纹身不要纹在胎记或者色素痣上
核心提示：纹身不要纹在胎记或者色素痣上，因为纹身可能掩盖皮肤癌或者黑素瘤，导致皮肤癌或者黑素瘤不能及时发现。另外如果想去除纹身，建议先切除色素痣或者胎记为佳。
很多人都会纹身，而且纹身的形状各种各样。曾经在门诊见过背后纹关二爷的，非常劳霸气。很多人纹身的理由多种多样，有的是认为酷，有人的认为性感，有的人可能是一时性起，但是也有可能是想掩盖胎记或者瘢痕。是最新的一项研究证明，如果纹身纹在胎记或者色素痣上可能并不怎么明智。
医学著名的杂志The Journal of the American Medical Association（JAMA）的子杂志JAMA Dermatology最新一项研究发现，纹身可能掩盖黑素瘤，导致黑素瘤不能及时发现。
研究人员称，如果纹身纹在胎记或者色素痣上，皮肤癌尤其是黑素瘤因颜色的掩盖不能及时发现。
本研究发表于JAMA Dermatology 2013年7月份一期上，研究报道了一例由色素痣纹身而发展成黑素瘤的病例。该患者曾在色素痣上纹身，在随后的激光手术时发现了色素痣已发展成了黑素瘤。作者还综述了16例已发表的有关纹身基础上发展成黑素瘤的文献，发现虽然纹身的位置和黑素瘤的发生之间的联系并一定，但是纹身增加了黑素瘤诊断的难度。因此，出于安全性考虑，作者建议纹身最好不要纹在色素痣或者胎记部位。如果纹身已纹在了胎记或者色素痣部位，如果想去除纹身，最好不要盲目的进行激光手术。最好在激光手术进行之前进行色素痣或者胎记的手术切除术。
Pitfalls and Recommendations in Cases of Laser Removal of Decorative Tattoos With Pigmented Lesions: Case Report and Review of the Literature
Pigmented lesions in decorative tattoos cause diagnostic difficulties at a clinical and dermoscopic level. In cases of laser removal of tattoos, hidden suspicious nevi may be revealed gradually.
We describe the first case of a malignant melanoma that developed on a preexisting nevus within a tattoo during and between the phases of laser removal. The patient refused to undergo excision of the nevus until we made excision conditional for continued laser treatment.
The English literature reports 16 cases of malignant melanoma developing in tattoos. Correlation between the placement of tattoos and the development of malignant melanoma remains unclear. Our case emphasizes the diagnostic problems of pigmented lesions within tattoos. For safety reasons, tattoos should never be placed on pigmented lesions; if they are, the tattoos should not undergo laser treatment. We suggest an excision before starting laser tattoo removal. Dermoscopic assessments on a regular basis during the period of tattoo removal are recommended.
很多人都会纹身，而且纹身的形状各种各样。曾经在门诊见过背后纹关二爷的，非常劳霸气。很多人纹身的理由多种多样，有的是认为酷，有人的认为性感，有的人可能是一时性起，但是也有可能是想掩盖胎记或者瘢痕。是最新的一项研究证明，如果纹身纹在胎记或者色素痣上可能并不怎么明智。
医学著名的杂志The Journal of the American Medical Association（JAMA）的子杂志JAMA Dermatology最新一项研究发现，纹身可能掩盖黑素瘤，导致黑素瘤不能及时发现。
研究人员称，如果纹身纹在胎记或者色素痣上，皮肤癌尤其是黑素瘤因颜色的掩盖不能及时发现。
本研究发表于JAMA Dermatology 2013年7月份一期上，研究报道了一例由色素痣纹身而发展成黑素瘤的病例。该患者曾在色素痣上纹身，在随后的激光手术时发现了色素痣已发展成了黑素瘤。作者还综述了16例已发表的有关纹身基础上发展成黑素瘤的文献，发现虽然纹身的位置和黑素瘤的发生之间的联系并一定，但是纹身增加了黑素瘤诊断的难度。因此，出于安全性考虑，作者建议纹身最好不要纹在色素痣或者胎记部位。如果纹身已纹在了胎记或者色素痣部位，如果想去除纹身，最好不要盲目的进行激光手术。最好在激光手术进行之前进行色素痣或者胎记的手术切除术。
Pitfalls and Recommendations in Cases of Laser Removal of Decorative Tattoos With Pigmented Lesions: Case Report and Review of the Literature
Importance
Pigmented lesions in decorative tattoos cause diagnostic difficulties at a clinical and dermoscopic level. In cases of laser removal of tattoos, hidden suspicious nevi may be revealed gradually.
Observations
We describe the first case of a malignant melanoma that developed on a preexisting nevus within a tattoo during and between the phases of laser removal. The patient refused to undergo excision of the nevus until we made excision conditional for continued laser treatment.
Conclusions and Relevance
The English literature reports 16 cases of malignant melanoma developing in tattoos. Correlation between the placement of tattoos and the development of malignant melanoma remains unclear. Our case emphasizes the diagnostic problems of pigmented lesions within tattoos. For safety reasons, tattoos should never be placed on pigmented lesions; if they are, the tattoos should not undergo laser treatment. We suggest an excision before starting laser tattoo removal. Dermoscopic assessments on a regular basis during the period of tattoo removal are recommended.
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