Clinical and dermoscopic characteristics of congenital melanocytic naevi

Stefanaki, Christina; Soura, Efthymia; Stergiopoulou, A.; Kontochristopoulos, Georgios; Κατσαρού, Αλεξάνδρα; Potouridou, Irene; Rigopoulos, Dimitrios; Antoniou, Christina; Stratigos, Alexander J.

doi:10.1111/jdv.14988

Cited by 20 publications

(11 citation statements)

References 28 publications

(81 reference statements)

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“…Melanoma specific dermatoscopic features can be seen in melanomas arising on small/medium‐sized CMN. However, changes in dermatoscopic findings may not be always a sign of malignancy because CMN can grow over time and may present with atypical dermatoscopic features 73 …”

Section: Approach To Congenital Melanocytic Naevimentioning

confidence: 99%

“…However, changes in dermatoscopic findings may not be always a sign of malignancy because CMN can grow over time and may present with atypical dermatoscopic features. 73 Dermatoscopic evaluation of CMN commonly shows globular, reticular-globular, reticular, and homogenous pattern in different age groups. Globular pattern is seen in the first 2 decades, whereas reticular pattern is seen after 3rd and 4th decades.…”

Section: Approach To Congenital Melanocytic Naevimentioning

confidence: 99%

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Congenital melanocytic naevi: An up‐to‐date overview

et al. 2021

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Congenital melanocytic naevi are hamartomas of the neuroectoderm caused by genetic mosaicism. Congenital melanocytic naevi are seen in 1-6% of all live births and commonly classified based on the projected size in adults. Congenital melanocytic naevi appear in different colours, shapes, and sizes, and occasionally present with complications. In this review, we sought to evaluate congenital melanocytic naevi, their clinical, dermatoscopic, and reflectance confocal microscopic features, behavioural pattern over time, new trends in classification, underlying genetic factors and their influence on clinical manifestations and management, associated risks, complications, magnetic resonance imaging findings and their management in the light of recent literature.

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Section: Approach To Congenital Melanocytic Naevimentioning

confidence: 99%

Section: Approach To Congenital Melanocytic Naevimentioning

confidence: 99%

Congenital melanocytic naevi: An up‐to‐date overview

et al. 2021

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“…An observational study of 77 patients demonstrated that reticular patterns in CMN are more commonly seen in patients aged 12 years or older. In addition, 40% of reticulated patterns were seen on the extremities or head and neck 40‐42 …”

Section: Congenital Melanocytic Nevimentioning

confidence: 99%

A practical review of dermoscopy for pediatric dermatology part I: Melanocytic growths

Kaushik

Natsis

Gordon

et al. 2020

Pediatric Dermatology

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The value of dermoscopy in the detection of skin cancer is well established. Less is published on the utility of dermoscopy in the evaluation of pediatric skin disease. Our review (in two parts) aims to serve as an update on pediatric dermoscopy and to provide readers with a practical application for the use of dermoscopy in pediatric dermatology clinics. In part I, we propose a dermoscopy algorithm for pediatric skin disease and melanocytic growths, and in part II, we address vascular growths, common skin infections, and inflammatory conditions for which dermoscopy is valuable.

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“…Physicians planning to use dermoscopy should be familiar with the dermoscopic characteristics of CMN in order to avoid unnecessary excisions of seemingly suspicious lesions (e.g., atypical pigment network in CMN of the extremities) . Standardized photo documentation facilitates the assessment of changing or newly emerging skin lesions over time, especially if different investigators are involved.…”

Section: Multidisciplinary Approachmentioning

confidence: 99%

Multidisciplinary long‐term care and modern surgical treatment of congenital melanocytic nevi – recommendations by the CMN surgery network

Ott

Krengel

Beck

et al. 2019

J Deutsche Derma Gesell

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Summary In recent years, our knowledge of congenital melanocytic nevi (CMN) has greatly expanded. This has led to a paradigm shift. The present article represents a commentary by an interdisciplinary group of physicians from German‐speaking countries with extensive experience in long‐term care and surgical treatment of children and adults with CMN (CMN surgery network, “Netzwerk Nävuschirurgie”, NNC). The authors address aspects such as the indication for treatment as well as treatment planning and implementation under these new premises. Adequate counseling of parents on conservative and/or surgical management requires an interdisciplinary exchange among physicians and individualized planning of the intervention, which frequently involves a multi‐stage procedure. Today, the long‐term aesthetic outcome is at the center of any therapeutic endeavor, whereas melanoma prevention plays only a minor role. The premise of “removal at any cost” no longer holds. Potential treatment‐related adverse effects (hospitalization, wound healing disorders, and others) must be carefully weighed against the prospects of a beneficial outcome. In this context, the use of dermabrasion in particular must be critically evaluated. At a meeting of the NNC in September 2018, its members agreed on a consensus‐based position on dermabrasion, stating that the procedure frequently leads to impaired wound healing and cosmetically unfavorable or hypertrophic scarring. Moreover, dermabrasion is considered to be commonly associated with considerable repigmentation that usually occurs a number of years after the procedure. In addition, the NNC members saw no benefit in terms of melanoma prevention. In the future, physicians should therefore thoroughly caution about the potential risks and often limited cosmetic benefits of dermabrasion.

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Clinical and dermoscopic characteristics of congenital melanocytic naevi

Abstract: Given that there is much controversy on the management and accurate classification of CN, our findings may provide useful information.

Cited by 20 publications

References 28 publications

Congenital melanocytic naevi: An up‐to‐date overview

Congenital melanocytic naevi: An up‐to‐date overview

A practical review of dermoscopy for pediatric dermatology part I: Melanocytic growths

Multidisciplinary long‐term care and modern surgical treatment of congenital melanocytic nevi – recommendations by the CMN surgery network

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