title: Combination of preoperative embolization and surgery in the treatment of a giant congenital neuroid nevus of the forehead and scalp in a child. Case report.
abstract: Congenital melanocytic nevi of neuroectodermal origin are composed primarily of melanocytes and occasional neural elements. A subset of large/giant congenital melanocytic nevi is characterized by neuroidal differentiation resembling the histological pattern of neurofibroma (neuroid congenital melanocytic nevi). The authors report the case of a male infant born with a neuroid congenital melanocytic nevus presenting as a large mass covering extensive portions of his scalp and forehead. The atypical feeding arteries to the nevus were larger in diameter then the patient's internal carotid arteries and formed a rich network of large blood vessels in the nevus. Selective preoperative embolization using calibrated particles was followed by a complete excision and staged reconstruction with tissue expanders. The authors believe that this multidisciplinary approach allowed for a safe surgical procedure with minimal blood loss for this most unusual pediatric head and neck tumor.
authors.affiliation: Departments of Plastic Surgery, Hadassah Medical Center, Hebrew University School of Medicine, Jerusalem, Israel. margul13@yahoo.com
authors.forename: Alexander
authors.initials: A
authors.lastname: Margulis
authors.forename: Benjamin Z
authors.initials: BZ
authors.lastname: Koplewitz
authors.forename: Alexander
authors.initials: A
authors.lastname: Maly
authors.forename: José
authors.initials: J
authors.lastname: Cohen
authors.forename: Ravit
authors.initials: R
authors.lastname: Yanko-Arzi
authors.forename: John M
authors.initials: JM
authors.lastname: Gomori
authors.forename: Rami
authors.initials: R
authors.lastname: Neuman