Controversial Issues in Congenital Nevi | Actas Dermo-Sifiliográficas

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"apellidos" => "Paradela" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Fernández-Torres" ] 2 => array:4 [ "nombre" => "E." "apellidos" => "Fonseca" "email" => array:1 [ 0 => "fonseca@canalejo.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "¿" "identificador" => "cor1" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Complejo Hospitalario Universitario Juan Canalejo, La Coruña, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Servicio de Dermatología, Complejo Hospitalario Universitario Juan Canalejo, Xubias de Arriba, 84, 15006 La Coruña, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Controversias en el Nevus Congénito" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2008-07-17" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84529" "palabras" => array:3 [ 0 => "congenital melanocytic nevus" 1 => "neurocutaneous melanosis" 2 => "melanoma" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84530" "palabras" => array:3 [ 0 => "nevus melanocítico congénito" 1 => "melanosis neurocutánea" 2 => "melanoma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "Congenital melanocytic nevi are very common lesions that nevertheless pose many controversial questions. A systematic review of the literature suggests that the risk of developing melanoma on giant congenital melanocytic nevi (GCMN) is lower than previously thought given that, in the most recent series of GCMN, only 2% of patients developed melanoma and most did so before the age of 5 years. Therefore, prophylactic surgery should be considered on an individual basis according to the degree of clinical suspicion of melanoma and the esthetic and functional consequences. In extensive reviews of series of biopsies of melanoma, small congenital melanocytic nevi have been associated with 7% to 8% of cases. Many authors believe that these might represent a significant risk of malignant conversion from 10 years onwards and so recommend regular control visits during infancy and prophylactic exeresis in puberty." ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "Los nevus melanocíticos congénitos son lesiones muy frecuentes, pero que todavía plantean muchas cuestiones que son motivo de controversia. Una revisión sistématica de la literatura sugiere que el riesgo de desarrollar melanoma sobre nevus melanocíticos congénitos gigantes (NMCG) es inferior al que se postuló históricamente. En las series de NMCG más recientes sólo un 2% de pacientes desarrolló un melanoma y la mayoría lo hizo antes de los 5 años de edad. Por tanto, su tratamiento quirúrgico profiláctico debe ser individualizado en función de la sospecha clínica de melanoma y de las consecuencias estéticas y funcionales.En revisiones amplias de biopsias de melanoma se han encontrado NMC pequeños asociados en un 7-8% de los casos. Muchos autores consideran que podrían tener un riesgo de malignización significativo a partir de la segunda década de vida, por lo que recomiendan la vigilancia periódica durante la infancia y la exéresis profiláctica en la pubertad." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:141 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Controversies in dermatology

Controversial Issues in Congenital Nevi

Controversias en el Nevus Congénito

S. Paradela, R. Fernández-Torres, E. Fonseca

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fonseca@canalejo.org

Correspondence: Servicio de Dermatología, Complejo Hospitalario Universitario Juan Canalejo, Xubias de Arriba, 84, 15006 La Coruña, Spain.

Servicio de Dermatología, Complejo Hospitalario Universitario Juan Canalejo, La Coruña, Spain

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      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Congenital melanocytic nevi are very common lesions that nevertheless pose many controversial questions&#46; A systematic review of the literature suggests that the risk of developing melanoma on giant congenital melanocytic nevi &#40;GCMN&#41; is lower than previously thought given that&#44; in the most recent series of GCMN&#44; only 2&#37; of patients developed melanoma and most did so before the age of 5 years&#46; Therefore&#44; prophylactic surgery should be considered on an individual basis according to the degree of clinical suspicion of melanoma and the esthetic and functional consequences&#46; In extensive reviews of series of biopsies of melanoma&#44; small congenital melanocytic nevi have been associated with 7&#37; to 8&#37; of cases&#46; Many authors believe that these might represent a significant risk of malignant conversion from 10 years onwards and so recommend regular control visits during infancy and prophylactic exeresis in puberty&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Los nevus melanoc&#237;ticos cong&#233;nitos son lesiones muy frecuentes&#44; pero que todav&#237;a plantean muchas cuestiones que son motivo de controversia&#46; Una revisi&#243;n sist&#233;matica de la literatura sugiere que el riesgo de desarrollar melanoma sobre nevus melanoc&#237;ticos cong&#233;nitos gigantes &#40;NMCG&#41; es inferior al que se postul&#243; hist&#243;ricamente&#46; En las series de NMCG m&#225;s recientes s&#243;lo un 2&#37; de pacientes desarroll&#243; un melanoma y la mayor&#237;a lo hizo antes de los 5 a&#241;os de edad&#46; Por tanto&#44; su tratamiento quir&#250;rgico profil&#225;ctico debe ser individualizado en funci&#243;n de la sospecha cl&#237;nica de melanoma y de las consecuencias est&#233;ticas y funcionales&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En revisiones amplias de biopsias de melanoma se han encontrado NMC peque&#241;os asociados en un 7-8&#37; de los casos&#46; Muchos autores consideran que podr&#237;an tener un riesgo de malignizaci&#243;n significativo a partir de la segunda d&#233;cada de vida&#44; por lo que recomiendan la vigilancia peri&#243;dica durante la infancia y la ex&#233;resis profil&#225;ctica en la pubertad&#46;</p>"
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Article information

