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Congenital Naevus: Case Report of an Atypical Atrial Location

Received: 22 February 2023    Accepted: 13 March 2023    Published: 15 April 2023
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Abstract

Congenital naevi are a benign proliferation of melanocytes. Present at birth or appearing in the first weeks of life, they have the appearance of light to dark brown lesions, sometimes bluish, more or less hairy. It is a non-hereditary mosaic pathology. They are due to postzygotic somatic mutations involving key proteins in the mitogen-activated protein kinase pathway, mainly NRAS and BRAF. Its prevalence is estimated to be between 1 and 3% of newborns. This disease can affect any part of the skin. There are 3 types of naevi: small, medium and large naevi then called giant. The objective was to discuss the clinical and therapeutic aspect of a congenital auricular naevus of medium size. We report the case of an 18 years old girl presenting a sessile tumefaction at the level of the concha of the right auricle that appeared from birth, firm, rough, unique, about 5 cm in diameter, homogeneous in color, pigmented, hairy, painless to palpation, apyretic sometimes pruritic without any other associated sign. The diagnosis of benign congenital naevus was clinically made after confirmation by the dermatologist. Surgical removal was performed. The postoperative course was simple with complete healing after one month. The middle congenital naevus is a benign tumor linked to a genetic variation of low incidence, which is all the more rare as it is located on the ear, thus having a significant psychological impact due to its often unsightly appearance. The diagnosis of this genodermatosis is essentially clinical. When it is an isolated nodule, as in our study, total surgical removal is a good alternative with simple after-effects and an almost non-existent risk of malignant transformation.

Published in International Journal of Otorhinolaryngology (Volume 9, Issue 1)
DOI 10.11648/j.ijo.20230901.12
Page(s) 6-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Congenital Naevus, Auricular Nodule, Psychological Impact, Genodermatosis, Medium Naevi, Surgical Excision, BRAF Mutations

References
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[2] Price HN. Congenital melanocytic nevi: update in genetics and management. Curr Opin Pediatr. 2016; 28 (4): 476 482.
[3] Aubert H., Scard C., Barbarot S. Naevus congénitaux, Rev Prat Med Gen 2020; 34 (1042); 411-415.
[4] Alexandra A. Naevus géant congénital. Santé sur le net. https://www.sante-sur-le-net.com/sante-enfant/naevus-geant-congenital. 11 September 2018.
[5] Jung SY, Kim MG, Boo SH, et al. Analyse clinique des masses bénignes auriculaires. Coréen J Audiol. 2012; 16 (1): 10-13.
[6] Protocole National de Diagnostic et de Soins (PNDS) Naevus congénital, FIMARAD NC / Septembre 2021. https://www.has-sante.fr
[7] Navarro-Fernandez IN, Mahabal GD. Congenital Nevus. In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2021.
[8] Koot HM, de Waard-van der Spek F, Peer CD, Mulder PG, Oranje AP. Psychosocial sequelae in 29 children with giant congenital melanocytic naevi. Clin Exp Dermatol. 2000; 25: 589-593.
[9] Kinsler VA, O’Hare P, Bulstrode N, Calonje JE, Chong WK, Hargrave D, et al. Melanoma in congenital melanocytic naevi. Br J Dermatol. mai 2017; 176 (5): 1131-1143.
[10] Krengel S, Scope A, Dusza SW, Vonthein R, Marghoob AA. New recommendations for the categorization of cutaneous features of congenital melanocytic nevi. J Am Acad Dermatol. mars 2013; 68 (3): 441-451.
[11] Salgado CM, Basu D, Nikiforova M, Bauer BS, Johnson D, Rundell V, et al. BRAF mutations are also associated with neurocutaneous melanocytosis and large/giant congenital melanocytic nevi. Pediatr Dev Pathol Off J Soc Pediatr Pathol. févr 2015; 18 (1): 1-9.
[12] Polubothu S, McGuire N, Al-Olabi L, Baird W, Bulstrode N, Chalker J, et al. Does the gene matter? Genotype-phenotype and genotype-outcome associations in congenital melanocytic naevi. Br J Dermatol. 2020; 182 (2): 434-443.
[13] Merkel EA, Mohan LS, Shi K, Panah E, Zhang B, Gerami P. Paediatric melanoma: clinical update, genetic basis, and advances in diagnosis. Lancet Child Adolesc Health. 1 Sept. 2019; 3 (9): 646-654.
[14] Captier G. Les nævus melanocytaires de la face chez l’enfant: quoi de neuf? Rev Stomatol Chir Maxillofac Chir Orale 2015; 116: 187-199.
[15] Houari S., Aderdour L., Raji A. Anatomie tridimensionnelle de l’oreille [Thèse de médecine], 2013. 4p.
[16] Chong SJ, Jeong E, Park HJ, Lee JY, Cho BK. Treatment of congenital nevomelanocytic nevi with the CO2 and Q-switched alexandrite lasers. Dermatol Surg. 2005; 31: 518-521.
[17] Kono T, Ercocen AR, Nozaki M. Treatment of congenital melanocytic nevi using the combined (normal-mode plus Q-switched) ruby laser in Asians: clinical response in relation to histological type. Ann Plast Surg. 2005; 54: 494-501.
[18] Noordzij MJ, van den Broecke DG, Alting MC, Kon M. Ruby laser treatment of congenital melanocytic nevi: a review of the literature and report of our own experience. Plast Reconstr Surg. 2004; 114: 660-667.
[19] Vries H. L’ Analyse Comportementale, La Conceptualisation des Cas en Thérapie Comportementale et Cognitive. Rev Société Algér Psychiatr. déc 2010; (10): 5-10.
[20] Viana, Ana Carolina L. et al. "Naevus mélanocytaire congénital géant." Anais brasileiros de dermatologie vol. 88, 6 (2013): 863-878.
Cite This Article
  • APA Style

