A 2-year-old boy has a black “big” birthmark that fills the back of his neck, the doctor points out the cause

Mar 16, 2022 13:30 GMT+7

2-year-old boy has a black “big” birthmark that fills the back of his neck

That is the case of baby Nguyen Hoang Minh D, 21 months old from Bim Son town, Thanh Hoa province, hospitalized at K Hospital on March 6, 2022, with a lot of itching and bleeding in the nape of the neck on the skin patch. black.

Mr. D. The baby’s father Nguyen Hoang Minh D shared, “Since the baby was born, the nape and back of the baby is almost completely covered with black skin.

The family only thinks less, then the child will eventually disappear and it will not affect much because the child still eats, drinks and plays normally.

However, about 2 months ago, the baby began to itch and scratch a lot of the skin on the back of the neck, causing this skin to thicken and bleed, so the family was worried until K hospital checked.

The doctors of the Department of Treatment requested Quan Su, directly Dr.BS. Duong Manh Chien visited and consulted the case of baby D. Nguyen Hoang Minh D. was diagnosed with giant congenital melanoma Nevus on the back and nape.

TS.BS. Duong Manh Chien said that congenital black nevus is a fairly common disease with about 1% of newborns, but giant congenital melanoma is quite rare with a rate of 1/50,000.

Doctors examining baby D.

Called giant melanoma because the area of ​​the lesion is more than 20 cm or more than 1 anatomical unit in the skin. Based on a number of clinical symptoms, the disease can be diagnosed: Immediately after the black mass, the color is usually uniform, the size of the black mass grows in proportion to the general increase in body size, may or may not be raised, the skin boundaries are usually clear.

In the case of baby Nguyen Hoang Minh D. There is a dark black mass on the nape of the neck, back size 20×15 cm, raised on the skin surface, fibrous lesions, firm.

The nape of the neck has many bleeding ulcers. In the case of D., because the histopathological damage is located in the deep layer, surgery to remove the fascia is the only treatment, surgery should be performed early to minimize the risk of cancer. This percentage usually accounts for 5-10%.

The giant melanoma is difficult to operate once and completely heal the damage. However, the surgery is usually not too severe and the child can be discharged from the hospital after 4-5 days when the condition is stable.

After consulting the whole hospital, the doctors agreed on the treatment plan for the baby: Surgery to gradually reduce the fascia.

“It is expected that the patient will need to perform 2-3 surgeries to remove all the neutrophils. The surgeries will be done about 6 months apart. Currently, after 4 days of surgery, baby D. Eat well, play well, the incision heals well, and the fascia has been removed in half.

It is expected that in the next 6 months, the doctor will perform a second surgery on the baby to cut the remaining damage”, Dr. Chien said.

N. Huyen