Mesh : Humans Referral and Consultation Nevus, Pigmented / diagnosis therapy Skin Neoplasms / diagnosis therapy Child Melanoma / diagnosis therapy Risk Factors

来  源:   DOI:10.1097/MOP.0000000000001375

Abstract:
OBJECTIVE: Congenital melanocytic nevi (CMN) and acquired nevi are prevalent in pediatric populations, with distinct characteristics and management considerations. This chapter aims to equip pediatricians with knowledge to discern between benign and high-risk nevi, facilitating appropriate referrals and management within primary care settings. Risk factors associated with malignant melanoma (MM) underscore the importance of vigilant monitoring and early referral to dermatology for suspicious lesions.
RESULTS: Recent findings highlight the variability in CMN presentation and the evolving diagnostic strategies, emphasizing the need for multidisciplinary approaches to optimize patient outcomes.
CONCLUSIONS: Management of CMN involves tailored surveillance and intervention strategies, with an emphasis on early identification of high-risk features for MM and neurocutaneous melanosis (NCM). Pediatricians play a crucial role in advocating for sun protection practices and facilitating timely referrals, thereby contributing to the overall well being of pediatric patients with nevi.
摘要:
目的:先天性黑素细胞痣(CMN)和获得性痣在儿科人群中普遍存在,具有鲜明的特点和管理考虑。本章旨在使儿科医生掌握辨别良性和高风险痣的知识,促进初级保健机构内的适当转诊和管理。与恶性黑色素瘤(MM)相关的危险因素强调了警惕监测和早期转诊皮肤科可疑病变的重要性。
结果:最近的发现强调了CMN呈现的可变性和不断发展的诊断策略,强调需要多学科方法来优化患者预后。
结论:CMN的管理涉及量身定制的监测和干预策略,重点是早期识别MM和神经皮肤黑变病(NCM)的高危特征。儿科医生在倡导防晒措施和促进及时转诊方面发挥着至关重要的作用,从而有助于小儿痣患者的整体健康。
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