Ott, Hagen, Krengel, Sven, Beck, Otfrid, Boehler, Kornelia, Bottcher-Haberzeth, Sophie, Cangir, Oezlem, Fattouh, Miriam, Haeberle, Beate, Hueging, Martina, Koenigs, Ingo, Kosch, Ferdinand, Rok, Kralj, Marathovouniotis, Nicos, Meyer, Lutz, Neuhaus, Kathrin, Rothe, Karin, Schiestl, Clemens, Sinnig, Mechthild, Theiler, Martin, von der Heydt, Susanne, Walchli, Regula, Weibel, Lisa, Wendenburg, Wera and Breuninger, Helmut . Multidisciplinary long-term care and modern surgical treatment of congenital melanocytic nevi - recommendations by the CMN surgery network. J. Dtsch. Dermatol. Ges.. HOBOKEN: WILEY. ISSN 1610-0387

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Abstract

In recent years, our knowledge of congenital melanocytic nevi (CMN) has greatly expanded. This has led to a paradigm shift. The present article represents a commentary by an interdisciplinary group of physicians from German-speaking countries with extensive experience in long-term care and surgical treatment of children and adults with CMN (CMN surgery network, Netzwerk Navuschirurgie, NNC). The authors address aspects such as the indication for treatment as well as treatment planning and implementation under these new premises. Adequate counseling of parents on conservative and/or surgical management requires an interdisciplinary exchange among physicians and individualized planning of the intervention, which frequently involves a multi-stage procedure. Today, the long-term aesthetic outcome is at the center of any therapeutic endeavor, whereas melanoma prevention plays only a minor role. The premise of removal at any cost no longer holds. Potential treatment-related adverse effects (hospitalization, wound healing disorders, and others) must be carefully weighed against the prospects of a beneficial outcome. In this context, the use of dermabrasion in particular must be critically evaluated. At a meeting of the NNC in September 2018, its members agreed on a consensus-based position on dermabrasion, stating that the procedure frequently leads to impaired wound healing and cosmetically unfavorable or hypertrophic scarring. Moreover, dermabrasion is considered to be commonly associated with considerable repigmentation that usually occurs a number of years after the procedure. In addition, the NNC members saw no benefit in terms of melanoma prevention. In the future, physicians should therefore thoroughly caution about the potential risks and often limited cosmetic benefits of dermabrasion.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Ott, HagenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krengel, SvenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Beck, OtfridUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boehler, KorneliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bottcher-Haberzeth, SophieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cangir, OezlemUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fattouh, MiriamUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haeberle, BeateUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hueging, MartinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koenigs, IngoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kosch, FerdinandUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rok, KraljUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Marathovouniotis, NicosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meyer, LutzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Neuhaus, KathrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rothe, KarinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schiestl, ClemensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sinnig, MechthildUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Theiler, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von der Heydt, SusanneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Walchli, RegulaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weibel, LisaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wendenburg, WeraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Breuninger, HelmutUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-133638
DOI: 10.1111/ddg.13951
Journal or Publication Title: J. Dtsch. Dermatol. Ges.
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1610-0387
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
QUALITY-OF-LIFE; MALIGNANT-MELANOMA; CHILDREN; DERMABRASION; ADOLESCENTS; STIGMATIZATIONMultiple languages
DermatologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/13363

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