The surgical challenge of giant circumferential congenital naevi of the extremities: a 13-year follow-up of two cases

The surgical challenge of giant circumferential congenital naevi of the extremities: a 13-year... The surgical management of giant congenital melanocytic naevi involving extremities in a circumferential pattern may represent a surgical challenge with respect to their resection and subsequent reconstructive options. We present our experience in the management of circumferential giant congenital melanocytic naevi involving the upper limb in one patient and lower limb in another one. They were managed and followed up for 13 years. The lesion regenerated following dermabrasion in the first patient and regenerated following tangential excision and split-thickness skin graft in both patients. Therefore, another approach was used, full-thickness resection of the lesions and reconstruction with dermal regeneration template (Integra™), followed by ultrathin split-thickness skin graft. The last approach resulted in no recurrence during a 3-year follow-up. The complexity of these lesions and the limitation of different surgical approaches have been highlighted. Full-thickness excision of the affected integument and the use of dermal regeneration template is a useful technique which can be considered in the management of circumferential giant melanocytic naevi, particularly when other established methods have failed to provide satisfactory results. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

The surgical challenge of giant circumferential congenital naevi of the extremities: a 13-year follow-up of two cases

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Publisher
Springer Journals
Copyright
Copyright © 2009 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-009-0350-7
Publisher site
See Article on Publisher Site

Abstract

The surgical management of giant congenital melanocytic naevi involving extremities in a circumferential pattern may represent a surgical challenge with respect to their resection and subsequent reconstructive options. We present our experience in the management of circumferential giant congenital melanocytic naevi involving the upper limb in one patient and lower limb in another one. They were managed and followed up for 13 years. The lesion regenerated following dermabrasion in the first patient and regenerated following tangential excision and split-thickness skin graft in both patients. Therefore, another approach was used, full-thickness resection of the lesions and reconstruction with dermal regeneration template (Integra™), followed by ultrathin split-thickness skin graft. The last approach resulted in no recurrence during a 3-year follow-up. The complexity of these lesions and the limitation of different surgical approaches have been highlighted. Full-thickness excision of the affected integument and the use of dermal regeneration template is a useful technique which can be considered in the management of circumferential giant melanocytic naevi, particularly when other established methods have failed to provide satisfactory results.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Dec 1, 2009

References

  • Malignant melanoma in children
    Skov-Jensen, T; Hastrup, J; Lambrethsen, E
  • Congenital nevi: let's be practical
    From, L
  • Excision of large congenital melanocytic nevus facilitated by the use of tissue expander
    Wiltz, H; Kollmer, WL; Rauscher, GE
  • Radical resection of giant congenital nevus and reconstruction with Meek-graft covered Integra dermal template
    Kopp, J; Noah, EM; Rübben, A; Merk, HF; Pallua, N
  • Multicentric malignant melanoma in a giant melanocytic congenital nevus 20 years after dermabrasion in adulthood
    Zutt, M; Kretschmer, L; Emmert, S; Haenssle, H; Neumann, C; Bertsch, HP

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