Marano S R, Brooks R A, Spetzler R F, Rekate H L
Neurosurgery. 1986 Jan;18(1):85-9. doi: 10.1227/00006123-198601000-00015.
A case of a giant congenital cellular blue nevus of the scalp of a newborn with focal areas of malignant melanoma is presented. The nevus was associated with focal invasion of the underlying soft tissues, calvarium, epidural space, and dura mater. The later appearance of pigmented nevi in the submandibular region, sternocleidomastoid muscle, and testicular hydrocele raises the question of future metastases despite the nonmalignant microscopic appearance. Therapy consisted of total excision with cranioplasty and rotation and split skin grafts after temporary closure with silicone mesh.
本文报告了一例新生儿头皮巨大先天性细胞性蓝色痣伴局灶性恶性黑色素瘤的病例。该痣与深部软组织、颅骨、硬膜外间隙和硬脑膜的局灶性侵犯有关。尽管镜下表现为非恶性，但下颌下区域、胸锁乳突肌和睾丸鞘膜积液中出现色素痣，引发了关于未来转移的问题。治疗包括全切除、颅骨成形术以及在使用硅胶网临时闭合后进行旋转和分层皮肤移植。
