Abstract
Background
Epidermal nevi are benign hamartomatous growths of the skin that present at birth
and develop in early childhood often linearly along the “lines of Blaschko.” Verrucous
linear epidermal nevi are the most common epidermal nevi and often are located on
the trunk or extremities. There is minimal evidence regarding vulvar involvement and
subsequent management of the associated cosmetic deformity in this anatomic location.
Case
An 11-year-old menarchal girl who underwent full-thickness dermal excision of a 9.6 × 4.5 × 3.2 cm
left benign vulvar epidermal nevus (noninflammatory type) with primary reconstruction
and closure using a mons rotational skin flap.
Summary and Conclusion
Surgical excision of large vulvar nevi can be achieved with desirable cosmetic outcomes
with use of rotational skin flaps and primary closure.
Key Words
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References
- HRAS mutation mosaicism causing urothelial cancer and epidermal nevus.N Engl J Med. 2011; 365: 1940
- Epidermal nevi.Pediatr Clin North Am. 2010; 57: 1177
- Full-thickness surgical excision for the treatment of inflammatory linear verrucous epidermal nevus.Ann Plast Surg. 2001; 47: 285
- Epidermal nevi treated by carbon dioxide laser vaporization: a series of 25 patients.J Dermatolog Treat. 2007; 18: 169
Article info
Publication history
Published online: January 14, 2017
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
© 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
