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April 4, 1990

Excision of Congenital Nevi: Immediate, Complete, and in the Office

Author Affiliations

New York, NY

New York, NY

JAMA. 1990;263(13):1768. doi:10.1001/jama.1990.03440130048026

To the Editor.—  The question "Congenital Nevi: Should These Be Excised?"1 is well put and thoughtfully answered. However, one important part was not addressed.The surgery should be carried out in an office, not a hospital, with local anesthesia. The excision should be complete, but conservative, with almost no margin of normal skin. Done quickly and with little fuss at an early age, there is minimal stress; also, the scar will be smaller than if one waits for the congenital nevus to grow.