title: Congenital nevus: the Indiana University's approach to treatment.
abstract: The article will review the different treatment modalities for congenital nevi and the senior author's approach to these lesions. The management of congenital melanocytic nevus presents a diagnostic dilemma. Treatment must weigh the risk of malignancy, psychological distress to parents and child, and potential morbidities of excision. Excision of every nevus is neither applicable nor practical. Most plastic surgeons would agree that a large nevus mandates excision because of the risk of malignancy. However, debates occur regarding treatment of small and medium size nevi. Opinions differ regarding the types of reconstruction, malignant potential, and psychological impact of leaving a lesion untreated.
authors.affiliation: Division of Plastic Surgery, Indianapolis, Indiana, USA. gregpearson64@yahoo.com
authors.forename: Gregory D
authors.initials: GD
authors.lastname: Pearson
authors.forename: Micheal
authors.initials: M
authors.lastname: Goodman
authors.forename: A Michael
authors.initials: AM
authors.lastname: Sadove
mesh_terms: D002471:Cell Transformation, Neoplastic / Q000473:pathology; D002648:Child; D006801:Humans; D007196:Indiana; D009508:Nevus, Pigmented / Q000151:congenital* / Q000523:psychology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D012307:Risk Factors; D012878:Skin Neoplasms / Q000151:congenital* / Q000523:psychology / Q000601:surgery