背景:就新生而言,童年和青春期是动态的时期,并且经常观察到新的黑素细胞痣的发育和生长。在这项研究中,目的是检查儿童黑素细胞痣随访中的模式和直径变化.
目的:描述在儿童黑色素细胞随访中观察到的模式和直径变化。
方法:我们的研究涉及评估2008年1月至2022年在伊斯坦布尔培训研究医院皮肤科门诊就诊的50名儿童黑素细胞痣的301名患者。小儿黑素细胞痣在临床和皮肤镜下诊断。随后,我们对这些痣进行了3个月至3年的视频皮肤镜监测。
结果:我们的患者中有46%是女性(n=23),平均年龄11.5岁。虽然40%的患者痣呈球状,在随访中,球状图案的比率下降到30%。在10%的患者中可以看到基底均匀的痣模式,但在随访中检出13.9%。在19.3%的病例中观察到外周小球,但在后续行动中,61.1%的小球完全消退。在301个痣中只有11个出现痣切除。
结论:单中心研究和关于该主题的少量研究。
结论:与成人痣相比,儿童黑素细胞痣可表现出动态变化。在这项研究中,增长率,皮肤特征,并评估了黑素细胞痣随访中的模式变化。最频繁地观察到球状图案。在小儿黑素细胞痣中经常观察到外周小球的存在,并在随访期间消退。
BACKGROUND: Childhood and adolescence are dynamic period in terms of nevogenesis, and the development and growth of new melanocytic nevus are frequently observed. In this study, the aim was to examine the pattern and diameter changes seen in the follow-up of pediatric melanocytic nevus.
OBJECTIVE: To describe the pattern and diameter changes seen in the follow-up of pediatric melanocytic.
METHODS: Our study involved the assessment of 301 pediatric melanocytic nevi in 50 patients attended at the Dermatology Clinic of Istanbul Training and Research Hospital between January 2008 and 2022. The pediatric melanocytic nevi were diagnosed clinically and dermoscopically. Subsequently, we conducted video-dermoscopic monitoring of these nevi over a span of 3 months to 3 years.
RESULTS: 46% of our patients were female (n = 23), with a mean age of 11.5 years. While the pattern of nevi was globular in 40% patients, the rate of globular pattern decreased to 30% in the follow-up. The basal homogeneous nevus pattern was seen in 10% patients, but was detected in 13.9% in the follow-up. Peripheral globules were observed in 19.3% of the cases, but in the follow-up, 61.1% of the globules regressed completely. Nevus excision was indicated in only 11 of 301 nevi.
CONCLUSIONS: Single-center study and a small of studies available on this subject.
CONCLUSIONS: Pediatric melanocytic nevi can show dynamic changes compared to nevi in adults. In this study, growth rates, dermoscopic features, and pattern changes seen in the follow-up of melanocytic nevi were evaluated. The globular pattern was observed most frequently. The presence of peripheral globules is frequently observed in pediatric melanocytic nevi with regression during the follow-up period.