ISSN:
1435-0130
Keywords:
Giant nevus
;
Melanoma
;
Treatment
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary We present our experience in the surgical management of giant congenital nevocellular nevi (GCNN's). From 1983 to 1992, 13 cases were treated of which 11 were children and 2 were adults. The size of the lesions ranged between 3 and 60% of the body surface. All these patients underwent excision and skin grafting. In 6 cases, skin expansion was used. The patients were seen subsequently every 6 months with a 12 months minimum follow-up. In 2 pediatric patients, malignant degeneration of the lesion occurred: in the first case, a highly invasive nodular melanoma, in the second case, a lesion corresponding to minimal deviation melanoma. Our personal experience has shifted our attitude to the treatment of GCNN to a more aggressive approach. Early and radical excision of all the lesion is currently our first priority; esthetic refinements by means of skin expansion or other techniques are now delayed to subsequent procedures.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00178679
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