Document Detail

Nevi and melanoma in the pregnant woman.
MedLine Citation:
PMID:  19095157     Owner:  NLM     Status:  MEDLINE    
Multiple difficult questions arise when a pregnant woman presents to the dermatologist with a changing melanocytic nevus or melanoma. Our review of the literature provides some insight into these issues. We recommend that a changing pigmented lesion in the pregnant woman should be biopsied promptly and can be safely performed. Women who have dysplastic nevus syndrome require closer monitoring during pregnancy. For the pregnant woman with a confirmed, localized melanoma, prognosis does not appear to be affected by pregnancy. Likewise, limited data indicate that pregnancy before or after a diagnosis of melanoma does not affect prognosis. Wide local excision may be performed safely, but if sentinel lymph node mapping and biopsy is indicated, the technique and safety of this procedure in the pregnant woman remains controversial. There appears to be no absolute contraindication to the prescription of oral contraceptive pills or hormone replacement therapy in someone who has been previously diagnosed with melanoma if no reasonable alternative exists.
Marcia S Driscoll; Jane M Grant-Kels
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in dermatology     Volume:  27     ISSN:  1879-1131     ISO Abbreviation:  Clin. Dermatol.     Publication Date:    2009 Jan-Feb
Date Detail:
Created Date:  2008-12-19     Completed Date:  2009-04-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8406412     Medline TA:  Clin Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  116-21     Citation Subset:  IM    
Department of Dermatology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
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MeSH Terms
Melanoma* / diagnosis,  therapy
Nevus* / diagnosis,  therapy
Pregnancy Complications, Neoplastic* / diagnosis,  therapy
Skin Neoplasms* / diagnosis,  therapy

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