title: Case report of nodular melanoma within congenital melanocytic nevus- primary closure challenge.
abstract: BACKGROUND
  Congenital melanocytic nevi (CMN) are present in 1-2% of newborn infants. The size of CMN defines the risk of developing melanoma which is estimated from 5-10%, especially in lesions that are located across the spine.
  
  
  METHODS
  Herein we report a case where nodular melanoma was discovered on the periphery of medium sized CMN in a high risk patient. After complete excision, the defect was reconstructed with random pattern, triple rhomboid flap.
  
  
  CONCLUSIONS
  Melanoma that arose within medium sized CMN would leave a complex posterior lower trunk defect. We used a triple Limberg flap which was proven to be straightforward and simple method when large defects are to be covered with vital tissue. We have also showed that this type of reconstruction is suitable for high risk patients that could not withstand any complex procedures.
  
  
  CONCLUSIONS
  In our case, the method we choose to reconstruct the defect proved to be simple, safe and easy, especially when surgery is performed in a high risk patient.
authors.affiliation: Department for Oncoplastic and Reconstructive Surgery, University Hospital for Tumors, Ilica 197, 10 000 Zagreb, Croatia. Electronic address: domagoj@poliklinika-eljuga.hr.
authors.forename: Domagoj
authors.initials: D
authors.lastname: Eljuga
authors.affiliation: Department for Oncoplastic and Reconstructive Surgery, University Hospital for Tumors, Ilica 197, 10 000 Zagreb, Croatia. Electronic address: imilas.dr@gmail.com.
authors.forename: Ivan
authors.initials: I
authors.lastname: Milas
authors.affiliation: Department for Oncoplastic and Reconstructive Surgery, University Hospital for Tumors, Ilica 197, 10 000 Zagreb, Croatia. Electronic address: suncobran@gmail.com.
authors.forename: Iva
authors.initials: I
authors.lastname: Kirac
authors.affiliation: Department for Oncoplastic and Reconstructive Surgery, University Hospital for Tumors, Ilica 197, 10 000 Zagreb, Croatia. Electronic address: mstanec@net.hr.
authors.forename: Mladen
authors.initials: M
authors.lastname: Stanec
authors.affiliation: Department for Oncoplastic and Reconstructive Surgery, University Hospital for Tumors, Ilica 197, 10 000 Zagreb, Croatia. Electronic address: danko.velimir.vrdoljak@kbcsm.hr.
authors.forename: Danko Velimir
authors.initials: DV
authors.lastname: Vrdoljak
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