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Chapter-20 B Melanocytic Nevi: Treatment Modalities

BOOK TITLE: ACS(I) Textbook on Cutaneous and Aesthetic Surgery

Author
1. Sacchidanand S
2. Ramachander Tina
ISBN
9789350258903
DOI
10.5005/jp/books/11651_21
Edition
1/e
Publishing Year
2012
Pages
9
Author Affiliations
1. Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India, Rajiv Gandhi University of Health Sciences, Bengaluru, India, President, IADVL, sacchi1260@gmail.com, Bangalore Medical College and Research Institute, Bengaluru, India, Rajiv Gandhi University of Health Sciences; Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India; Bangalore Medical College and Research Institute, BMCRI, Bengaluru, Karnataka, India, Government of Karnataka, Bengaluru, Karnataka, India, Government of Karnataka; Bangalore Medical College and Research Center, Bengaluru, Karnataka, India, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India, Rajiv Gandhi University of Health Sciences, Bengaluru; Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India, Rajiv Gandhi University of Health Sciences; Bengaluru; Bangalore Medical College and Research Institute, BMCRI, Bengaluru, Karnatak
2. Skin Solutionz, 11/12, Bellary Road, Sahakarnagar, Bengaluru, Karnataka, India
Chapter keywords

Abstract

Melanocytic nevi are common benign skin conditions encountered in dermatology. Majority of the lesions usually go unattended unless they cause esthetic concerns or become symptomatic. Proper management of the nevi offers both the patient and the treating physician a high degree of result-oriented satisfaction. The management of nevi depends on the type, location and depth. Nevoid melanocytes may be found distributed throughout the dermis, around and within the walls of blood vessels, around adnexal structures such as hair follicles, within the subcutaneous tissue and sometimes within skeletal muscle, smooth muscle bundles, nerves, or sebaceous glands. These various locations of melanocytes results in varied types of melanocytic nevi. There is choice of various modalities of treatment available for the removal of nevi and it is the duty of a dermatosurgeon to provide the best possible option to a patient. With proper selection of the patient and selecting the right procedure good cosmetic results can be achieved. The authors opine that excision and suturing along RSTL is the best option for large lesions available as it offers good cosmetic results. However, the choice of a procedure may be discussed with the patient and decided as per the patients needs.

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