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小儿巨大先天性黑素细胞痣:病例报告

Giant Congenital Melanocytic Nevus in a Pediatric Patient: Case Report.

作者信息

Merchan-Cadavid Santiago, Ferro-Morales Andres, Solano-Gutierrez Eduardo, Casallas-Sanchez Alexander, Redondo-Perez Elan D, Ramírez-Castro Andrea, Lievano-Gutierrez Juan P

机构信息

Department of Plastic Surgery, Fundación Cardioinfantil, Bogotá, Colombia.

Universidad Libre, Barranquilla, Colombia.

出版信息

Plast Reconstr Surg Glob Open. 2021 Nov 17;9(11):e3940. doi: 10.1097/GOX.0000000000003940. eCollection 2021 Nov.

Abstract

The giant congenital melanocytic nevus is a rare entity with an extremely low incidence that appears at the time of birth and generally involves the dermis but may also affect other skin layers. According to its clinical evolution, the probability of malignancy may vary, so proper follow-up is essential for potential management. There is no consensus in the literature about the greater benefit of surgical versus nonsurgical management. In this case report, we present the surgical management of a school-aged patient using dermal substitutes and skin grafts, subjectively obtaining an improvement in his quality of life.

摘要

巨大先天性黑素细胞痣是一种罕见的疾病,发病率极低,出生时即出现,通常累及真皮,但也可能影响其他皮肤层。根据其临床演变,恶变的可能性可能有所不同,因此适当的随访对于潜在的治疗至关重要。关于手术治疗与非手术治疗哪种更有益,文献中尚无共识。在本病例报告中,我们介绍了一名学龄患者使用真皮替代物和皮肤移植的手术治疗方法,主观上患者的生活质量得到了改善。

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