IntroductionDermatologic surgery in infants and children is becoming more frequent, mainly because skin lesions increase in size proportionally with age and skin growth, leading to considerably larger excision wounds; their early removal therefore leads to very good cosmetic results due to increased skin elasticity and excellent tissue regeneration . The most frequently excised lesions in children are congenital and sebaceous nevi, Spitz nevi, acquired melanocytic nevi and dermoid or epidermal cysts . Pediatricians and dermatologists should be aware of the indications for surgery or laser therapy in infants as well as the optimal timing of these procedures (Table ).Summary of the most common skin lesions that require surgery or laser therapy in childhoodDermatologic conditionsRisk of malignancy developmentTherapeutic approachCongenital nevi– giant congenital nevi: (> 20 cm) 2 % risk of melanoma development; (> 60 cm) 12 % risk– highest risk of melanoma development during childhood – clinical monitoring of congenital melanocytic nevi– excisional biopsy of new nodules within the nevus– monitoring of central nervous system involvement– small/medium congenital nevi: step‐excision, tissue expanders, flaps, skin grafting– large congenital nevi: dermabrasion, curettageSpitz nevi– benign melanocytic neoplasms in children, sharing histologic features with melanoma; difficult diagnosis– complete excision with 5 mm margins regardless of age Nevus sebaceus– benign hamartoma showing
Journal Der Deutschen Dermatologischen Gesellschaft – Wiley
Published: Jan 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera