Abstract
There is a wide variance of management depending on patient age, nevus size and whether dermatologists or general and plastic surgeons are making recommendations based on surveys. Most pediatric dermatologists recommend clinical monitoring of congenital melanocytic nevi (CMN) and satellite nevi with excisional biopsy as needed for new concerning papules or nodules that appear within the nevus. Treatment of CMN is typically undertaken for two reasons: to reduce the risk of cutaneous malignant degeneration, which is controversial and unproven, and for cosmetic reasons. CO2 has also been used for facial basal cell carcinomas in a patient with basal cell nevus syndrome with acceptable cosmesis. The two main reasons to excise nevus sebaceus include concern about malignancy and undesirable cosmesis. Surgical excision was reported in a child with systematized epidermal nevus with a partial-thickness skin excision. © 2019 by John Wiley & Sons Ltd. All rights reserved.