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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Detalles Bibliográficos
Autores: Mutti, Lais de Abreu [UNIFESP], Machado Mascarenhas, Marta Regina [UNIFESP], Goes de Paiva, Joao Marcos [UNIFESP], Golcman, Ronaldo, Enokihara, Mauro Yoshiaki [UNIFESP], Golcman, Benjamin
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/54961
Acceso en línea:http://dx.doi.org/10.1590/abd1806-4841.20174885
https://repositorio.unifesp.br/handle/11600/54961
Access Level:acceso abierto
Palabra clave:Cutaneous neoplasias
Nevi and melanomas
Pigmented nevus
Descripción
Sumario: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.