Comparison of treatment options for small to medium congenital melanocytic nevi: A retrospective review of 119 cases

Jung Min Lim, Yeongjoo Oh, Si Hyung Lee, Mi Yeon Cho, Kee Yang Chung, Mi Ryung Roh

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Objectives: For small to medium sized congenital melanocytic nevi (CMN), the treatment of choice is staged surgical excision. Ablative lasers or pigment-specific lasers have also been recommended for lesions difficult for surgical removal or to avoid surgery. In this study, we retrospectively analyzed the results of several treatment options for CMN to find out the optimal treatment method. Methods: Patients with small to medium sized CMN were retrospectively reviewed. Treatment options were categorized into four groups: (i) Excision only; (ii) Excision followed by scar laser; (iii) Excision followed by pigment-specific laser; and (iv) Laser only. Treatment response was assessed by investigator's global assessment (IGA) score on a seven-point scale. Results: A total of 119 cases were included. Lesions were most commonly located on the face (59/119, 49.6%), measured 2 ∼ 10 cm in size (72/119, 60.5%), and treated with excision only (50/119, 42.0%). Among treatment options, excision followed by scar laser showed the highest IGA score of 6.38. Options including surgical methods showed higher IGA scores compared to laser-only treatment (P < 0.01). Staged excisions and single excisions showed no difference in IGA scores. Patient satisfaction scores increased after scar laser treatment of the staged excision scar. Conclusions: For the treatment of small to medium sized CMN, treatment strategies including surgical methods are cosmetically superior to laser-only treatment. Also, the combination of surgical excision with scar laser has the potential for better clinical outcomes and patient satisfaction. Lasers Surg. Med. 51:62–67, 2019.

Original languageEnglish
Pages (from-to)62-67
Number of pages6
JournalLasers in Surgery and Medicine
Volume51
Issue number1
DOIs
Publication statusPublished - 2019 Jan

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Pigmented Nevus
Lasers
Cicatrix
Research Personnel
Therapeutics
Patient Satisfaction

All Science Journal Classification (ASJC) codes

  • Surgery
  • Dermatology

Cite this

Lim, Jung Min ; Oh, Yeongjoo ; Lee, Si Hyung ; Cho, Mi Yeon ; Chung, Kee Yang ; Roh, Mi Ryung. / Comparison of treatment options for small to medium congenital melanocytic nevi : A retrospective review of 119 cases. In: Lasers in Surgery and Medicine. 2019 ; Vol. 51, No. 1. pp. 62-67.
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abstract = "Objectives: For small to medium sized congenital melanocytic nevi (CMN), the treatment of choice is staged surgical excision. Ablative lasers or pigment-specific lasers have also been recommended for lesions difficult for surgical removal or to avoid surgery. In this study, we retrospectively analyzed the results of several treatment options for CMN to find out the optimal treatment method. Methods: Patients with small to medium sized CMN were retrospectively reviewed. Treatment options were categorized into four groups: (i) Excision only; (ii) Excision followed by scar laser; (iii) Excision followed by pigment-specific laser; and (iv) Laser only. Treatment response was assessed by investigator's global assessment (IGA) score on a seven-point scale. Results: A total of 119 cases were included. Lesions were most commonly located on the face (59/119, 49.6{\%}), measured 2 ∼ 10 cm in size (72/119, 60.5{\%}), and treated with excision only (50/119, 42.0{\%}). Among treatment options, excision followed by scar laser showed the highest IGA score of 6.38. Options including surgical methods showed higher IGA scores compared to laser-only treatment (P < 0.01). Staged excisions and single excisions showed no difference in IGA scores. Patient satisfaction scores increased after scar laser treatment of the staged excision scar. Conclusions: For the treatment of small to medium sized CMN, treatment strategies including surgical methods are cosmetically superior to laser-only treatment. Also, the combination of surgical excision with scar laser has the potential for better clinical outcomes and patient satisfaction. Lasers Surg. Med. 51:62–67, 2019.",
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Comparison of treatment options for small to medium congenital melanocytic nevi : A retrospective review of 119 cases. / Lim, Jung Min; Oh, Yeongjoo; Lee, Si Hyung; Cho, Mi Yeon; Chung, Kee Yang; Roh, Mi Ryung.

In: Lasers in Surgery and Medicine, Vol. 51, No. 1, 01.2019, p. 62-67.

Research output: Contribution to journalReview article

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T1 - Comparison of treatment options for small to medium congenital melanocytic nevi

T2 - A retrospective review of 119 cases

AU - Lim, Jung Min

AU - Oh, Yeongjoo

AU - Lee, Si Hyung

AU - Cho, Mi Yeon

AU - Chung, Kee Yang

AU - Roh, Mi Ryung

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N2 - Objectives: For small to medium sized congenital melanocytic nevi (CMN), the treatment of choice is staged surgical excision. Ablative lasers or pigment-specific lasers have also been recommended for lesions difficult for surgical removal or to avoid surgery. In this study, we retrospectively analyzed the results of several treatment options for CMN to find out the optimal treatment method. Methods: Patients with small to medium sized CMN were retrospectively reviewed. Treatment options were categorized into four groups: (i) Excision only; (ii) Excision followed by scar laser; (iii) Excision followed by pigment-specific laser; and (iv) Laser only. Treatment response was assessed by investigator's global assessment (IGA) score on a seven-point scale. Results: A total of 119 cases were included. Lesions were most commonly located on the face (59/119, 49.6%), measured 2 ∼ 10 cm in size (72/119, 60.5%), and treated with excision only (50/119, 42.0%). Among treatment options, excision followed by scar laser showed the highest IGA score of 6.38. Options including surgical methods showed higher IGA scores compared to laser-only treatment (P < 0.01). Staged excisions and single excisions showed no difference in IGA scores. Patient satisfaction scores increased after scar laser treatment of the staged excision scar. Conclusions: For the treatment of small to medium sized CMN, treatment strategies including surgical methods are cosmetically superior to laser-only treatment. Also, the combination of surgical excision with scar laser has the potential for better clinical outcomes and patient satisfaction. Lasers Surg. Med. 51:62–67, 2019.

AB - Objectives: For small to medium sized congenital melanocytic nevi (CMN), the treatment of choice is staged surgical excision. Ablative lasers or pigment-specific lasers have also been recommended for lesions difficult for surgical removal or to avoid surgery. In this study, we retrospectively analyzed the results of several treatment options for CMN to find out the optimal treatment method. Methods: Patients with small to medium sized CMN were retrospectively reviewed. Treatment options were categorized into four groups: (i) Excision only; (ii) Excision followed by scar laser; (iii) Excision followed by pigment-specific laser; and (iv) Laser only. Treatment response was assessed by investigator's global assessment (IGA) score on a seven-point scale. Results: A total of 119 cases were included. Lesions were most commonly located on the face (59/119, 49.6%), measured 2 ∼ 10 cm in size (72/119, 60.5%), and treated with excision only (50/119, 42.0%). Among treatment options, excision followed by scar laser showed the highest IGA score of 6.38. Options including surgical methods showed higher IGA scores compared to laser-only treatment (P < 0.01). Staged excisions and single excisions showed no difference in IGA scores. Patient satisfaction scores increased after scar laser treatment of the staged excision scar. Conclusions: For the treatment of small to medium sized CMN, treatment strategies including surgical methods are cosmetically superior to laser-only treatment. Also, the combination of surgical excision with scar laser has the potential for better clinical outcomes and patient satisfaction. Lasers Surg. Med. 51:62–67, 2019.

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