We report our experience in congenital giant naevi. From 1983 to 1990 we observed 10 cases of which 9 infants and 1 adult. The extension of the lesions ranged between 5 and 60% of the body surface (mean value = 20%). All the patients were treated by tangential excision and skin grafts. In 5 cases skin expansion was associated. The patients were seen subsequently every 6 months with 1 year minimum follow-up. In two pediatric cases a malignant degeneration of the lesions occured. In the first case, during skin expansion, a lesion corresponding to minimal deviation melanoma appeared; in the second one, during the reconstruction by means of skin grafts, a highly invasive nodular melanoma was diagnosed. This negative experience suggests to perform a surgical treatment of congenital giant naevi as radical and precocious as possible, concentrating on esthetic refinements only secondly.
|Translated title of the contribution||Malignant degeneration of giant naevi: Our experience|
|Number of pages||5|
|Journal||Rivista Italiana di Chirurgia Plastica|
|Publication status||Published - 1992|
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