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Radical Resection of Giant Congenital Melanocytic Nevus and Reconstruction With Meek‐Graft Covered Integra Dermal Template

Radical Resection of Giant Congenital Melanocytic Nevus and Reconstruction With Meek‐Graft... Background. Giant congenital melanocytic nevi represent a surgical challenge, particularly in cases in which the size of the nevus exceeds certain extend and malignant transformations have to be considered. Objective. To discuss through case report considerable surgical options when extensive giant congenital melanocytic nevi with malignant transformation are encountered. Methods. We present an unusual case of a giant congenital melanocytic nevi of the entire back of a 44‐year‐old patient. To achieve radical resection with direct appropriate wound closure and acceptable outcome, the integument of the entire back was excised and covered with Integra, followed by split‐thickness skin grafting after stable integration of the matrix. Results. The approach resulted in a complete excision of the tumor and acceptable cosmetic and excellent biomechanical outcome. Conclusion. The introduced practice demonstrates a useful alternative to established methods, particularly if tumor excision in large areas and subsequent wound closure might be achieved in one procedure. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Dermatologic Surgery Wolters Kluwer Health

Radical Resection of Giant Congenital Melanocytic Nevus and Reconstruction With Meek‐Graft Covered Integra Dermal Template

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References (47)

Publisher
Wolters Kluwer Health
Copyright
Copyright © 2003 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1076-0512
eISSN
1524-4725
DOI
10.1046/j.1524-4725.2003.29157.x
Publisher site
See Article on Publisher Site

Abstract

Background. Giant congenital melanocytic nevi represent a surgical challenge, particularly in cases in which the size of the nevus exceeds certain extend and malignant transformations have to be considered. Objective. To discuss through case report considerable surgical options when extensive giant congenital melanocytic nevi with malignant transformation are encountered. Methods. We present an unusual case of a giant congenital melanocytic nevi of the entire back of a 44‐year‐old patient. To achieve radical resection with direct appropriate wound closure and acceptable outcome, the integument of the entire back was excised and covered with Integra, followed by split‐thickness skin grafting after stable integration of the matrix. Results. The approach resulted in a complete excision of the tumor and acceptable cosmetic and excellent biomechanical outcome. Conclusion. The introduced practice demonstrates a useful alternative to established methods, particularly if tumor excision in large areas and subsequent wound closure might be achieved in one procedure.

Journal

Dermatologic Surgery – Wolters Kluwer Health

Published: Jun 1, 2003

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