C. Perlyn et al., Secondary reconstruction of a giant congenital lentiginous dermal nevus with serial, large-volume tissue expansion, ANN PL SURG, 43(5), 1999, pp. 546-550
Giant congenital pigmented nevi pose a substantial reconstructive challenge
for the treating physician. Due to the increased risk of malignant transfo
rmation in such lesions, complete excision with tissue expansion or skin gr
afting is the generally accepted treatment. These modalities can, however,
leave the patient with secondary deformities that also require complex reco
nstructive procedures. The following case details a patient requiring secon
dary reconstruction with large-volume tissue expansion 12 years after excis
ion of a giant nevus, and split-thickness skin grafting. This patient illus
trates a severe secondary deformity and the usefulness of large-volume seri
al expansion in such patients.