The congenital melanocytic nevus is a type of melanocytic nevus found in infants at birth. This type of birthmark occurs in an estimated 1% of infants worldwide; it is located in the area of the head and neck 15% of the time.
I- Congenital melanocytic nevus iwuhlobo lophawu lokuzalwa oluba khona ekuzalweni noma lapho esewusana. I- Nevus sebaceous ukungavamile kwesikhumba okubandakanya izimpande zezinwele ezinesici. Kulolu cwaningo, sisebenzise indlela ye-laser ebizwa ngokuthi i-pinhole method ene-laser Erbium: YAG ukwelapha izilonda ze-nevus ezigulini ezihlukahlukene. Congenital melanocytic nevus (CMN) is a melanocytic nevus that is either present at birth or appears during the latter stages of infancy. Nevus sebaceous has been described as the hamartomatous locus of an embryologically defective pilosebaceous unit. Here, we describe how we used the pinhole technique with an erbium-doped yttrium aluminium garnet (erbium : YAG) laser to treat nevi lesions in different patients.
Giant congenital melanocytic nevus wuhlobo lwebala elimnyama lesikhumba elikhona kusukela ekuzalweni futhi likhula libe ngaphezu kuka-20 cm ububanzi uma umuntu esekhule ngokugcwele. Kuyivelakancane ngempela, kwenzeka ezinganeni ezisanda kuzalwa ezingaphansi koyedwa kwezingama-20,000. Nakuba kuyivelakancane, kuyinto enkulu ngoba kungaholela ezinkingeni ezinkulu njengomdlavuza wesikhumba noma kuthinte ubuchopho nezinzwa (neurocutaneous melanosis) . Amathuba okuthola umdlavuza wesikhumba kuwo ngesinye isikhathi empilweni yakho asuka ku-5 kuye ku-10%. Giant congenital melanocytic nevus is usually defined as a melanocytic lesion present at birth that will reach a diameter ≥ 20 cm in adulthood. Its incidence is estimated in <1:20,000 newborns. Despite its rarity, this lesion is important because it may associate with severe complications such as malignant melanoma, affect the central nervous system (neurocutaneous melanosis). The estimated lifetime risk of developing melanoma varies from 5 to 10%.
Uma kuqhathaniswa ne-melanocytic nevus, i-congenital melanocytic nevi ngokuvamile inkulu ngobubanzi futhi ingaba nezinwele ezinde ngokweqile. Uma ingaphezu kuka-40 cm (16 in) ene-hypertrichosis, ngezinye izikhathi ibizwa ngokuthi i-giant hairy nevus.
I-Melanocytic nevi ivame ukukhula ngokulingana nosayizi womzimba njengoba ingane ikhula. Izinwele ezivelele zivame ukwakheka, ikakhulukazi ngemva kokuthomba.
Ukusikwa ngokuhlinzwa kuyindinganiso yokunakekelwa. Abaningi basuswa ngokuhlinzwa ukuze bathole ubuhle. Kodwa, ezinkulu zikhishwa ukuze kuvinjelwe umdlavuza. I-Giant congenital nevi isengozini enkulu yokuwohloka kwe-malignancy ibe yi-melanoma. Izilinganiso zokuguqulwa zibe yi-melanoma ziyahlukahluka kusuka ku-2-42% emibhalweni.
Uma isilonda sincane, singasuswa ngokuhlinzwa. Kodwa, kunzima kakhulu ukuyisusa ngokuphelele ngaphandle kwesibazi uma iba nkulu ngokukhula.
○ Ukwelashwa
#Staged excision (congenital nevus)