Miard F, Watier E, Pailheret J P, Edan C, Manise O
Clinique Volney, Rennes, France.
Ann Chir Plast Esthet. 1997 Aug;42(4):338-42; discussion 343.
Malignant melanoma developed on the scalp at the site of a congenital nevus in a 7-year-old girl. At birth, simple observation was proposed, despite the recognized desirable but non-urgent indication for excision, in order to avoid subjecting the infant to general anesthesia. At the first sign of a change in the macroscopic appearance of the nevus, surgical resection was performed, but the short-term outcome was fatal.... This case focuses our attention on malignant progression of even small congenital nevi and emphasizes the need for early preventive and systematic resection even when the patient's age of the patient requires general anesthesia.
一名7岁女孩头皮上的先天性痣部位发生了恶性黑色素瘤。出生时，尽管切除痣有公认的合理但非紧急的指征，但为避免婴儿接受全身麻醉，还是建议进行简单观察。当痣的宏观外观出现变化的首个迹象时，便实施了手术切除，但短期结果却是致命的……该病例让我们关注到即使是小的先天性痣也会发生恶性进展，并强调即使患者年龄需要全身麻醉，也有必要尽早进行预防性和系统性切除。
