Abstract Giant pigmented nevi afflict the patient not only with an unsightly cosmetic defect but also with the hazard of possible conversion to cancer. Such a nevus, extending over the back of an 18-year-old girl, was removed by surgical excision. Several hundred smaller nevi were removed from other parts of her body surface. Three separate operative procedures were required; the first was to remove the nevi from the right side of her body and prepare a skin donor site, the second to remove part of the large nevus and the smaller ones from her left side, and a third for complete excision of the giant nevus. Almost all the skin grafts were successful, and no malignant changes were found in any of the nevi excised. References 1. Pack, G. T., and Sunderland, D. A.: Naevus Unius Lateris , Arch. Surg. 43:341-375 ( (Sept.) ) 1941.Crossref 2. McDowell, A. N. J.: Excision of Giant Nevus—Case Report , Plast. & Reconstruct. Surg. 21:487-491 ( (June) ) 1958. 3. Pack, G. T., and Livingston, E.: Treatment of Pigmented Nevi and Melanoma , in Treatment of Cancer and Allied Diseases , vol. 3, edited by G. T. Pack, and E. Livingston, New York, Paul B. Hoeber, Inc. (medical book department of Harper & Brothers), 1940, pp. 2071-2094. 4. Conway, H.: Bathing Trunk Nevus , Surgery 6:585-597 ( (Oct.) ) 1939. 5. Fishback, H. R.: Giant Pigmented Nevus with Malignant Transformation , Am. J. Cancer 40:471-473 ( (Dec.) ) 1940. 6. Fuste, R., and Mora Morales, L.: Malignant Degeneration of Gigantic Pigmented Nevus of Shoulder , Rev. méd. cubana 55:307-314 ( (April) ) 1944. 7. Pinheiro, J., and Neto, M. B.: Giant Nevus with Malignant Transformation , Arch. brasil. de med. 33:141-162 ( (May) -June) 1943. 8. Reuben, M. S.: Nevus Pigmentosus Pilosus: Bathing Trunk Type , Arch. Pediat. 45:364-368 ( (June) ) 1928. 9. Lund, H. Z., and Stobbe, G. D.: Natural History of Pigmented Nevus: Factors of Age and Anatomic Location , Am. J. Path. 25:1117-1155 ( (Nov.) ) 1949.
JAMA – American Medical Association
Published: Dec 12, 1959