1/8. Secondary reconstruction of a giant congenital lentiginous dermal nevus with serial, large-volume tissue expansion.Giant congenital pigmented nevi pose a substantial reconstructive challenge for the treating physician. Due to the increased risk of malignant transformation in such lesions, complete excision with tissue expansion or skin grafting is the generally accepted treatment. These modalities can, however, leave the patient with secondary deformities that also require complex reconstructive procedures. The following case details a patient requiring secondary reconstruction with large-volume tissue expansion 12 years after excision of a giant nevus, and split-thickness skin grafting. This patient illustrates a severe secondary deformity and the usefulness of large-volume serial expansion in such patients.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/8. White sponge nevus of the tongue.To my knowledge, this is the fifth case of white sponge nevus of the tongue to be reported. This lesion is probably much more common than has been reported in the past. The disorder is benign and almost always asymptomatic. The recognition of this disorder is important in that it must be differentiated from other congenital or familial disorders of more widespread clinical significance. It is important for any physician, and especially for dermatologists, to do a thorough examination of the oral mucous membranes as a part of any physical examination.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/8. Cerebriform intradermal naevus (a rare form of secondary cutis verticis gyrata).BACKGROUND: Acquired cerebriform intradermal naevus (CIN) is a rare form of pseudo cutis verticis gyrata. CASE REPORT: A case of acquired CIN of the scalp in a 46-year-old male patient is presented. The clinical and histopathological presentations of CIN are described and the therapeutic possibilities are discussed. CONCLUSIONS: In each individual case the physician must decide whether to do surgery or follow a wait-and-see policy. There is little risk of malignant change of CIN, and surgical excision of such lesions often involves evident mutilation.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/8. Utility of the wood's light: five cases from a pigmented lesion clinic.We demonstrate the utility of the wood's light in a practice that specializes in the evaluation of pigmented lesions. The wood's light assisted the physician in locating the site of a completely regressed primary cutaneous melanoma, determining the clinical borders of a lentigo maligna melanoma, differentiating between agminated naevi and a naevus spilus and detecting the recurrence of pigmentation after the excision of a dysplastic naevus, and also proved useful in monitoring a large segmental speckled atypical lentiginous naevus for change. Despite the availability of many 'high-tech' imaging and diagnostic devices designed to evaluate skin lesions, the relatively simple wood's lamp continues to be of great value. We encourage physicians not to abandon the use of the wood's light in their clinical practice.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |
5/8. diagnosis and management of a changing congenital melanocytic nevus.A 70-year-old man presented with a birthmark on the right upper arm that had been present for as long as he could remember (Figure). His physician had referred him for a dermatology consultation because the lesion had become larger and darker over the past year. What are the next steps in the evaluation and management of this patient? The authors discuss the diagnosis and management of a changing congenital melanocytic nevus. The epidemiology and risk of transformation into melanoma are reviewed. Techniques of biopsy and indications for follow-up are discussed. A brief review of giant congenital melanocytic nevi in the newborn is also included.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/8. magnetic resonance imaging of cutaneous melanocytic lesions.This is the first literature report on magnetic resonance imaging (MRI) examination of cutaneous melanocytic or any other type of skin lesions. Good resolution, clinically useful MRI scans of a congenital nevus and a metastatic melanoma to the skin are presented. The potential usefulness of MRI technique to physicians dealing with cutaneous disease is discussed.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/8. Cellular blue nevus simulating metastatic melanoma: report of an unusually large lesion associated with nevus-cell aggregates in regional lymph nodes.A young Caucasian woman had a large area of blue-gray discoloration on the flank and palpable axillary lymph nodes. The discolored area had enlarged during a recent pregnancy, contained multiple subcutaneous nodules, demonstrated increased cellularity and mitotic activity, and was associated with an axillary lymph node containing black streaks within the capsule. Although the lesion was initially considered to be a metastatic malignant melanoma, re-evaluation showed it to be a benign cellular blue nevus with benign nevus-cell aggregates within a regional lymph node. We report this case to emphasize how cellular blue nevus can simulate malignant melanoma and to increase physician awareness of this benign variant of melanocytic nevus so that inappropriate surgery and chemotherapy can be avoided.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/8. Congenital acral melanocytic nevi clinically stimulating acral lentiginous melanoma.Three cases of congenital acral melanocytic nevi with unusual clinical characteristics are reported. In all of the cases the surface changes and their growth were clinically suggestive of acral lentiginous melanoma, but biopsies revealed their benign nature. This exceptional presentation of congenital acral melanocytic nevi merits recognition by physicians and underscores the need for histologic diagnosis prior to definitive surgery in any cases suspected of being malignant melanoma.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |