Early curettage of giant congenital naevi in children
Early curettage of giant congenital naevi in children
复制标题
儿童先天性巨痣的早期刮除术
DOI：
10.1046/j.1365-2133.1998.02088.x
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发表时间：
1998
影响因子：
10.3
通讯作者：
Magalon
中科院分区：
文献类型：
--
作者：
Casanova;Bardot;Andrac‐Meyer;Magalon
新生儿巨大先天性痣的早期刮宫术，如果在出生后的前几周内进行，可以对病变的色素沉着产生实质性影响，减少色素细胞的数量，只留下中度疤痕。我们描述了我们的经验，在一系列的9先天性痣治疗刮除之间的第一和第七周出生后。在出生后的最初几天内发生在痣中的组织学变化意味着需要早期治疗以获得美容改善。刮宫作为新生儿巨大先天性痣的早期治疗，可改善外观，并可能降低恶性肿瘤的风险;然而，病变无法治愈。痣细胞持续存在于真皮深层，并可能出现在表面，因此在刮宫后需要长期密切监测。外观的改善可能有利于孩子的心理发展。
Early curettage of giant congenital naevi in new‐born infants, if performed during the first few weeks after birth, can have a substantial effect on the pigmentation of the lesions, reducing the number of pigmented cells and leaving only moderate scars. We describe our experience in a series of nine congenital naevi treated by curettage between the first and seventh week after birth. Histological changes that occur in the naevus during the first few days after birth mean that early treatment is needed to obtain a cosmetic improvement. Curettage as an early treatment for giant congenital naevi in new‐born infants provides cosmetic improvement and might decrease the risk of malignancy; however, the lesions are not cured. Naevus cells persist in the deep dermal layers and may come to the surface, such that close monitoring is needed long after curettage. The cosmetic improvement is likely to benefit the child's psychological development.