Abreu, Mascarenhas, Marta Regina Machado, Paiva, João Marcos Goes de, Golcman, Ronaldo, Enokihara, Mauro Yoshiaki, Golcman, Benjamin
Format Journal Article
LanguageEnglish
Published Brazil Sociedade Brasileira de Dermatologia 01.03.2017
Subjects
Case Report
Cutaneous neoplasias
Dermatologic Surgical Procedures - methods
DERMATOLOGY
Humans
Nevi and melanomas
Nevus, Pigmented - complications
Nevus, Pigmented - congenital
Nevus, Pigmented - surgery
Pigmented nevus
Skin Neoplasms - complications
Skin Neoplasms - congenital
Skin Neoplasms - surgery
Surgical Flaps - surgery
Time Factors
Tissue Expansion Devices
Cutaneous neoplasias
Pigmented nevus
Nevi and melanomas
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Abstract Although giant congenital melanocytic nevus is a rare lesion, it causes significant deformity and carries a risk of malignant degeneration. Different surgical techniques for the lesion removal are described, including serial resection, resection with skin grafting, and resection and coverage with expanded skin flap (skin expanders). The aim of this study is to report the author's 40 years of experience with cases requiring at least 4 serial excisions to complete the treatment. Serial resection is an effective, safe, and simple technique that requires a lot of patience. Treatment often results in a single linear scar, requires no donor sites, nor large flaps. It is not subject to potencial complications of expanders and avoid aesthetic deformities depending on the location.
AbstractList Although giant congenital melanocytic nevus is a rare lesion, it causes significant deformity and carries a risk of malignant degeneration. Different surgical techniques for the lesion removal are described, including serial resection, resection with skin grafting, and resection and coverage with expanded skin flap (skin expanders). The aim of this study is to report the author's 40 years of experience with cases requiring at least 4 serial excisions to complete the treatment. Serial resection is an effective, safe, and simple technique that requires a lot of patience. Treatment often results in a single linear scar, requires no donor sites, nor large flaps. It is not subject to potencial complications of expanders and avoid aesthetic deformities depending on the location.
Although giant congenital melanocytic nevus is a rare lesion, it causes significant deformity and carries a risk of malignant degeneration. Different surgical techniques for the lesion removal are described, including serial resection, resection with skin grafting, and resection and coverage with expanded skin flap (skin expanders). The aim of this study is to report the author's 40 years of experience with cases requiring at least 4 serial excisions to complete the treatment. Serial resection is an effective, safe, and simple technique that requires a lot of patience. Treatment often results in a single linear scar, requires no donor sites, nor large flaps. It is not subject to potencial complications of expanders and avoid aesthetic deformities depending on the location.Although giant congenital melanocytic nevus is a rare lesion, it causes significant deformity and carries a risk of malignant degeneration. Different surgical techniques for the lesion removal are described, including serial resection, resection with skin grafting, and resection and coverage with expanded skin flap (skin expanders). The aim of this study is to report the author's 40 years of experience with cases requiring at least 4 serial excisions to complete the treatment. Serial resection is an effective, safe, and simple technique that requires a lot of patience. Treatment often results in a single linear scar, requires no donor sites, nor large flaps. It is not subject to potencial complications of expanders and avoid aesthetic deformities depending on the location.
Although giant congenital melanocytic nevus is a rare lesion, it causes significant deformity and carries a risk of malignant degeneration. Different surgical techniques for the lesion removal are described, including serial resection, resection with skin grafting, and resection and coverage with expanded skin flap (skin expanders). The aim of this study is to report the author's 40 years of experience with cases requiring at least 4 serial excisions to complete the treatment. Serial resection is an effective, safe, and simple technique that requires a lot of patience. Treatment often results in a single linear scar, requires no donor sites, nor large flaps. It is not subject to potencial complications of expanders and avoid aesthetic deformities depending on the location.
Author Enokihara, Mauro Yoshiaki
Mascarenhas, Marta Regina Machado
Golcman, Ronaldo
Paiva, João Marcos Goes de
Mutti, Lais de Abreu
Golcman, Benjamin
AuthorAffiliation 1 Dermatologic Surgery Center at Universidade Federal de São Paulo (UNIFESP) – São Paulo (SP), Brazil
3 Dermatologic Department at Universidade Federal de São Paulo (UNIFESP) – São Paulo (SP), Brazil
2 School of Medicine at Universidade de São Paulo (USP) – São Paulo (SP), Brazil
AuthorAffiliation_xml – name: 3 Dermatologic Department at Universidade Federal de São Paulo (UNIFESP) – São Paulo (SP), Brazil
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Keywords Cutaneous neoplasias
Pigmented nevus
Nevi and melanomas
Language English
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Snippet Although giant congenital melanocytic nevus is a rare lesion, it causes significant deformity and carries a risk of malignant degeneration. Different surgical...
Although giant congenital melanocytic nevus is a rare lesion, it causes significant deformity and carries a risk of malignant degeneration. Different surgical...
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StartPage 256
SubjectTerms Case Report
Cutaneous neoplasias
Dermatologic Surgical Procedures - methods
DERMATOLOGY
Humans
Nevi and melanomas
Nevus, Pigmented - complications
Nevus, Pigmented - congenital
Nevus, Pigmented - surgery
Pigmented nevus
Skin Neoplasms - complications
Skin Neoplasms - congenital
Skin Neoplasms - surgery
Surgical Flaps - surgery
Time Factors
Tissue Expansion Devices
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Title Giant congenital melanocytic nevi: 40 years of experience with the serial excision technique
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