    Ngniee Tafo Ghislaine Neuilly, Kone Fatogoma Issa, Camara Nagnouma, Nanacasse Sidiki Aboubacar, Maiga Aboubacar, et al. (2023). Congenital Naevus: Case Report of an Atypical Atrial Location. International Journal of Otorhinolaryngology, 9(1), 6-9. https://doi.org/10.11648/j.ijo.20230901.12

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    ACS Style

    Ngniee Tafo Ghislaine Neuilly; Kone Fatogoma Issa; Camara Nagnouma; Nanacasse Sidiki Aboubacar; Maiga Aboubacar, et al. Congenital Naevus: Case Report of an Atypical Atrial Location. Int. J. Otorhinolaryngol. 2023, 9(1), 6-9. doi: 10.11648/j.ijo.20230901.12

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    AMA Style

    Ngniee Tafo Ghislaine Neuilly, Kone Fatogoma Issa, Camara Nagnouma, Nanacasse Sidiki Aboubacar, Maiga Aboubacar, et al. Congenital Naevus: Case Report of an Atypical Atrial Location. Int J Otorhinolaryngol. 2023;9(1):6-9. doi: 10.11648/j.ijo.20230901.12

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  • @article{10.11648/j.ijo.20230901.12,
      author = {Ngniee Tafo Ghislaine Neuilly and Kone Fatogoma Issa and Camara Nagnouma and Nanacasse Sidiki Aboubacar and Maiga Aboubacar and Singare Kadiatou and Timbo Samba Karim and Keita Mohamed},
      title = {Congenital Naevus: Case Report of an Atypical Atrial Location},
      journal = {International Journal of Otorhinolaryngology},
      volume = {9},
      number = {1},
      pages = {6-9},
      doi = {10.11648/j.ijo.20230901.12},
      url = {https://doi.org/10.11648/j.ijo.20230901.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20230901.12},
      abstract = {Congenital naevi are a benign proliferation of melanocytes. Present at birth or appearing in the first weeks of life, they have the appearance of light to dark brown lesions, sometimes bluish, more or less hairy. It is a non-hereditary mosaic pathology. They are due to postzygotic somatic mutations involving key proteins in the mitogen-activated protein kinase pathway, mainly NRAS and BRAF. Its prevalence is estimated to be between 1 and 3% of newborns. This disease can affect any part of the skin. There are 3 types of naevi: small, medium and large naevi then called giant. The objective was to discuss the clinical and therapeutic aspect of a congenital auricular naevus of medium size. We report the case of an 18 years old girl presenting a sessile tumefaction at the level of the concha of the right auricle that appeared from birth, firm, rough, unique, about 5 cm in diameter, homogeneous in color, pigmented, hairy, painless to palpation, apyretic sometimes pruritic without any other associated sign. The diagnosis of benign congenital naevus was clinically made after confirmation by the dermatologist. Surgical removal was performed. The postoperative course was simple with complete healing after one month. The middle congenital naevus is a benign tumor linked to a genetic variation of low incidence, which is all the more rare as it is located on the ear, thus having a significant psychological impact due to its often unsightly appearance. The diagnosis of this genodermatosis is essentially clinical. When it is an isolated nodule, as in our study, total surgical removal is a good alternative with simple after-effects and an almost non-existent risk of malignant transformation.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Congenital Naevus: Case Report of an Atypical Atrial Location
