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Updated: May 26, 2025
It also resembles a lipoma, especially the congenital variety which grows from the periosteum, and the differential diagnosis between these is rarely completed until the swelling is punctured or explored by operation. If treatment is called for, it is carried out on the same lines as for hæmangioma, by means of electrolysis, igni-puncture, or excision.
The methods of treatment most generally applicable are the use of radium and carbon dioxide snow, igni-puncture, electrolysis, and excision. For nævi situated on exposed parts, where it is desirable to avoid a scar, the use of radium is to be preferred.
Carbon-dioxide snow may be employed in the same manner, but the results are inferior to those obtained by radium. Igni-puncture consists in making a number of punctures at different parts of the nævus with a fine-pointed thermo-cautery, with the object of starting at each point a process of cicatrisation which extends throughout the nævoid tissue and so obliterates the vessels.
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