The tumor is nearly 40cm long, about 25cm wide, dark skin, rough surface, long fur, causing itching and discomfort.
MSc. Dr. Nguyen Ngoc Linh - plastic surgeon and cosmetic surgeon, Central Hospital for Tropical Diseases - said: "Patient H was diagnosed with a giant congenital Neurodygias - a condition of abnormal increase in skin pigmentation cells, often appearing right from birth. This tumor block is not invasive but will grow as the body grows, maintaining the same ratio as the original damaged skin area".
According to Dr. Linh, the tumor appeared right after birth and grew up with the child's body. By the age of 8, the tumor had occupied nearly half of the lower back, with a thick surface like buffalo skin, long fur, frequent itching and burning, and had been treated with sores. Although most congenital neuroplegmatism is initially benign, with such a large size, the disease has a potential risk of transforming into melasma into hepatitis with a rate of about 510%. At the same time, damage also seriously affects the psychology of children if not treated early.
After a specialist consultation, the patient was indicated for surgery in two stages. During the first surgery, doctors narrowed the lesion, creating conditions for the healthy skin to naturally dilate - preparing a favorable tissue foundation for further intervention. Based on the child's physical and mental recovery, a second surgery is performed to completely remove the remaining tumor.
Young peoples skin is elastic. After the first surgery, the healthy skin was clearly dilated. However, if left for a long time, both healthy and damaged skin continues to stretch, making the treatment process more complicated. Therefore, the second surgery was performed at the right time for optimal effectiveness" - Dr. Linh emphasized.
Currently, the patient has recovered well. The scars are soft, not tense, ensuring aesthetic elements. The child no longer feels itchy and uncomfortable like before, the spirit is more comfortable and confident after many years of being inferior because of appearance.
Dr. Duong Manh Chien - plastic and cosmetic surgeon, Central Hospital for Tropical Diseases - recommends: "The giant congenital pigment Neuroi needs to be detected and intervene early. If you let it go until puberty or later, the risk of spread of disease will increase, while surgery - plastic surgery will also become more complicated because the skin gradually loses elasticity. It is best to intervene before the child forms a clear awareness of appearance, that is, before 7-8 years old, to reduce psychological impact and achieve high aesthetic efficiency".
