CONGENITAL GIANT NEVUS - A PRELIMINARY-REPORT OF A NEW SURGICAL APPROACH
CONGENITAL GIANT NEVUS - A PRELIMINARY-REPORT OF A NEW SURGICAL APPROACH
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DOI：
10.1016/0007-1226(87)90046-4
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发表时间：
1987-07-01
期刊：
影响因子：
--
通讯作者：
MOSS, ALH
中科院分区：
文献类型：
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作者：
MOSS, ALH
一种新的方法来治疗先天性“巨大”痣的描述，使用刮匙在最初几个星期的生活。这试图尽量减少既定治疗方法的缺点。该技术是相对无创伤的，因为在去除色素沉着的真皮内似乎有一个自然的分裂平面。10名患者接受了该手术治疗，随访3个月至5年; 3名患者的刮除效果较差且不满意，导致色素沉着恢复。1例患者在伤口感染后出现增生性瘢痕并延迟愈合。其余6例虽有毛发残留，但外观良好。现在说恶性潜能是否已经消除还为时过早，但通过减少黑素细胞和痣细胞的总数，恶性潜能已经减少。
A new approach to the treatment of congenital "giant" naevi is described, using a curette in the first few weeks of life. This attempts to minimize the disadvantages of established methods of treatment. The technique is relatively atraumatic as there appears to be a natural cleavage plane within the dermis removing the pigmentation. Ten patients have been treated with this procedure with a follow-up of 3 months to 5 years; 3 patients have produced poor and unsatisfactory curettings, which has resulted in return of pigmentation. One case developed hypertrophic scarring following a wound infection and delayed healing. The other 6 cases have encouraging appearances although the hairs in some lesions remain. It is too early to say if malignant potential has been removed but perphaps it has been reduced by decreasing the total number of melanocytes and naevus cells.