    AU  - Ngniee Tafo Ghislaine Neuilly
    AU  - Kone Fatogoma Issa
    AU  - Camara Nagnouma
    AU  - Nanacasse Sidiki Aboubacar
    AU  - Maiga Aboubacar
    AU  - Singare Kadiatou
    AU  - Timbo Samba Karim
    AU  - Keita Mohamed
    Y1  - 2023/04/15
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijo.20230901.12
    DO  - 10.11648/j.ijo.20230901.12
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 6
    EP  - 9
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20230901.12
    AB  - Congenital naevi are a benign proliferation of melanocytes. Present at birth or appearing in the first weeks of life, they have the appearance of light to dark brown lesions, sometimes bluish, more or less hairy. It is a non-hereditary mosaic pathology. They are due to postzygotic somatic mutations involving key proteins in the mitogen-activated protein kinase pathway, mainly NRAS and BRAF. Its prevalence is estimated to be between 1 and 3% of newborns. This disease can affect any part of the skin. There are 3 types of naevi: small, medium and large naevi then called giant. The objective was to discuss the clinical and therapeutic aspect of a congenital auricular naevus of medium size. We report the case of an 18 years old girl presenting a sessile tumefaction at the level of the concha of the right auricle that appeared from birth, firm, rough, unique, about 5 cm in diameter, homogeneous in color, pigmented, hairy, painless to palpation, apyretic sometimes pruritic without any other associated sign. The diagnosis of benign congenital naevus was clinically made after confirmation by the dermatologist. Surgical removal was performed. The postoperative course was simple with complete healing after one month. The middle congenital naevus is a benign tumor linked to a genetic variation of low incidence, which is all the more rare as it is located on the ear, thus having a significant psychological impact due to its often unsightly appearance. The diagnosis of this genodermatosis is essentially clinical. When it is an isolated nodule, as in our study, total surgical removal is a good alternative with simple after-effects and an almost non-existent risk of malignant transformation.
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Ear Nose and Throat, Head and Neck Department, Municipality I Reference Health Center, Bamako, Mali

  • Ear Nose and Throat, Head and Neck Department, Gabriel Touré University Hospital, Bamako, Mali

  • Ear Nose and Throat, Head and Neck Department, Municipality III Referral Health Center, Bamako, Mali

  • Dermatology Department, Medical Office of the Center, Bamako, Mali

  • Ear Nose and Throat, Head and Neck Department, Municipality I Reference Health Center, Bamako, Mali

  • Ear Nose and Throat, Head and Neck Department, Gabriel Touré University Hospital, Bamako, Mali

  • Ear Nose and Throat, Head and Neck Department, Gabriel Touré University Hospital, Bamako, Mali

  • Ear Nose and Throat, Head and Neck Department, Gabriel Touré University Hospital, Bamako, Mali

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