Congenital nevocytic nevi:: Follow-up of a Swedish birth register sample regarding etiologic factors, discomfort, and removal rate

Congenital nevocytic nevi:: Follow-up of a Swedish birth register sample regarding etiologic factors, discomfort, and removal rate
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DOI:
10.1046/j.1525-1470.2002.00086.x
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发表时间:
2002-07-01
影响因子:
1.5
通讯作者:
Lindelöf, B
Lindelöf, B
中科院分区:
医学4区
文献类型:
--
作者:
Berg, P;Lindelöf, B

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大小不等的先天性痣经常被切除。我们试图通过使用质量测试来研究先天性痣的去除率和病因以及其心理社会影响。发送到一个样本人口的先天性痣细胞痣(n =192)收集从瑞典医学出生登记(SMBR)的个人问卷被用来测试登记的质量和收集信息的去除率和病因因素。质量检测表明,只有85.3%的痣列入SMBR是真正的先天性痣细胞痣。在调查问卷中报告的所有真正的先天性痣细胞痣中,39.8%已被切除,其余均未发展为恶性黑色素瘤。中位随访时间为14年。移除痣的中位年龄为9.7岁。8%的受访者认为皮肤损伤导致了嘲笑并改变了他们的社交活动。妊娠期感染或疾病与先天性痣的发生没有特别的关系。总而言之,痣越大,切除的频率越高,切除的时间也越早。切除率为40%的先天性痣细胞痣,我们没有发现恶性黑色素瘤。
Congenital nevi both small and large are frequently removed. We attempted to study the removal rate and etiologic aspects of congenital nevi as well as their psychosocial effects through the use of a quality test. A questionnaire sent to a sample population of individuals with congenital nevocytic nevi (n =192) collected from the Swedish Medical Birth Register (SMBR) was used as a test of the register's quality and for collecting information on rate of removal and etiologic factors. The quality test indicated that only 85.3% of the nevi listed in the SMBR were true congenital nevocytic nevi. Of all true congenital nevocytic nevi reported in the questionnaire, 39.8% had been removed and none of the rest had developed malignant melanoma. The median time for follow-up was 14 years. The median age at removal of the nevi was 9.7 years. Eight percent of respondents believed that the skin lesion caused taunting and changed their social activities. No infection or illness during pregnancy was specifically related to the development of congenital nevi. In conclusion, the larger the nevi, the more frequently and earlier they are excised. With an excision rate of 40% of congenital nevocytic nevi, we found no malignant melanoma.