Document Detail

Management and dermoscopy of fast-growing nevi in pregnancy: case report and literature review.
MedLine Citation:
PMID:  17234109     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The relationship between pregnancy and a change in melanocytic nevi is still controversial. Moreover, management of the rapid evolution of a nevus in an unauspicious melanocytic lesion can be a clinical challenge in pregnancy. METHODS: This article examines a case of a fast-growing deep penetrating nevus in a pregnant woman and provides a literature review of articles relative to pregnancy and nevi change, the management of fast-growing pigmented lesions, and the role and usefulness of dermoscopy in these cases. RESULTS: Recent studies have documented that pregnancy is not associated with any significant change in the size of melanocytic nevi. The management of fast-growing melanocytic lesions during this period compulsorily leans toward excision. Dermoscopy can be useful, providing clinicohistopathologic correlations and a better assignment of the lesion. CONCLUSION: This case report and review provide important management considerations for nevi during pregnancy. Early intervention with aggressive treatment measures is the best management for fast-growing lesions, and epiluminescence dermoscopy can assist the management, although still remaining a second-level examination, useful for documentation and for a better classification of the lesion.
Anna Zampetti; Claudio Feliciani; Francesco Landi; M L Capaldo; M Rotoli; P L Amerio
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of cutaneous medicine and surgery     Volume:  10     ISSN:  1203-4754     ISO Abbreviation:  J Cutan Med Surg     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2007-01-19     Completed Date:  2007-04-03     Revised Date:  2007-07-04    
Medline Journal Info:
Nlm Unique ID:  9614685     Medline TA:  J Cutan Med Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  249-52     Citation Subset:  IM    
Istituto di Dermatologia, Catholic University of the Sacred Heart, Rome, Italy.
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MeSH Terms
Diagnosis, Differential
Nevus, Pigmented / pathology*,  surgery*
Nose Neoplasms / pathology*,  surgery*
Skin Neoplasms / pathology*,  surgery*

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