先天性黑色细胞瘤和黑色素瘤的风险
Larissa M Pastore1, Rodolfo Valentini2, Ashfaq A Marghoob3
1Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA; Department of Medicine, Cooper University Hospital, Camden, New Jersey, USA.
Clinics in dermatology
|September 20, 2024
概括
kongenital melanocytic nevi (CMN) 增加了黑色素瘤的风险,尤其是大型或多个 nevi. 早期检测和风险分层对于管理潜在的皮肤和中枢神经系统黑色素瘤和神经皮肤黑色素细胞病变至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 遗传学 是一个遗传学.
背景情况:
- kongenital melanocytic nevi (CMN) 在出生时就存在,其大小和数量可以变化.
- 虽然CMN往往只是一种美容问题,但它也会带来黑色素瘤和神经皮肤黑色素细胞瘤的风险.
- 目前CMN的风险分层取决于病变的大小和数量.
研究的目的:
- 审查与CMN相关的黑色素瘤和神经皮肤黑色素细胞瘤风险的证据.
- 根据规模和相关风险,讨论CMN的管理策略.
主要方法:
- 对CMN风险现有证据的文献综述.
- 基于CMN大小和数量的风险分层分析.
- 讨论诊断和管理方式.
主要成果:
- 小型/中型CMN的绝对风险很低 (约. 0.3%) 的皮肤黑色素瘤.
- 大型CMN显著增加皮肤黑色素瘤 (1.25%-10%) 和中枢神经系统黑色素瘤的风险.
- 神经皮肤黑色细胞瘤的风险与存在的CMN数量相关.
结论:
- 由于黑色素瘤和神经皮肤黑色素细胞瘤的风险,CMN,特别是大型或众多的CMN,需要仔细监测.
- 风险分层和适当的临床检查,皮肤镜检查和成像检查对于管理至关重要.
- 进一步研究最佳的外科和非外科治疗策略是有必要的.
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