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A.D.A.M. Medical Encyclopedia [Internet]. Atlanta (GA): A.D.A.M.; 2013.

A.D.A.M. Medical Encyclopedia.

Giant congenital nevus

Congenital giant pigmented nevus; Giant hairy nevus; Giant pigmented nevus; Bathing trunk nevus; Congenital melanocytic nevus - large

Last reviewed: November 20, 2012.

A congenital pigmented or melanocytic nevus is a dark-colored, often hairy patch of skin. A congenital nevus is present at birth or appears in the first year of life. 

A giant congenital nevus is smaller in infants and children, but it usually continues to grow as the child grows. A giant pigmented nevus is larger than 8 inches once it stops growing.

Causes, incidence, and risk factors

These marks are thought to be caused by problems that develop as a baby grows in the womb. In some families bathing trunk nevi may be inherited.

The condition may occur with:

Smaller congenital pigmented or melanocytic nevi are common in children and do not cause problems most of the time. Larger or giant nevi are rare.

Symptoms

A nevus will appear as dark-colored patch with any of the following:

  • Brown to bluish-black color
  • Hair
  • Regular or uneven borders
  • Small satellite areas (maybe)
  • Smooth, irregular, or wart-like skin surface

Nevi are commonly found on the upper or lower parts of the back or the abdomen. They may also be found on the:

  • Arms
  • Legs
  • Mouth
  • Mucus membranes
  • Palms or soles

Signs and tests

You should have all birthmarks looked at by a health care provider. A skin biopsy may needed to check for cancer cells

An MRI of the brain might be done if the nevus is over the spine. A giant nevus on the spine may be linked to brain problems.

Your doctor will measure the dark skin area every year and take pictures to check if the spot is getting larger.

Treatment

You will need to have regular exams to check for skin cancers.

Surgery to remove the nevus is be done if possible. Skin grafting is also done when needed. Larger nevi may need to be removed in several stages.

Lasers and dermabrasion can also be used to improve the appearance. These treatments may not remove the whole birthmark, so it may be harder to for the doctors to detect skin cancer (melanoma). Talk to your doctor about the pros and cons of surgery in your case.

Treatment may be helpful if the birthmark causes emotional problems because of how it looks. 

Expectations (prognosis)

Skin cancer may develop in about 1 in 6 people with large or giant nevi. The cancer risk is higher for nevi located on the back or abdomen

Complications

  • Depression and other emotional problems if the nevi affect appearance
  • Skin cancer (melanoma)

 

Calling your health care provider

This condition is usually diagnosed at birth. Talk to your child's doctor if your child has a large pigmented area anywhere on the skin.

References

  1. Congenital melanocytic nevi. In: Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2009:pp 850-851.Melanocytic Nevi and Neoplasms. In: James WD, Berger TG, Elston DM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 30.
  2.  

Review Date: 11/20/2012.

Reviewed by: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsementscof those other sites. © 1997–2011 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Copyright © 2013, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsementscof those other sites. © 1997–2011 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Copyright © 2013, A.D.A.M., Inc.

Figures

  • Congenital nevus on the abdomen.

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