Skip to main content Skip to main navigation menu Skip to site footer

Nevus melanositik kongenital yang dilakukan tindakan biopsi plong dan penutupan rotation flap

Abstract

Pendahuluan:
Congenital nevomelanostik nevus (CNN) merupakan neoplasma melanositik jinak yang muncul sejak lahir atau dalam minggu pertama setelah kelahiran. Bentuk dari CNN berupa papul atau tumor yang berbentuk bulat atau oval, dengan permukaan halus hingga kasar (verukosa), reguler dan memiliki batas tegas, dan disertai dengan rambut. Tindakan pembedahan utamanya dibidang dermatologi mengalami perkembangan yang cukup pesat, dimana tindakan pembedahan yang dilakukan pada area wajah harus mempertimbangkan segi estetik dan kosmetik.
Ilustrasi Kasus:
Pada laporan kasus ini dilaporkan kasus CNN di area pipi kanan pada lelaki berusia 30 tahun. Diagnosis CNN ditegakkan berdasarkan anamnesis, pemeriksaan fisik dan pemeriksaan histopatologi. Pasien pada laporan kasus ini dilakukan tindakan pembedahan berupa biopsi plong dan penutupan rotation flap. Pada pasien menunjukkan hasil baik pasca tindakan. Teknik pembedahan dan penutupan ini dipilih dengan pertimbangan lesi CNN kecil dan secara kosmetik penutupan defek rotation flap memberikan hasil yang baik.

 Introduction:
Congenital Nevomelanostic Nevi (CNN) is a benign melanocytic neoplasm that appears from birth or within the first week after birth. The form of CNN consists of round or oval papules or tumors, with smooth to rough (verrucous) surfaces, regular and firm boundaries, with hair growth. Currently, dermatosurgery field has evolved significantly, especially in the surgical procedures performed on the facial area, which aesthetic and cosmetic aspects should be highly monitored.
Case Report:
We report one case of CNN in the right cheek area in 30 years old man. The diagnosis of CNN was made based on history, physical examination and histopathological examination. We 

References

  1. Pandhi I, et all. Melanocytic Tumors of The Skin: A Dermatopathological Review. Journal of Pigmentary Disorders. 2014;1(3):2-10
  2. Krengel S, Hauschild A, Schafert T. Melanoma Risk in Congenital Melanocytic Naevi: A Systematic Review. British Journal of Dermatology.2006;155:1-8
  3. Nikfarjam J, Chambers E. Congenital Melanocytic Nevi and the Risk of Malignant Melanoma: Establishing a Guideline for Primary Care Physicians. The Einstein Journal of Biology and Medicine. 2012.59-66
  4. Savitri Restu. Biopsi dalam bidang dermatologi. Tinjauan Pustaka Bagian Kulit dan Kelamin Fakultas Kedokteran Univeristas Kristen Maranatha. JKM vol.5. (2). Juli 2005.
  5. Shyamal CH. Flap and graft in dermatology surgery. Australasian journal of dermtology.2010; 51,299
  6. Rahpeyma A, Khajehahmadi S. The place of nasolabial flap in orofacial reconstruction: A review. Annals of Medicine and Surgery. 2016; 12: 79-87.
  7. Kutlu S, Altunay IK, Koslu A. Dermographic, Clinical and Dermoscopic Characteristics of Congenital Melanocytic Nevi. Journal of the Turkish Academy of Dermatology.2007;1(3):1-5
  8. Grichnick, J.M, Rhodes, A.R, Sober, A.J. Benign Neoplasia and Hyperplasia of Melanocytes. In: Freedberg IM, Eisen AZ, Wolf K, et al, eds. Fitzpatrick's Dermatology in General Medicine. 8th ed. New York: McGraw-Hill; 2012. p. 1377-1410.
  9. Kovalyshyn I., Braun R., Marghoob A. Congenital melanocytic nevi. Australian Journal of Dermatology.2009; 50(4): 231-40
  10. Marghood AA, Malvehy J, Braun RP. Congenital Melanocytic Nevi.In: Marghood AA, Malvehy J, Braun RP Altas of Dermoscpy.2sd edition. New York: Informa Healthcare: 147-158
  11. Cook JL, Goldman GD. Random Pattern Cutaneous Flaps. In: Robinson JK, Hanke CW, Sengelmann RD, Siegel DM, eds. Surgery of the Skin Procedural Dermatology. Philadelphia: Elsevier; 2005. p. 311-44.
  12. Rahpeyma A, Khajehahmadi S. The place of nasolabial flap in orofacial reconstruction: A review. Annals of Medicine and Surgery. 2016; 12: 79-87.
  13. Book SE, Aasi SZ, Leffell DJ. Ellipse, Ellipse Variations, and Dog-ear Repairs. In: Robinson JK, Hanke CW, Siegel DM, Fratila A, eds. Surgery of The Skin Procedural Dermatology. 2nd ed. Philadelphia: Elsephier; 2010. p. 239-50.
  14. Sheehan JM, Kingsley M, Rohrer TE. Excsional Surgery and Repair, Flaps, and Grafts. In: Goldsmith LA, Katz SI, Gilcrist BA, Paller AS, Leffell DJ, Wolff K, eds. Fitzpatrick’s Dermatology In General Medicine. 8th ed. New York: McGraw-Hill Medical; 2012. p. 2921-7.
  15. Book SE, Aasi SZ, Leffell DJ. Ellipse, Ellipse Variations, and Dog-ear Repairs. In: Robinson JK, Hanke CW, Siegel DM, Fratila A, eds. Surgery of The Skin Procedural Dermatology. 2nd ed. Philadelphia: Elsephier; 2010. p. 239-50.
  16. Aasi SZ, Pennington BE. Surgery in Dermatology. In: Goldsmith LA, Katz SI, Gilcrist BA, Paller AS, Leffell DJ, Wolff K, eds. Fitzpatrick’s Dermatology In General Medicine. 8th ed. New York: McGraw-Hill Medical; 2012. p. 2905-20.
  17. Bailey EC, Sober AJ, Tsao H, Mihm MC, Johnson TM.Cutaneous Melanoma. In: Freedberg IM, Eisen AZ, Wolf K, et al, eds. Fitzpatrick's Dermatology in General Medicine. 8th ed. New York: McGraw-Hill; 2012. p. 1416-1432
  18. Watt AJ, Kotsis SV, Chung KC. Risk of Melanoma Arising in Large Congenital Melanocytic Nevi: A Systematic Review. Plast Reconstr Surg. 2004;1968-1974

How to Cite

Maya Pramita, N. Y., & Wardhana, M. (2019). Nevus melanositik kongenital yang dilakukan tindakan biopsi plong dan penutupan rotation flap. Medicina, 50(2). https://doi.org/10.15562/medicina.v50i2.659

HTML
127

Total
90

Share

Search Panel