Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori, IRCCS IRST, Meldola, Italy.
Dermatology. 2013;226 Suppl 1:7-12. doi: 10.1159/000348861. Epub 2013 May 29.
Small- and intermediate-sized congenital nevi (SCN and ICN) undergo periodic clinical monitoring or surgical excision. We analyzed the management of SCN and ICN in the Italian hospital network.
A nationwide survey of a representative sample of centers was conducted. Data were analyzed grouping centers by melanoma incidence into high-volume (>25 diagnoses per year) and low-volume (≤ 25 diagnoses per year).
In the pediatric population, 11% of SCN and 22% of ICN are excised, the remainder undergoing clinical monitoring at intervals of 6 months to 2 years (SCN) and of 6 months to 1 year (ICN). In adults, 24% of SCN and 41% of ICN are excised. Clinical monitoring of SCN varies from 6-monthly (most common among low-volume hospitals) to every 2 years; preferred strategies for ICN are follow-up at 1 year (51%) or follow-up at 6 months (42%). For prophylactic surgery, complete excision is preferred.
The Italian hospital network values management and treatment of SCN and ICN. In most cases natural evolution prompts prophylactic excision. Clinical examination is an important monitoring tool, though follow-up frequency depends on the clinician's experience and practice.
小型和中型先天性痣（SCN 和 ICN）需要定期进行临床监测或手术切除。我们分析了意大利医院网络中 SCN 和 ICN 的治疗方法。
对一组具有代表性的中心进行了全国范围的调查。根据黑色素瘤发病率，将中心分为高容量（> 25 例/年）和低容量（≤ 25 例/年）进行数据分析。
在儿科人群中，11%的 SCN 和 22%的 ICN 被切除，其余的则在 6 个月至 2 年（SCN）和 6 个月至 1 年（ICN）的间隔内进行临床监测。在成年人中，24%的 SCN 和 41%的 ICN 被切除。SCN 的临床监测频率从每 6 个月（低容量医院中最常见）到每 2 年不等；ICN 的首选策略是每年 1 次随访（51%）或每 6 个月随访（42%）。对于预防性手术，首选完全切除。
意大利医院网络重视 SCN 和 ICN 的治疗和管理。在大多数情况下，自然演变促使预防性切除。临床检查是一种重要的监测工具，但随访频率取决于临床医生的经验和实践。
