DOI: 10.21276/sasjs.2019.5.4.2

Pages: 203-206

Giant naevus is a pigmented naevus present from birth. Some authors consider that the giant character is better defined as one whose size makes it impossible to eradicate it completely with direct closure at the same surgical time. Congenital giant nevus is a rare condition. Its incidence is estimated at 1/2,000 newborns. Giant congenital nevi are associated with a high risk of melanoma. Cases of basal cell and squamous cell carcinoma have been reported in relation to congenital nevi. If the giant naevus causes an aesthetic discomfort, it also poses a risk to those who carry it since it can degenerate into skin cancer. The only solution is early preventative and reconstructive surgery. The purpose of this work is to report the case of a 23-year-old man with a giant congenital nevus taking almost the entire left side face since birth. The treatment undertaken was a complete surgical resection of the entire tumor together leaving a defect that was repaired with partial skin grafts. The operative course was quite simple and no recurrence was observed after a year-long decline. The time of evolution, the eminence of the nevus, its location and the possibility of surgical management in an environment of limited resources motivate us to make this postponement.