Green Margaret C, Mitchum Marsha D, Marquart Jason D, Bingham Jonathan L
Department of Dermatology, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600.
Mil Med. 2014 Apr;179(4):e463-5. doi: 10.7205/MILMED-D-13-00492.
Giant congenital melanocytic nevi (GCMN) are a rare type of melanocytic nevus that covers a large body surface, often with satellite nevi scattered on the rest of the skin. There are several complications associated with GCMN, including malignant melanoma and neurocutaneous melanosis. The management of GCMN is very complex because of the cosmetic appearance and the associated psychological distress, the risk of severe complications, and the need for long-term follow-up. We report a case of a 43-year-old active-duty female with a GCMN reporting new and symptomatic satellite lesions with atypical features on dermoscopy.
巨大先天性黑素细胞痣（GCMN）是一种罕见的黑素细胞痣，覆盖大面积体表，常伴有散在分布于身体其他部位皮肤的卫星痣。GCMN会引发多种并发症，包括恶性黑色素瘤和神经皮肤黑素沉着症。由于其外观影响美观及相关心理困扰、严重并发症风险以及需要长期随访，GCMN的治疗非常复杂。我们报告一例43岁现役女性患有GCMN，其报告在皮肤镜检查中有具有非典型特征的新的有症状卫星损害。
