The shifting paradigm in the management of giant congenital melanocytic nevi: review and clinical applications.

Abstract:

SUMMARY:Congenital melanocytic nevi remain a subject of controversy with respect to risk of malignant transformation and recommended management. Recent studies indicate a lower malignant risk (0.7 to 2.9 percent) than had previously been estimated. Surgery has not been proven to reduce malignant risk or improve quality of life, and may result in undesirable aesthetic and functional outcomes. In this article, the authors review key controversial issues in the management of congenital melanocytic nevi and re-evaluate indications for surgical treatment. An updated review of controversial topics in the management of congenital melanocytic nevi is presented, and clinical applications are demonstrated through clinical cases. Updates regarding the risks and outcomes of congenital melanocytic nevi patients open a renewed debate with respect to the indications for surgery as well as the extent of surgery that may be suitable. Treatment should be tailored to achieve optimal aesthetic results whereby complete nevus excision is not the goal. As such, nonsurgical management and incomplete nevus excision should be integrated as legitimate parts of any treatment algorithm.

journal_name

Plast Reconstr Surg

authors

Arad E,Zuker RM

doi

10.1097/01.prs.0000436852.32527.8a

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

367-376

issue

2

eissn

0032-1052

issn

1529-4242

pii

00006534-201402000-00031

journal_volume

133

pub_type

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