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Real-time Intraoperative Dermoscopic Monitoring of Common Acquired Melanocytic Nevi Following Shave Excision

BACKGROUND: The treatment of common acquired melanocytic nevus (CAMN) is mostly desired for cosmetic purposes due to which a number of “faster and less traumatizing” techniques have been developed. The major cause of recurrence is incomplete removal; there is a need for early detection of any residu...

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Autores principales: Muradia, Ishika, Khunger, Niti, Yadav, Amit Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9764949/
https://www.ncbi.nlm.nih.gov/pubmed/36561402
http://dx.doi.org/10.4103/JCAS.JCAS_174_21
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author Muradia, Ishika
Khunger, Niti
Yadav, Amit Kumar
author_facet Muradia, Ishika
Khunger, Niti
Yadav, Amit Kumar
author_sort Muradia, Ishika
collection PubMed
description BACKGROUND: The treatment of common acquired melanocytic nevus (CAMN) is mostly desired for cosmetic purposes due to which a number of “faster and less traumatizing” techniques have been developed. The major cause of recurrence is incomplete removal; there is a need for early detection of any residual pigment. AIMS AND OBJECTIVES: This study aimed to assess the recurrence of common acquired melanocytic nevi and whether dermoscopy can be used as a noninvasive tool for the assessment of residual pigment following shave excision. MATERIALS AND METHODS: A total of 100 patients of age more than 18 years with clinical features suggestive of common acquired melanocytic nevi were enrolled in the study. The nevi were assessed clinically and dermoscopically and, if found benign, were excised using shave excision. The specimen obtained was sent for histopathological examination. Dermoscopy was used immediately after shave excision for observing any residual pigment and, if present, was removed using radiofrequency current. The patients were followed up at 6 and 12 weeks for recurrence. RESULTS: On histopathology, 87% nevi were intradermal, 8% were compound, and 5% had insufficient tissue for diagnosis, which were clinically diagnosed as junctional nevi. Dermoscopy immediately after shave excision helped in detecting residual pigment in 91% nevi, which was immediately ablated with radiofrequency, thus decreasing the risk of recurrences. Recurrences were seen in 33% nevi and all were intradermal with the presence of hair in the majority (66.67%) of them. CONCLUSION: Shave excision is a minimally invasive and easily performed procedure. Dermsocopy can be used for assessing residual pigment after shave excision and thus reducing the risk of recurrences. On combining shave excision with radiofrequency ablation and assessing by dermoscopy, majority of patients were satisfied with the cosmetic results. Using dermoscope for follow-up helps in early recognition of recurrence and thus appropriate treatment can be provided at the earliest.
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spelling pubmed-97649492022-12-21 Real-time Intraoperative Dermoscopic Monitoring of Common Acquired Melanocytic Nevi Following Shave Excision Muradia, Ishika Khunger, Niti Yadav, Amit Kumar J Cutan Aesthet Surg Original Article BACKGROUND: The treatment of common acquired melanocytic nevus (CAMN) is mostly desired for cosmetic purposes due to which a number of “faster and less traumatizing” techniques have been developed. The major cause of recurrence is incomplete removal; there is a need for early detection of any residual pigment. AIMS AND OBJECTIVES: This study aimed to assess the recurrence of common acquired melanocytic nevi and whether dermoscopy can be used as a noninvasive tool for the assessment of residual pigment following shave excision. MATERIALS AND METHODS: A total of 100 patients of age more than 18 years with clinical features suggestive of common acquired melanocytic nevi were enrolled in the study. The nevi were assessed clinically and dermoscopically and, if found benign, were excised using shave excision. The specimen obtained was sent for histopathological examination. Dermoscopy was used immediately after shave excision for observing any residual pigment and, if present, was removed using radiofrequency current. The patients were followed up at 6 and 12 weeks for recurrence. RESULTS: On histopathology, 87% nevi were intradermal, 8% were compound, and 5% had insufficient tissue for diagnosis, which were clinically diagnosed as junctional nevi. Dermoscopy immediately after shave excision helped in detecting residual pigment in 91% nevi, which was immediately ablated with radiofrequency, thus decreasing the risk of recurrences. Recurrences were seen in 33% nevi and all were intradermal with the presence of hair in the majority (66.67%) of them. CONCLUSION: Shave excision is a minimally invasive and easily performed procedure. Dermsocopy can be used for assessing residual pigment after shave excision and thus reducing the risk of recurrences. On combining shave excision with radiofrequency ablation and assessing by dermoscopy, majority of patients were satisfied with the cosmetic results. Using dermoscope for follow-up helps in early recognition of recurrence and thus appropriate treatment can be provided at the earliest. Wolters Kluwer - Medknow 2022 /pmc/articles/PMC9764949/ /pubmed/36561402 http://dx.doi.org/10.4103/JCAS.JCAS_174_21 Text en Copyright: © 2022 Journal of Cutaneous and Aesthetic Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Muradia, Ishika
Khunger, Niti
Yadav, Amit Kumar
Real-time Intraoperative Dermoscopic Monitoring of Common Acquired Melanocytic Nevi Following Shave Excision
title Real-time Intraoperative Dermoscopic Monitoring of Common Acquired Melanocytic Nevi Following Shave Excision
title_full Real-time Intraoperative Dermoscopic Monitoring of Common Acquired Melanocytic Nevi Following Shave Excision
title_fullStr Real-time Intraoperative Dermoscopic Monitoring of Common Acquired Melanocytic Nevi Following Shave Excision
title_full_unstemmed Real-time Intraoperative Dermoscopic Monitoring of Common Acquired Melanocytic Nevi Following Shave Excision
title_short Real-time Intraoperative Dermoscopic Monitoring of Common Acquired Melanocytic Nevi Following Shave Excision
title_sort real-time intraoperative dermoscopic monitoring of common acquired melanocytic nevi following shave excision
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9764949/
https://www.ncbi.nlm.nih.gov/pubmed/36561402
http://dx.doi.org/10.4103/JCAS.JCAS_174_21
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