Surgical Excision: An Effective Modality for Intradermal Melanocytic Nevus

Authors

  • Moizza Tahir Department of Dermatology, Combined Military Hospital Gujranwala/National University of Medical Sciences (NUMS) Pakistan
  • Najia Ahmed Department of Dermatology, Pakistan Naval Ship Hospital, Karachi Pakistan
  • Sidiqua Javaid Department of Dermatology, Combined Military Hospital Gujranwala/National University of Medical Sciences (NUMS) Pakistan
  • Sadia Malik Department of Dermatology, Combined Military Hospital Gujranwala/National University of Medical Sciences (NUMS) Pakistan
  • Atiya Rahman Department of Dermatology, Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan
  • Shahid Iqbal Department of Dermatology, Combined Military Hospital Gujranwala/ National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i4.7672

Keywords:

Fusiform excision, Intradermal melanocytic nevus, Visual analogue scale

Abstract

Objective: To evaluate the effectiveness of fusiform surgical excision of intradermal melanocytic nevus and to document the aesthetic outcome of post-excisional surgical scar.

Study Design: Prospective longitudinal study.

Place and Duration of Study: Tertiary Care Hospital, Gujranwala Pakistan, from Apr to Oct 2021.

Methodology: Patients with intradermal melanocytic nevus were enrolled after informed consent. Close-up photographs of the nevus and the site post-excision were taken. Local anaesthesia was injected with 2% Lignocaine with Adrenaline under aseptic measures. An elliptical incision with scalpel blade-15 was made around the nevus. The length of the incision was almost three times its width. Nevus and the involved tissue were removed to its full depth. A visual analogue scale was used to assess the scar cosmesis.

Results: A total of 37 intradermal melanocytic nevi, were included in the study. The size of the intradermal melanocytic nevus ranged from 0.5-2cm with a duration of 3-10 years. The mean visual analogue scar scale on day 5 of surgical excision was 7.23±1.423, and on day seven was 5.37±0.575. Surgical sutures were removed on day 5 in 13(35.1%) cases and day-7 in 24(64.9%) cases.

Conclusion: Surgical excision is an effective treatment modality for intradermal melanocytic nevus.

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Published

30-08-2023

Issue

Section

Original Articles

How to Cite

1.
Tahir M, Ahmed N, Javaid S, Malik S, Rahman A, Iqbal S. Surgical Excision: An Effective Modality for Intradermal Melanocytic Nevus. Pak Armed Forces Med J [Internet]. 2023 Aug. 30 [cited 2024 Nov. 27];73(4):1008-11. Available from: https://pafmj.org/PAFMJ/article/view/7672