One Stage Management of a Giant Kissing Naevus

Ghosh, Yajati; Abu-Ain, Mohammad; Ahluwalia, Harpreet

doi:10.3109/01676830903488811

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…However, some surgeons have objections about this aggressive treatment because of the low rate of malignant transformations for small-to-medium divided nevi. 17 , 18 In consideration of the malignant transformation, unsettled cosmesis problems, and other pathological change after incomplete excision, 19 , 20 we insist that prophylactic complete surgical removal of the lesion is exceedingly important. In this study, the rapid change of the lesions in patients 1 and 5, the recurrent lesion in patient 2, and the postoperative pathologic examination of patients 1, 4, and 6 provide sufficient evidence for complete ablation.…”

Section: Discussionmentioning

confidence: 99%

Staged Surgery with Total Excision and Lamellar Reconstructive for Medium-sized Divided Nevus of the Eyelids

Quan

et al. 2015

Plastic and Reconstructive Surgery - Global Open

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Section: Discussionmentioning

confidence: 99%

Staged Surgery with Total Excision and Lamellar Reconstructive for Medium-sized Divided Nevus of the Eyelids

Quan

et al. 2015

Plastic and Reconstructive Surgery - Global Open

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“…Full-thickness pentagon excision was used successfully, since it was found to be very useful in the debulking of nevi that extend in the posterior lamella of eyelids, while maintaining good lobe apposition and preserving the line of eyelashes. Ghosh et al 36 , on the other hand, presented the case of a 39-year-old female patient with large kissing nevus spanning the central two third portion of the lower and upper left eyelids, with ectropion, ptosis, trichiasis and distichiasis as a result of lid margin thickening and hair follicle dystrophy. Surgical reconstruction was done in a one-stage fashion by splitting the posterior and anterior lamellae and debulking the upper/lower lid lesions.…”

Section: Excision Graft and Flap: Treatment Success Rate Of Palpebral...mentioning

confidence: 99%

Treatments of palpebral congenital melanocytic nevus: a systematic review

Camargo,

Saliba,

Saad

et al. 2023

Acta Cir. Bras.

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Purpose: Palpebral congenital melanocytic nevi (PCMN) is a rare congenital skin lesion affecting the eyelids that can lead to cosmetic and psychological concerns and potential health risks such as malignancy. Several authors have analyzed therapeutical strategies to treat PCMN. However, there was no consensus in the literature. This systematic review aimed to evaluate the effectiveness, safety, and success of treatments of PCMN. Methods: We conducted a systematic review following PRISMA guidelines from October 2022 to April 2023. We included all types of study designs that described or compared PCMN treatments and interventions, as well as histology, recurrence, adverse events, patient satisfaction, and malignant transformation. The search strategy was based on specific search words through the following databases: PubMed, Embase, Latin American and Caribbean Health Sciences Literature (Lilacs), Web of Science, and Scopus. Ongoing studies and gray literature studies were included. Results: We analyzed 25 case reports with 148 participants. The effectiveness, success, and satisfaction with various treatments for PCMN depend on the specific treatment method and the individual patient's case. Conclusion:Most of the studies showed that surgical procedures (exeresis) are able to treat PCMN in the eyelid. The variability in outcomes emphasizes the importance of further research to better understand the most effective and safe approaches for treating congenital melanocytic nevi.

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“…The projected adult size of divided nevi of the eyelids rarely exceeds 10 cm [8,9], making them small to medium lesions according to the Ruiz-Maldonaldo classification. Large lesions are rare [10].…”

Section: Discussionmentioning

confidence: 99%

Malignant Transformation of a Multi-Operated Divided Nevus of the Eyelids

et al. 2017

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A woman in her early fifties had regular follow-up for a medium-sized divided nevus of the eyelids which had undergone several surgical excisions during childhood for functional and esthetic reasons. Malignant transformation of the nevus occurred in the inferior eyelid, with the appearance of a new pigmented flat lesion. Histology showed in situ melanoma, and an NRAS activating mutation was found. A full-thickness excision of the inferior eyelid was performed, followed by reconstruction. Local recurrence of the melanoma occurred 1 year after surgery. Lifelong follow-up of divided nevi of the eyelids is recommended, even if very few cases of malignant transformation have been reported so far.

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One Stage Management of a Giant Kissing Naevus

Abstract: We report a one stage management of a Giant Divided Naevus of the eyelids with excellent cosmetic results.

Cited by 6 publications

References 5 publications

Staged Surgery with Total Excision and Lamellar Reconstructive for Medium-sized Divided Nevus of the Eyelids

Staged Surgery with Total Excision and Lamellar Reconstructive for Medium-sized Divided Nevus of the Eyelids

Treatments of palpebral congenital melanocytic nevus: a systematic review

Malignant Transformation of a Multi-Operated Divided Nevus of the Eyelids

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