199) Six percent of the patients treated with curettage, and 78% of the patients who received excision surgery required more than 1 planned procedure, and 25% versus 44% required unplanned additional surgery, respectively. |
PMID:23903082 DOI:10.1097/SAP.0b013e3182920c3d |
2015 Annals of plastic surgery |
* Giant congenital melanocytic nevus: report from 30 years of experience in a single department. |
- Giant congenital melanocytic nevi (GCMN) occur in 1:20,000 livebirths and are associated with increased risk of malignant transformation. The treatment of GCMN from 1981 to 2010 in a tertiary referral center was reviewed evaluating the modalities used, cosmetic results, associated complications, and malignant transformation. Of 35 patients, 25 underwent surgery. Curettage was most frequently used (64%) followed by excision and tissue expansion (20%). Six percent of the patients treated with curettage, and 78% of the patients who received excision surgery required more than 1 planned procedure, and 25% versus 44% required unplanned additional surgery, respectively. Complications were noted in 25% and 67% of the patients, respectively. Cosmetic result was satisfying in 76% of patients without difference between the groups. No malignant transformation was found during a mean follow-up of 11 years. Curettage is a gentle alternative to excision with a lower complication rate and good cosmetic outcome. |
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(2)53 had | (16)5 sexually | (30)2 believed | (44)2 require |
(3)25 are | (17)4 do | (31)2 can | (45)2 required |
(4)25 have | (18)4 is | (32)2 commuted | (46)2 scored |
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(6)21 received | (20)4 sought | (34)2 deal | (48)2 smoked |
(7)14 presented | (21)3 attended | (35)2 died | (49)2 struggle |
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(11)10 completed | (25)3 may | (39)2 lives | (53)2 use |
(12)10 experienced | (26)3 met | (40)2 measured | (54)2 wanted |
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