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Nevi melanocytic congenital

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https://www.readbyqxmd.com/read/29736211/therapeutic-effects-of-targeting-ras-erk-signaling-in-giant-congenital-melanocytic-nevi
#1
Qingxiong Yu, Min Wu, Lingling Sheng, Qingfeng Li, Feng Xie
Most giant congenital melanocytic nevi (GCMN) exhibit an activating mutation in NRAS. Constitutive activation of the RAS-ERK signaling pathway induces proliferation in nevus cells and plays a pivotal role in melanoma development. In this study, we studied the efficacy of RAS-ERK pathway targeted therapy in GCMN. We isolated nevus cells from GCMN (GNCs) and compared the morphology of GNCs with normal melanocytes and the A375 melanoma cell line. Proliferation curves of GNCs and A375 cells were determined using Cell Counting Kit-8 assays...
2018: American Journal of Translational Research
https://www.readbyqxmd.com/read/29653212/improving-classification-of-melanocytic-nevi-braf-v600e-expression-associated-with-distinct-histomorphologic-features
#2
Maija Kiuru, Danielle M Tartar, Lihong Qi, Danyang Chen, Lan Yu, Thomas Konia, John D McPherson, William J Murphy, Maxwell A Fung
BACKGROUND: A subset of melanomas carrying a BRAF V600E mutation, the most common targetable mutation in melanoma, arises in association with a melanocytic nevus also harboring a BRAF V600E mutation. The detailed histomorphologic characteristics of BRAF V600E-positive nevi are not systematically documented. OBJECTIVE: To identify histomorphologic features correlating with BRAF V600E status in nevi. METHODS: We retrospectively identified melanocytic nevi from our laboratory reporting system...
April 10, 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29551421/blue-nevi-of-the-ocular-surface-clinical-characteristics-pathologic-features-and-clinical-course
#3
Ibrahim Sayed-Ahmed, Juan Carlos Murillo, Pedro Monsalve, Jan Paul Ulloa, Maria P Fernandez, James Wong, George Elgart, Anat Galor, Sander R Dubovy, Carol L Karp
PURPOSE: Blue nevus is a melanocytic tumor that is commonly found in the skin. Extracutaneous presentations, including the ocular surface, are rare. As such, the purpose of this study was to characterize the clinical features and clinical course of congenital melanocytic tumor (blue nevus) of the conjunctiva. DESIGN: Retrospective, noncomparative case series. PARTICIPANTS: Twenty-one patients with 23 blue nevi of the ocular surface that were excised surgically between 2000 and 2016...
March 15, 2018: Ophthalmology
https://www.readbyqxmd.com/read/29515391/giant-congenital-melanocytic-nevi-an-update-and-emerging-therapies
#4
Girish Gulab Meshram, Neeraj Kaur, Kanwaljeet Singh Hura
Giant congenital melanocytic nevi (GCMN) are a rare occurrence. Gain-of-function mutation in the NRAS gene is found to be associated with GCMN, causing abnormal proliferation of embryonic melanoblasts. The two major complications associated with GCMN are malignant melanoma and neurocutaneous melanosis. Treatment of GCMN has conventionally been surgical. However, the role of NRAS inhibitors and inactivation of nevus tissue by high hydrostatic pressure are being explored. We present a case of a 1-day-old neonate born with GCMN, along with a review of the literature...
January 2018: Case Reports in Dermatology
https://www.readbyqxmd.com/read/29484015/small-dysplastic-congenital-melanocytic-nevi-in-childhood-as-possible-melanoma-imitators
#5
Georgi Tchernev, Anastasiya Atanasova Chokoeva, Ivan Terziev, Yavor Grigorov, Torello Lotti, Uwe Wollina, José Carlos Cardoso, Irina Yungareva, Ilia Lozev, Georgi Konstantinov Maximov
Small pigmented lesions in children can represent a significant diagnostic challenge. If the diagnostic features and therapeutic approach are relatively well established in large and giant nevi, there is still much controversy regarding small and intermediate-sized congenital pigmented lesions that can lead to significant diagnostic challenges, both clinically and dermoscopically, and consequently to difficulty in defining the optimal approach in such cases. Although dermoscopy can be useful in the diagnosis of pigmented lesions, the diversity of clinical and dermoscopic features of pigmented nevi in children usually hinder the differentiation between them and melanoma...
