title: Management considerations for giant congenital melanocytic nevi in adults.
abstract: Giant congenital melanocytic nevi (GCMN) are a rare type of melanocytic nevus that covers a large body surface, often with satellite nevi scattered on the rest of the skin. There are several complications associated with GCMN, including malignant melanoma and neurocutaneous melanosis. The management of GCMN is very complex because of the cosmetic appearance and the associated psychological distress, the risk of severe complications, and the need for long-term follow-up. We report a case of a 43-year-old active-duty female with a GCMN reporting new and symptomatic satellite lesions with atypical features on dermoscopy.
authors.affiliation: Department of Dermatology, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600.
authors.forename: Margaret C
authors.initials: MC
authors.lastname: Green
authors.affiliation: Department of Dermatology, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600.
authors.forename: Marsha D
authors.initials: MD
authors.lastname: Mitchum
authors.affiliation: Department of Dermatology, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600.
authors.forename: Jason D
authors.initials: JD
authors.lastname: Marquart
authors.affiliation: Department of Dermatology, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600.
authors.forename: Jonathan L
authors.initials: JL
authors.lastname: Bingham
mesh_terms: D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D019468:Disease Management; D005260:Female; D006801:Humans; D009508:Nevus, Pigmented / Q000175:diagnosis / Q000628:therapy*; D012867:Skin / Q000473:pathology*; D012878:Skin Neoplasms / Q000175:diagnosis / Q000628:therapy*