Jaeger Marcos Ro, Zuker Ronald M
Department of Plastic Surgery, The Hospital for Sick Children, Toronto, Ontario.
Can J Plast Surg. 2006 Spring;14(1):45-8. doi: 10.1177/229255030601400103.
The presence of deep pigmentation in a giant congenital nevus makes its complete removal very difficult and should be taken into consideration when planning for treatment. A clinical case in which the pigmented lesion was found to extend deep into the muscle fascia is described. The lesion was surgically removed with an acceptable functional and aesthetic result through the utilization of tissue expansion. The development of new surgical techniques and the expansion of laser technology will possibly provide new treatment options in the future. Emphasis should be placed on aesthetics and function, because the excision based only on oncological anticipation is no longer valid. The presence of deep pigmentation makes certain treatment options less effective than surgical ablation.
巨大先天性痣中存在深部色素沉着使其完全切除非常困难，在制定治疗方案时应予以考虑。本文描述了一例色素沉着病变深入肌肉筋膜的临床病例。通过组织扩张术，该病变被手术切除，获得了可接受的功能和美学效果。新手术技术的发展和激光技术的拓展未来可能会提供新的治疗选择。应注重美学和功能，因为仅基于肿瘤学预期的切除方法已不再适用。深部色素沉着的存在使得某些治疗选择不如手术切除有效。
