Naevus melanocytic congenital bathing trunks D22.L

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Bathing trunk naevus; Congenital melanocytic giant anevus; Congenital melanocytic giant ovus; Congenital melanocytic nevus; Giant Congenital Nevus; Giant pigmented nevus; nevus giganteus; Swimming pants nevus; Swimming trunks nevus

Definition
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Large melanocytic nevus in the buttock and lumbar region. The colour may vary from light to black-brown. As in all congenital melanocytic nevi, the hairiness varies and ranges from absent to very strong (so-called animal fur nevus). It is not uncommon to find other smaller, satelite-like disseminated melanocytic nevi.

Therapy
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According to the naevus giganteus.

Progression/forecast
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Risk of malignant degeneration. In a larger study (n=976 patients) of patients with congenital melanocytic giant nevi in whom invasive malignant melanoma developed, "thick" melanomas with lymph node and distant metastasis were observed more frequently. Patients should be observed at close intervals.

Literature
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  1. Turkeltaub AE et al (2016) Characteristics, treatment, and survival of invasive malignant melanoma (MM) in giant pigmented nevi (GPN) in adults: 976 cases from the National Cancer Data Base (NCDB). J Am Acad Dermatol 74:1128-1134.

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Last updated on: 29.10.2020