Giant congenital melanocytic nevi are rare, disfiguring lesions caused by abnormal proliferation of embryonic melanoblasts. These lesions can be associated with malignant transformation and neurocutaneous melanosis. Congenital melanocytic nevi remain a subject of controversy with respect to recommended management and treatment. This is a case of a two-month-old patient with giant congenital melanocytic nevi of the scalp and several associated satellite nevi. Frontal redundancy of the lesion resulted in partial obstruction of the eye as well as brow ptosis. This case highlights the complexity of these lesions and their associated conditions in terms of management considerations.
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