Giant Congenital Melanocytic Nevus: Qualification of Neuvus Debulking After Split‐thickness Excision

Academic Article


  • Abstract: Although giant congenital melanocytic nevi (CMN) may undergo malignant transformation, their complete surgical removal is commonly difficult to achieve and may require sacrifice of normal skin. We treated a patient with CMN by a combination of full‐thickness excision and primary closure of the central atypical portion and split‐thickness excision of the remainder. Histometric analysis of the tissues obtained at surgery indicated that the split‐thickness procedure removed approximately 70% of the cellular nevus content from that area. Total debulking by the combined procedure was calculated to be approximately 80%. If the risk of malignant degeneration is proportional to the number of melanocytes present, the debulking procedure described may provide a useful alternative for the management of some giant CMN. The cosmetic result is satisfactory and the significant lightening in color and removal of nodular irregularities may facilitrate prospective follow‐up of the residual lesion. Copyright © 1984, Wiley Blackwell. All rights reserved
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    Author List

  • Sagebiel RW; Williams ML; Vasconez LO
  • Start Page

  • 118
  • End Page

  • 123
  • Volume

  • 2
  • Issue

  • 2