Tchernev G, Broshtilova V, Krastev D S, Krastev N S, Tchernev KG Jr, Kordeva S
1Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia; 2Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia, Bulgaria.
3Department of Internal Diseases, Pharmacology and Clinical Pharmacology, Pediatrics, Epidemiology, Infectious Diseases, and Skin Diseases, Faculty of Medicine, Sofia University "St Kliment Ohridski", Bulgaria.
Georgian Med News. 2025 May(362):194-197.
Surgical treatment of congenital melanocytic nevi is a serious problem for the relatives and "small patients" as well as for dermatosurgeons. The responsibility of the medical team is enormous, analogous to the expectations of the parents themselves. The aggressive dermatosurgical approach is usually short-lasting but effective and depends on the size and localization of the nevus as well as the experience of the dermatosurgeon. In practice, it is the size and morphology of melanocytic nevi, assessed on the basis of clinical and dermatoscopic criteria, that are the main factors determining the need for possible future aggressive therapy. Although the literature suggests that advanced noninvasive drug options based on mutational status exist for congenital nevi, the outcomes of their use are generally or mostly unsatisfactory, as they do not result in complete regression of lesions. We report an 8-year-old child with a congenital medium-sized papillomatous mixed melanocytic nevus in the dorsal region, successfully treated dermatosurgically under intubation anesthesia using extendable plastic surgery.
先天性黑素细胞痣的手术治疗对于亲属、“小患者”以及皮肤外科医生来说都是一个严重的问题。医疗团队的责任重大，这与患儿父母自身的期望相当。积极的皮肤外科治疗方法通常持续时间短但有效，这取决于痣的大小和位置以及皮肤外科医生的经验。在实践中，根据临床和皮肤镜标准评估的黑素细胞痣的大小和形态，是决定未来是否需要进行积极治疗的主要因素。尽管文献表明基于突变状态的先进非侵入性药物治疗方案可用于先天性痣，但这些方案的治疗效果总体上或大多不尽人意，因为它们无法使病变完全消退。我们报告了一名8岁儿童，其背部有一个先天性中等大小的乳头状混合黑素细胞痣，在插管麻醉下通过可扩展整形手术成功地进行了皮肤外科治疗。
