"DERMATOLOGIC SURGERY (GNP) GROUND AND POUND"- EXTENDABLE PLASTIC SURGERY WITH PRIMARY WOUND CLOSURE AS OPTIMAL TREATMENT OPTION FOR MIDDLE-SIZED CONGENITAL DYSPLASTIC NEVUS OF THE BACK OF AN 8-YEAR-OLD BOY.

Surgical treatment of congenital melanocytic nevi is a serious problem for the relatives and "small patients" as well as for dermatosurgeons. The responsibility of the medical team is enormous, analogous to the expectations of the parents themselves. The aggressive dermatosurgical approach is usually short-lasting but effective and depends on the size and localization of the nevus as well as the experience of the dermatosurgeon. In practice, it is the size and morphology of melanocytic nevi, assessed on the basis of clinical and dermatoscopic criteria, that are the main factors determining the need for possible future aggressive therapy. Although the literature suggests that advanced noninvasive drug options based on mutational status exist for congenital nevi, the outcomes of their use are generally or mostly unsatisfactory, as they do not result in complete regression of lesions. We report an 8-year-old child with a congenital medium-sized papillomatous mixed melanocytic nevus in the dorsal region, successfully treated dermatosurgically under intubation anesthesia using extendable plastic surgery.