January 25, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29484013/medium-sized-congenital-melanocytic-nevus-with-suspected-progression-to-melanoma-during-pregnancy-what-s-the-best-for-the-patient
#6
Georgi Tchernev, Gabriela Atanasova Dzhelyatova, Uwe Wollina, Ilia Lozev, Torello Lotti
BACKGROUND: Congenital melanocytic nevi (CMN) are pigmented skin lesions usually present at birth. Rare varieties can develop and become clinically very large. Although they are benign nevomelanocytic neoplasms, all CMN may be precursors of the melanoma, regardless of their size. Individual risk of malignant transformation of melanocyte is determined by simultaneous action of exogenous and endogenous factors. The major exogenous risk factor is ultraviolet radiation. Leading roles among the endogenous factors are attributed to skin phenotype, gene mutation, sex hormones and their significance...
January 25, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29369208/an-alternative-strategy-treated-giant-congenital-melanocytic-nevi-with-epidermis-and-superficial-dermis-of-the-lesions
#7
Chuan Gu, Xiu-Xia Wang, Xusong Luo, Fei Liu, Xian-Yu Zhou, Jun Yang, Qun Yang, Xi Wang
Giant congenital melanocytic nevi (GCMN) are defined as rare pigmented lesions that are believed to form between weeks 9 and 20 of gestation. It is difficult to reconstruct large defects after the removal of the lesions and it has posed a great challenge to the plastic surgeon and dermatologist.Given all those difficulty reconstructing the defects, we try to explore an alternative way to resurfacing the defect after removal of GCMN.Patients with GCMN received single-stage excision. Following the subcutaneous tissue and deep dermis were discarded, epidermis and superficial dermis were harvested as graft substitutes to reconstruct the defects in situ...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29369061/reply-to-reduced-h3k27me3-expression-is-common-in-nodular-melanomas-of-childhood-associated-with-congenital-melanocytic-nevi-but-not-in-proliferative-nodules
#8
Nicolas Macagno, Heather C Etchevers, Nausicaa Malissen, Angélique Rome, Sylvie Hesse, Stéphanie Mallet, Nathalie Degardin, Caroline Gaudy
No abstract text is available yet for this article.
January 23, 2018: American Journal of Surgical Pathology
https://www.readbyqxmd.com/read/29316280/giant-congenital-melanocytic-nevus-with-vascular-malformation-and-epidermal-cysts-associated-with-a-somatic-activating-mutation-in-braf
#9
Heather C Etchevers, Christian Rose, Birgit Kahle, Helmuth Vorbringer, Frédéric Fina, Pauline Heux, Irina Berger, Benjamin Schwarz, Stéphane Zaffran, Nicolas Macagno, Sven Krengel
Giant congenital melanocytic nevi may be symptomatically isolated or syndromic. Associations with capillary malformations are exceptional, and development of epidermal cysts has not been described. A 71-year-old patient with a giant congenital melanocytic nevus (CMN) of the lower back, buttocks, and thighs was asymptomatic except for unexpected hemorrhage during partial surgical excision years before. Blunt trauma at age 64 initiated recurrent, severe pain under the nevus; multiple large epidermal cysts then developed within it...
May 2018: Pigment Cell & Melanoma Research
https://www.readbyqxmd.com/read/29210482/genomic-analysis-of-a-case-of-agminated-spitz-nevi-and-congenital-pattern-nevi-arising-in-extensive-nevus-spilus
#10
Caitlin Porubsky, Jamie K Teer, Yonghong Zhang, Maria Deschaine, Vernon K Sondak, Jane L Messina
Nevus spilus is a melanocytic neoplasm characterized by a tan macular background punctuated by multiple hyperpigmented macules or papules that represent various types of nevi. These include junctional and compound nevi, Spitz nevi, and rarely blue nevi. We report a unique case of widespread, multiple nevi spili giving rise to agminated Spitz nevi and congenital-pattern compound nevi. We performed genetic analysis to further characterize the mutational profile of this rare entity.
