Document Detail

Combination of preoperative embolization and surgery in the treatment of a giant congenital neuroid nevus of the forehead and scalp in a child. Case report.
MedLine Citation:
PMID:  19338468     Owner:  NLM     Status:  MEDLINE    
Congenital melanocytic nevi of neuroectodermal origin are composed primarily of melanocytes and occasional neural elements. A subset of large/giant congenital melanocytic nevi is characterized by neuroidal differentiation resembling the histological pattern of neurofibroma (neuroid congenital melanocytic nevi). The authors report the case of a male infant born with a neuroid congenital melanocytic nevus presenting as a large mass covering extensive portions of his scalp and forehead. The atypical feeding arteries to the nevus were larger in diameter then the patient's internal carotid arteries and formed a rich network of large blood vessels in the nevus. Selective preoperative embolization using calibrated particles was followed by a complete excision and staged reconstruction with tissue expanders. The authors believe that this multidisciplinary approach allowed for a safe surgical procedure with minimal blood loss for this most unusual pediatric head and neck tumor.
Alexander Margulis; Benjamin Z Koplewitz; Alexander Maly; José Cohen; Ravit Yanko-Arzi; John M Gomori; Rami Neuman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  3     ISSN:  1933-0707     ISO Abbreviation:  -     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-04-02     Completed Date:  2009-04-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  215-9     Citation Subset:  IM    
Departments of Plastic Surgery, Hadassah Medical Center, Hebrew University School of Medicine, Jerusalem, Israel.
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MeSH Terms
Embolization, Therapeutic*
Facial Neoplasms / congenital,  pathology*,  therapy*
Infant, Newborn
Nevus, Pigmented / congenital,  pathology*,  therapy*
Skin Neoplasms / congenital,  pathology*,  therapy*

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