CC BY-NC-ND 4.0 · Indian J Plast Surg 2005; 38(01): 48-50
DOI: 10.1055/s-0039-1699071
Case Report
Association of Plastic Surgeons of India

Nevus Sebaceous: Response to Erbium YAG laser ablation

Aithal Aithal
Department of Dermatology, St. John's Medical College and Hospital, Bangalore, India
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)

ABSTRACT

The potential of nevus sebaceous to undergo malignant change has prompted many physicians to undertake surgical excision of these lesions. Debulking surgery would leave an ugly scar, cosmetically not acceptable. Our aim was to find the therapeutic outcome and the final cosmetic appearance with Erbium YAG Laser ablation. A 19 year old boy with histologically proven Nevus Sebaceous over the forehead was taken up for ablation using Erbium YAG Laser. We also analyzed the post-operative results in another 6 patients who underwent Laser ablation of Nevus Sebaceous. All 7 patients did well, with no signs of recurrence. Also, all of them had a scar over the ablated area, which was cosmetically acceptable to them. Surgical excision with or without flap rotation, electro fulguration and Cryotherapy are other modalities to treat these lesions. However, they are either too expensive or leave a telltale scar. Erbium YAG Laser ablation is safe, effective and cosmetically acceptable in the treatment of Nevus Sebaceous.

 
  • 1 Abe S, Yamamoto Y, Uno S, Andou M, Akasaka T, Mihm MC. Malignant melanoma arising in a sebaceous nevus of the scalp. Br J Plast Surg 2003; 56: 171-3
  • 2 Marlowe FI, Cron C. Linear nevus sebaceous of Jadassohn. Laryngoscope 1979; 89: 666-70
  • 3 Hidvegi NC, Kangesu L, Wolfe KQ. Squamous cell carcinoma complicating naevus sebaceous of Jadassohn in a child. Br J Plast Surg 2003; 56: 50-2
  • 4 Dunkin CS, Abouzeid M, Sarangapani K. Malignant transformation in congenital sebaceous naevi in childhood. J R Coll Surg Edinb 2001; 46: 303-6
  • 5 Beer GM, Widder W, Cierpka K, Kompatscher P, Meyer VE. Malignant tumors associated with nevus sebaceous:therapeutic consequences. Aesthetic Plast Surg 1999; 23: 224-7
  • 6 Stavrianeas NG, Katoulis AC, Stratigeas NP, Karagianni IN, Patertou-Stavrianea M, Varelzidis AG. Development of multiple tumors in a sebaceous nevus of Jadassohn. Dermatology 1997; 195: 155-8
  • 7 Jones EW, Heyl T. Naevus Sebaceous: A report of 140 cases with special regard to the development of secondary malignant tumours. Br J Derm 1970; 82: 112-7
  • 8 Margulis A, Bauer BS, Corcoran JF. Surgical management of the cutaneous manifestations of linear nevus sebaceus syndrome. Plast Reconstr Surg 2003; 111: 1043-50