ISSN: 15782190
Original language: English

DOI:10.1016/S1578-2190(09)70123-4

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Year/Month	Html	Pdf	Total

2024 November	3	9	12
2024 October	66	47	113
2024 September	82	34	116
2024 August	108	66	174
2024 July	60	50	110
2024 June	68	37	105
2024 May	53	44	97
2024 April	47	37	84
2024 March	54	41	95
2024 February	42	36	78
2024 January	54	53	107
2023 December	56	43	99
2023 November	69	41	110
2023 October	56	41	97
2023 September	60	174	234
2023 August	33	29	62
2023 July	35	59	94
2023 June	21	29	50
2023 May	31	40	71
2023 April	28	23	51
2023 March	25	26	51
2023 February	29	23	52
2023 January	35	25	60
2022 December	48	32	80
2022 November	12	44	56
2022 October	14	27	41
2022 September	17	49	66
2022 August	20	42	62
2022 July	11	37	48
2022 June	12	24	36
2022 May	42	44	86
2022 April	30	32	62
2022 March	29	44	73
2022 February	18	29	47
2022 January	27	43	70
2021 December	16	40	56
2021 November	28	46	74
2021 October	25	56	81
2021 September	20	37	57
2021 August	14	28	42
2021 July	16	35	51
2021 June	15	32	47
2021 May	19	14	33
2021 April	39	46	85
2021 March	39	19	58
2021 February	44	27	71
2021 January	16	22	38
2020 December	18	17	35
2020 November	19	7	26
2020 October	12	11	23
2020 September	28	13	41
2020 August	20	21	41
2020 July	11	12	23
2020 June	11	18	29
2020 May	24	24	48
2020 April	12	10	22
2020 March	18	19	37
2020 February	2	1	3
2020 January	0	6	6
2019 December	0	12	12
2019 November	0	1	1
2019 October	0	4	4
2019 September	0	2	2
2019 August	0	5	5
2019 July	0	2	2
2019 June	0	5	5
2019 May	0	38	38
2019 March	0	3	3
2019 February	0	2	2
2018 September	0	5	5
2018 August	0	8	8
2018 June	0	6	6
2018 May	0	10	10
2018 April	1	4	5
2018 March	0	1	1
2018 February	16	3	19
2018 January	22	6	28
2017 December	26	10	36
2017 November	26	3	29
2017 October	25	3	28
2017 September	20	16	36
2017 August	29	6	35
2017 July	31	4	35
2017 June	28	13	41
2017 May	25	8	33
2017 April	19	10	29
2017 March	19	28	47
2017 February	18	6	24
2017 January	8	6	14
2016 December	30	6	36
2016 November	38	3	41
2016 October	29	9	38
2016 September	35	1	36
2016 August	29	6	35
2016 July	27	7	34
2016 June	13	8	21
2016 May	7	25	32
2016 April	10	7	17
2016 March	9	8	17
2016 February	5	11	16
2016 January	8	8	16
2015 December	7	5	12
2015 November	9	2	11
2015 October	7	1	8
2015 September	8	2	10
2015 August	15	4	19
2015 July	51	5	56
2015 June	47	12	59
2015 May	90	10	100
2015 April	70	11	81
2015 March	60	9	69
2015 February	31	10	41
2015 January	33	8	41
2014 December	50	5	55
2014 November	27	9	36
2014 October	41	10	51
2014 September	51	9	60
2014 August	53	16	69
2014 July	57	15	72
2014 June	46	11	57
2014 May	54	11	65
2014 April	47	10	57
2014 March	51	18	69
2014 February	35	10	45
2014 January	38	15	53
2013 December	44	7	51
2013 November	33	16	49
2013 October	34	13	47
2013 September	43	20	63
2013 August	45	22	67
2013 July	44	31	75
2013 June	33	26	59
2013 May	21	19	40
2013 April	36	29	65
2013 March	31	14	45
2013 February	32	13	45
2013 January	7	3	10

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