February 2018: Journal of Cutaneous Pathology
https://www.readbyqxmd.com/read/29138054/keratinocyte-sonic-hedgehog-upregulation-drives-the-development-of-giant-congenital-nevi-via-paracrine-endothelin-1-secretion
#11
Arash Chitsazan, Blake Ferguson, Rehan Villani, Herlina Y Handoko, Pamela Mukhopadhyay, Brian Gabrielli, Wolter J Mooi, H Peter Soyer, Duncan Lambie, Kiarash Khosrotehrani, Grant Morahan, Graeme J Walker
Giant congenital nevi are associated with clinical complications such as neurocutaneous melanosis and melanoma. Virtually nothing is known about why some individuals develop these lesions. We previously identified the sonic hedgehog (Shh) pathway regulator Cdon as a candidate nevus modifier gene. Here we validate this by studying Cdon knockout mice, and go on to establishing the mechanism by which Shh exacerbates nevogenesis. Cdon knockout mice develop blue nevi without the need for somatic melanocyte oncogenic mutation...
April 2018: Journal of Investigative Dermatology
https://www.readbyqxmd.com/read/29091921/melanin-pigments-in-the-melanocytic-nevus-regress-spontaneously-after-inactivation-by-high-hydrostatic-pressure
#12
Michiharu Sakamoto, Naoki Morimoto, Chizuru Jinno, Atsushi Mahara, Shuichi Ogino, Shigehiko Suzuki, Kenji Kusumoto, Tetsuji Yamaoka
We report a novel treatment for giant congenital melanocytic nevi (GCMN) that involves the reuse of resected nevus tissue after high hydrostatic pressurization (HHP). However, the remaining melanin pigments in the inactivated nevus tissue pose a problem; therefore, we performed a long-term observation of the color change of inactivated nevus tissue after HHP. Pressurized nevus specimens (200 MPa group, n = 9) and non-pressurized nevus tissues (control group, n = 9) were subcutaneously implanted into nude mice (BALB/c-nu) and then harvested 3, 6, and 12 months later...
2017: PloS One
https://www.readbyqxmd.com/read/29077988/laser-treatment-of-congenital-melanocytic-naevi-a-systematic-review
#13
REVIEW
C A M Eggen, J E Lommerts, E J van Zuuren, J Limpens, S G M A Pasmans, A Wolkerstorfer
Recent studies on congenital melanocytic naevi (CMN) indicate a lower risk of melanoma than has been previously assumed. As a result, the treatment paradigm in CMN has shifted from complete removal to cosmetically acceptable, less invasive treatment options, such as laser treatment. Our objective was to review systematically the efficacy and safety of laser therapy for CMN. We searched MEDLINE, Embase, the Cochrane Central Register of Controlled Trials and PubMed. We rated the quality of evidence with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach...
February 2018: British Journal of Dermatology
https://www.readbyqxmd.com/read/29077579/acquisition-of-somatic-nras-mutations-in-central-nervous-system-melanocytes-a-predisposing-risk-factor-to-primary-melanoma-of-the-central-nervous-system-a-frequently-forgotten-pitfall-in-congenital-nevi
#14
Maria C Garrido, Lidia Maroñas-Jiménez, Carlos Morales-Raya, Yolanda Ruano, Jose L Rodriguez-Peralto
Congenital melanocytic nevi (CMN) are benign melanocytic proliferations that are usually present at birth. A somatic mosaicism for an NRAS point mutation is responsible for the several phenotypic abnormalities that may be associated with congenital nevi. We report the case of a 7-year-old boy with a proliferative nodule (PN) arising in a Giant CMN completely excised and with several visceral and intraspinal melanoma metastases with no evidence of primary cutaneous melanoma. The careful analysis of the clinical, morphologic, and molecular features allowed the distinction of between the benign PN (BPN) and the melanoma...
