中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (5): 338-342.doi: 10.12144/zgmfskin202205338

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先天性色素痣的诊疗进展

陈见友,张高磊,刘晓雁   

  1. 首都儿科研究所附属儿童医院皮肤科,北京,100020
  • 出版日期:2022-05-15 发布日期:2022-03-15
  • 通讯作者: 陈见友,E-mail: 15210829199@163.com

Update of diagnosis and treatment of congenital pigmented nevus

CHEN Jianyou, ZHANG Gaolei, LIU Xiaoyan   

  1. Department of Dermatology, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China
  • Online:2022-05-15 Published:2022-03-15
  • Contact: CHEN Jianyou, E-mail: 15210829199@163.com

摘要: 先天性色素痣又称为先天性黑素细胞痣,在出生时或出生后不久出现,并具有独特的临床和组织病理学特征。先天性色素痣根据尺寸可分为四类:小痣、中痣、大痣和巨痣 。约1%的新生儿患有先天性色素痣,其中大多数属于小/中型痣,大/巨痣比较罕见。本文将从临床、并发症、病理、基因、治疗等多方面对先天性色素痣进行总结,以期提高临床诊疗水平。

关键词: 先天性色素痣, NRAS, BRAF, 神经皮肤黑变病, 黑素瘤

Abstract: Congenital pigmented nevus, also known as congenital melanocytic nevus (CMN), appears at birth or shortly after birth and has unique clinical and histopathological characteristics. According to the size, congenital nevus can be divided into the following four types: small nevus, medium nevus, large nevus and giant nevus. It is estimated that about 1% of newborns have congenital nevi, most of which are small/medium nevi, and large/giant nevi are rare. This article summarizes the progress of congenital pigmented nevus from the aspects of clinical, complication, pathology, gene and treatment, in order to improve the level of clinical diagnosis and treatment.

Key words: congenital melanocytic nevus, NRAS, BRAF, neurocutaneous melanosis, melanoma