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大面积和巨大先天性痣的视觉影响：手术瘢痕与术前痣的比较。

Visual Impact of Large and Giant Congenital Naevi: Comparison of Surgical Scars with Naevi Before Surgery.

作者信息

Sampogna Francesca, González Melinda, Pascini-Garrigós Mirella, Calbet-Llopart Neus, Hay Jennifer L, Bauer Bruce S, Puig Susana, Malvehy Josep, Marghoob Ashfaq A, Carrera Cristina

机构信息

Dermatology Department, Melanoma Group IDIBAPS, Hospital Clinic Barcelona - University of Barcelona, Villarroel 170, ES-08036 Barcelona, Spain.

出版信息

Acta Derm Venereol. 2021 Jun 2;101(6):adv00470. doi: 10.2340/00015555-3826.

DOI:10.2340/00015555-3826
PMID:33954801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9380263/
Abstract

Surgical attempts to remove large/giant congenital melanocytic naevi (LGCMN) are supported mainly by the theoretical improvement in patients' self-image; however such surgery can result in unaesthetic scarring. We hypothesize that difference in appearance itself has an impact, and hence surgery cannot negate this impact. The aim of this cross-sectional study was to explore how LGCMN and scarring are perceived by non-affected people. We surveyed the visual impact on 1,015 health and non-health professionals working in a university hospital. Participants were assigned to 1 of 3 surveys, which, based on photographs of children: (i) assessed the visual impact of LGCMN; (ii) the visual impact of scarring; (iii) compared the impact of LGCMN and scarring. Feelings and perceptions evoked by images of children, either with LGCMN or with scarring, were remarkably similar. However, when the images of the same child (with LGCMN or scarring) were shown together, respondents showed significantly increased preference for scarring.

摘要

手术切除大型/巨大先天性黑素细胞痣（LGCMN）主要是出于理论上对患者自我形象的改善；然而，这种手术可能会导致不美观的疤痕。我们推测外观本身的差异会产生影响，因此手术无法消除这种影响。这项横断面研究的目的是探讨未受影响的人如何看待LGCMN和疤痕。我们调查了在一家大学医院工作的1015名健康和非健康专业人员的视觉影响。参与者被分配到3项调查中的1项，这些调查基于儿童照片：（i）评估LGCMN的视觉影响；（ii）疤痕的视觉影响；（iii）比较LGCMN和疤痕的影响。患有LGCMN或有疤痕的儿童图像所引发的感受和认知非常相似。然而，当展示同一个儿童（患有LGCMN或有疤痕）的图像时，受访者对疤痕的偏好显著增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ccd/9380263/dd5ef8f3bbba/ActaDV-101-6-648-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ccd/9380263/7879a4bc1ab7/ActaDV-101-6-648-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ccd/9380263/88133ad2c881/ActaDV-101-6-648-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ccd/9380263/ef9082ca38e6/ActaDV-101-6-648-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ccd/9380263/dd5ef8f3bbba/ActaDV-101-6-648-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ccd/9380263/7879a4bc1ab7/ActaDV-101-6-648-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ccd/9380263/88133ad2c881/ActaDV-101-6-648-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ccd/9380263/ef9082ca38e6/ActaDV-101-6-648-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ccd/9380263/dd5ef8f3bbba/ActaDV-101-6-648-g004.jpg

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Predictors of Health-related Quality of Life and Psychological Adjustment in Children and Adolescents With Congenital Melanocytic Nevi: Analysis of Parent Reports.先天性黑素细胞痣患儿和青少年健康相关生活质量和心理调整的预测因素：家长报告分析。
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