Two-Stage Approach to Managing a Giant Congenital Melanocytic Nevus of the Scalp in an Infant

Congenital melanocytic nevus (CMN) is a benign skin condition that affects the epidermis and dermis. Large to giant CMNs are associated with a higher risk of malignancy over a lifetime, underscoring the importance of assessing and monitoring their potential for malignant transformation. We present a case of a large to giant CMN on an infant’s scalp, emphasizing its potential risk for malignancy. The infant underwent a successful two-stage surgical procedure, resulting in excellent aesthetic outcomes.