A successful serial excision surgery for congenital melanocytic nevus in a child: A case report

Giant congenital melanocytic nevi (GCMN) are rare, large pigmented lesions present at birth that can significantly impact a patient's physical appearance and psychological well-being.

This case report presents a successful outcome of serial surgical excision for a GCMN in a 10-year-old Syrian male. The patient presented with a large GCMN covering his entire nose and part of his left infraorbital region, causing significant psychological distress. Despite no immediate symptoms, a staged approach using serial surgical excisions and skin grafting was applied, resulting in the complete removal of the GCMN over 18 months. The patient experienced no significant complications and achieved a successful aesthetic result, allowing him to return to school and resume normal activities.

The best treatment for congenital melanocytic nevi (CMN) is uncertain and varies based on the nevus characteristics. However, early excision of large nevi can reduce melanoma risk and relieve psychological distress for both the child and parents.

Congenital melanocytic nevi (CMN) are rare benign lesions that can potentially become malignant, affecting patients' well-being. This case highlights the effectiveness of serial surgical excision in managing GCMN, demonstrating the potential for successful outcomes even in complex cases.