腰背部巨型先天性黑色素痣一例報告_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

劉洪均 ,  岑瑛 ,  劉曉雪

四川大學華西醫院燒傷整形科（成都，610041）;

Corresponding?author：

岑瑛, Email: cenying835@163.com; 劉曉雪, Email: LiuXiaoXue0930@126.com

Keywords：

巨型先天性黑色素痣; 深部浸潤; 惡性黑色素瘤

DOI：

10.7507/1002-1892.20140118

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的總結1例腰背部巨型先天性黑色素痣（簡稱巨痣）的特點、治療方法及療效。方法 2013年7月收治1例13歲腰背部巨痣女性患兒，入院檢查示黑斑上至第12肋平面，下至臀部上份，兩側達腋前線；表面無毛發，凹凸不平，顏色不均勻，質地偏硬。全麻下行腰背部巨痣切除聯合右側臀大肌肌瓣（12 cm×8 cm大小）、自體上背部網狀刃厚皮片（59 cm×47 cm大小）修復術，術中見巨痣浸潤深度達髂骨骨膜，浸潤寬度在真皮及以下，超出術前判定范圍。結果術后綜合病理檢查確診為巨痣，累及皮下組織，有壞死，部分細胞增生活躍。術后20 d創面愈合。術后6個月（2014年1月）隨訪，創面部分瘢痕形成，未見復發病灶。結論巨痣浸潤可深達骨膜，其皮下浸潤范圍可能超出肉眼所見；因有惡變風險，宜采取手術擴大切除。

Citation： 劉洪均, 岑瑛, 劉曉雪. 腰背部巨型先天性黑色素痣一例報告. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(4): 527-528. doi: 10.7507/1002-1892.20140118 Copy

1.	Das SK, Amarendra M, Subudhi M. Giant congenital melanocytic nevi:a case report. J Clin Diagn Res, 2013, 7(1):154-155.
2.	Quaba AA, Waace AF. The incidence of malignant melanoma (0 to 15 years of age) arising in "large" congenital nevocellular nevi. Plast Reconstr Surg, 1986, 78(2):174-181.
3.	Arneja JS, Gosain AK. Giant congenital melanocytic nevi of the trunk and an algorithm for treatment. J Craniofac Surg, 2005, 16(5):886-893.
4.	Al-Hadithy N, Al-Nakib K, McGurk S, et al. Primary intracranial melanoma in a child with a giant congenital melanocytic naevus and normal MRI. BMJ Case Rep, 2013.[Epub ahead of print].
5.	Lovett A, Maari C, Decarie JC, et al. Large congenital melanocytic nevi and neurocutaneous melanocytosis:one pediatric center's experience. J Am Acad Dermatol, 2009, 61(5):766-774.
6.	Vourc'h-Jourdain M, Martin L, Barbarot S, et al. Large congenital melanocytic nevi:therapeutic management and melanoma risk:a systematic review. J Am Acad Dermatol, 2013, 68(3):493-498. e1-14.
7.	Marghoob AA, Agero AL, Benvenuto-Andrade C, et al. Large congenital melanocytic nevi, risk of cutaneous melanoma, and prophylactic surgery. J Am Acad Dermatol, 2006, 54(5):868-870.

1. Das SK, Amarendra M, Subudhi M. Giant congenital melanocytic nevi:a case report. J Clin Diagn Res, 2013, 7(1):154-155.
2. Quaba AA, Waace AF. The incidence of malignant melanoma (0 to 15 years of age) arising in "large" congenital nevocellular nevi. Plast Reconstr Surg, 1986, 78(2):174-181.
3. Arneja JS, Gosain AK. Giant congenital melanocytic nevi of the trunk and an algorithm for treatment. J Craniofac Surg, 2005, 16(5):886-893.
4. Al-Hadithy N, Al-Nakib K, McGurk S, et al. Primary intracranial melanoma in a child with a giant congenital melanocytic naevus and normal MRI. BMJ Case Rep, 2013.[Epub ahead of print].
5. Lovett A, Maari C, Decarie JC, et al. Large congenital melanocytic nevi and neurocutaneous melanocytosis:one pediatric center's experience. J Am Acad Dermatol, 2009, 61(5):766-774.
6. Vourc'h-Jourdain M, Martin L, Barbarot S, et al. Large congenital melanocytic nevi:therapeutic management and melanoma risk:a systematic review. J Am Acad Dermatol, 2013, 68(3):493-498. e1-14.
7. Marghoob AA, Agero AL, Benvenuto-Andrade C, et al. Large congenital melanocytic nevi, risk of cutaneous melanoma, and prophylactic surgery. J Am Acad Dermatol, 2006, 54(5):868-870.

Previous Article
LATEST PROGRESS ON MINIMALLY INVASIVE TREATMENT OF OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURE

Chinese Journal of Reparative and Reconstructive Surgery

腰背部巨型先天性黑色素痣一例報告

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Format

Content