October 17, 2017: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/29076319/serial-tissue-expansion-at-the-same-site-in-pediatric-patients-is-the-subsequent-expansion-faster
#15
Moon Ki Lee, Seong Oh Park, Tae Hyun Choi
BACKGROUND: Serial tissue expansion is performed to remove giant congenital melanocytic nevi. However, there have been no studies comparing the expansion rate between the subsequent and preceding expansions. In this study, we analyzed the rate of expansion in accordance with the number of surgeries, expander location, expander size, and sex. METHODS: A retrospective analysis was performed in pediatric patients who underwent tissue expansion for giant congenital melanocytic nevi...
November 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28942405/congenital-melanocytic-nevus-mimicking-a-turban-tumour-in-an-18-year-old-filipino-male
#16
Maria Elinor Grace Sison, Eileen Cubillan, Bernard U Tansipek
Congenital melanocytic nevi (CMN) are nevi that are present at birth or arise within the first few weeks of life. They are often found on the trunk, head and neck and extremities. We report herein an unusual presentation of a CMN as a cerebriform tumour presenting as secondary cutis verticis gyrata on the scalp of an 18-year-old Filipino male.
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28676327/anatomic-mapping-and-clinicopathologic-analysis-of-benign-acral-melanocytic-neoplasms-a-comparison-between-adults-and-children
#17
COMPARATIVE STUDY
Na Hee Kim, Yoo Duk Choi, Hyun Ju Seon, Jee-Bum Lee, Sook Jung Yun
BACKGROUND: The clinicopathologic features of benign acral melanocytic neoplasms (BAMNs) remain poorly understood. OBJECTIVE: To define the clinicopathologic features of BAMNs. METHODS: We analyzed clinical data and mapped BAMNs anatomically. We also reviewed the histopathologic features of BAMNs and compared these between adults and children. RESULTS: We included 396 cases of BAMN: 335 adults and 61 children (376 acquired and 20 congenital lesions)...
October 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/28538892/giant-congenital-melanocytic-nevi-40-years-of-experience-with-the-serial-excision-technique
#18
Lais de Abreu Mutti, Marta Regina Machado Mascarenhas, João Marcos Goes de Paiva, Ronaldo Golcman, Mauro Yoshiaki Enokihara, Benjamin Golcman
Although giant congenital melanocytic nevus is a rare lesion, it causes significant deformity and carries a risk of malignant degeneration. Different surgical techniques for the lesion removal are described, including serial resection, resection with skin grafting, and resection and coverage with expanded skin flap (skin expanders). The aim of this study is to report the author's 40 years of experience with cases requiring at least 4 serial excisions to complete the treatment. Serial resection is an effective, safe, and simple technique that requires a lot of patience...
March 2017: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/28538885/proliferative-nodule-in-melanocytic-nevi-mimicking-deep-penetrating-nevus
#19
Ana Almodovar-Real, Alejandro Molina-Leyva, Jose Aneiros-Fernandez, Miguel Antonio Diaz-Martinez
Proliferative nodules can occasionally arise on congenital and acquired melanocytic nevi. At first sight their clinical and pathologic features cause alert to both dermatologist and dermatopathologist. However, proliferative nodules are typically benign, regression is common and there is minimum risk of malignization. We present a new case of proliferative nodule in melanocytic nevi with features of deep penetrating nevus.
March 2017: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/28538879/a-prospective-study-of-patients-with-large-congenital-melanocytic-nevi-and-the-risk-of-melanoma
#20
Ana Carolina Leite Viana, Eugênio Marcos Andrade Goulart, Bernardo Gontijo, Flávia Vasques Bittencourt
Background: Large congenital melanocytic nevus (LCMN) is considered a risk factor for melanoma, although the magnitude of this risk is controversial. Objective: To evaluate the risk of melanoma development in patients with LCMN seen at a dermatology referral center in Brazil during a twelve-year period. To the best of our knowledge, there are no published similar studies on large congenital melanocytic nevus in South America. Methods: Our prospective cohort included only patients with congenital nevi ≥20cm...
March 2017: Anais Brasileiros de Dermatologia
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