Neinstein Ryan M, Borschel Gregory H, Zuker Ronald M
University of Western Ontario, Schulich School of Medicine, London, Ontario.
Can J Plast Surg. 2006 Summer;14(2):91-3. doi: 10.1177/229255030601400208.
The management of congenital melanocytic nevi is controversial. The authors describe their management of a congenital nevus covering the breast and abdomen of a one-month-old girl over a 16-year period. To prevent damage to the developing breast, a staged approach was used. The nevus over the abdomen was resected first at six years of age and the remaining portion was removed after breast development was complete at 16 years of age. The breast defect was resurfaced with a full thickness skin graft from the groin. The patient was pleased with the postoperative result. This staged approach allowed an optimized aesthetic result.
先天性黑素细胞痣的治疗存在争议。作者描述了他们在16年期间对一名1个月大女孩胸部和腹部先天性痣的治疗方法。为防止对发育中的乳房造成损伤,采用了分期治疗方法。6岁时先切除腹部的痣,16岁乳房发育完成后切除剩余部分。用腹股沟全厚皮片修复乳房缺损。患者对术后效果满意。这种分期治疗方法获得了优化的美学效果。