Giant congenital naevus : Indications and techniques for surgical treatment

According to current knowledge the term giant congenital naevus is generally applied to skin alterations which consist of naevus cells, that are already conspicuous at birth and reach a diameter of at least 20 cm or more in adulthood. Surgical removal of such alterations is fundamentally indicated b...

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Bibliographic Details
Published in:Chirurg 2010-02, Vol.81 (2), p.127
Main Authors: Beier, J P, Schnabl, S, Arkudas, A, Schlabrakowski, A, Bauerschmitz, J, Horch, R E
Format: Article
Language:ger
Subjects:
Adolescent
Adult
Algorithms
Child
Child, Preschool
Dermatologic Surgical Procedures
Esthetics
Humans
Infant
Infant, Newborn
Neoplasm, Residual - pathology
Neoplasm, Residual - surgery
Nevus - congenital
Nevus - pathology
Nevus - surgery
Reconstructive Surgical Procedures - methods
Reoperation
Skin - pathology
Skin Neoplasms - congenital
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Surgical Flaps
Tissue Expansion - methods
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Summary:According to current knowledge the term giant congenital naevus is generally applied to skin alterations which consist of naevus cells, that are already conspicuous at birth and reach a diameter of at least 20 cm or more in adulthood. Surgical removal of such alterations is fundamentally indicated because there is high potential for degeneration. The surgical challenge is the functional and aesthetic reconstruction after removal. This article presents the incidence, natural course and pathology of such giant congenital naevus alterations. The advantages and disadvantages of various reconstruction procedures are presented together with an algorithm for management of these potentially malignant alterations.
ISSN:1433-0385
DOI:10.1007/s00104-009-1815-8