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联合激光疗法成功治疗巨大先天性黑素细胞痣

Giant Congenital Melanocytic Nevi Successfully Treated with Combined Laser Therapy.

作者信息

Sakhiya Jagdish, Sakhiya Dhruv, Patel Mehul, Daruwala Feral

机构信息

Department of Dermatology. Sakhiya Skin Clinic PVT LTD, Surat, Gujarat, India.

B.J. Medical College, New Civil Hospital Asarwa, Ahmedabad, Gujarat, India.

出版信息

Indian Dermatol Online J. 2020 Jan 13;11(1):79-82. doi: 10.4103/idoj.IDOJ_107_19. eCollection 2020 Jan-Feb.

DOI:10.4103/idoj.IDOJ_107_19
PMID:32055515
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7001409/
Abstract

Congenital melanocytic nevi are benign proliferations of cutaneous melanocytes that arise as a result of abnormal growth, development, or migration of melanoblasts. Clinically, the giant congenital nevus is greater than 20 cm in size, pigmented and often hairy. The risk of malignant melanoma for the giant nevi is almost 6%. Fifty percent of the melanomas develop by the age of 2 years and, 80% of the melanomas develop by the age of 7 years. Hence, early management is of paramount importance. Herein, we present a case of giant nevi along with a review of the literature in order to bring awareness among clinicians towards this rare albeit significant entity.

摘要

先天性黑素细胞痣是皮肤黑素细胞的良性增殖,由成黑素细胞异常生长、发育或迁移所致。临床上,巨大先天性痣大小超过20 cm,有色素沉着且常多毛。巨大痣发生恶性黑色素瘤的风险近6%。50%的黑色素瘤在2岁前发生,80%在7岁前发生。因此,早期处理至关重要。在此,我们报告1例巨大痣病例并复习文献,以提高临床医生对这一罕见但重要疾病的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/7001409/596293ce39ac/IDOJ-11-79-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/7001409/45dfe7c6f25d/IDOJ-11-79-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/7001409/c4c20db97e40/IDOJ-11-79-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/7001409/e5618b950f4b/IDOJ-11-79-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/7001409/596293ce39ac/IDOJ-11-79-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/7001409/45dfe7c6f25d/IDOJ-11-79-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/7001409/c4c20db97e40/IDOJ-11-79-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/7001409/e5618b950f4b/IDOJ-11-79-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/7001409/596293ce39ac/IDOJ-11-79-g004.jpg

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Isolated melanoma metastasis in a patient with large congenital nevus without detectable primary melanoma: a case report and review of literature.一名患有巨大先天性痣且未检测到原发性黑色素瘤的患者出现孤立性黑色素瘤转移:病例报告及文献综述
Front Med (Lausanne). 2024 Oct 15;11:1427982. doi: 10.3389/fmed.2024.1427982. eCollection 2024.

本文引用的文献

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Genetics of melanocytic nevi.黑素细胞痣的遗传学
Pigment Cell Melanoma Res. 2015 Nov;28(6):661-72. doi: 10.1111/pcmr.12412.
2
Insight into evolution of a giant congenital nevomelanocytic nevus over 14 years.14 年中巨型先天性黑色素细胞痣演变的深入了解。
Indian J Dermatol Venereol Leprol. 2014 May-Jun;80(3):243-6. doi: 10.4103/0378-6323.132252.
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Giant congenital melanocytic nevus.巨大先天性黑素细胞痣
An Bras Dermatol. 2013 Nov-Dec;88(6):863-78. doi: 10.1590/abd1806-4841.20132233.
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Giant congenital melanocytic nevus with developmental dysplasia of bilateral hip: a rare association.巨大先天性黑素细胞痣伴双侧髋关节发育异常:一种罕见的关联。
Indian J Dermatol. 2013 Nov;58(6):475-7. doi: 10.4103/0019-5154.119963.
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NRAS mutation is the sole recurrent somatic mutation in large congenital melanocytic nevi.NRAS 突变是大型先天性黑素细胞痣中唯一反复出现的体细胞突变。
J Invest Dermatol. 2014 Apr;134(4):1067-1074. doi: 10.1038/jid.2013.429. Epub 2013 Oct 15.
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Comparison of classification systems for congenital melanocytic nevi.先天性黑素细胞痣分类系统的比较。
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Large congenital melanocytic nevi: associated risks and management considerations.巨大先天性黑素细胞痣:相关风险及管理考量
Semin Cutan Med Surg. 2010 Jun;29(2):79-84. doi: 10.1016/j.sder.2010.04.007.
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Melanoma risk in congenital melanocytic naevi: a systematic review.先天性黑素细胞痣的黑色素瘤风险:一项系统综述。
Br J Dermatol. 2006 Jul;155(1):1-8. doi: 10.1111/j.1365-2133.2006.07218.x.
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Dermatol Clin. 2002 Oct;20(4):607-16, viii. doi: 10.1016/s0733-8635(02)00030-x.
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