A modern peer-reviewed source reports survival in Chinese court castrations of children at 33%, which is quite low, but nevertheless far higher than reported by Remondino. The same source reports later adult castrations as having a survival rate of 98%. Consequently, the accounts of castration by Coptic monks reported above, along with the 90% mortality figure, should be treated with considerable skepticism. Fatimid Caliphate
In the Shii Fatimid Empire (909CE - 1171CE) eunuchs played major roles in the politics of the caliphates court, as well as holding a certain level of sacredness due to their association with the Fatimid imam-caliph. The eunuchs of the empire were normally purchased from slave auctions and belonged to a variety of Arab and non-Arab minority groups, though in many other cases they were brought from various noble families in the empire, which gave these individuals special connections to the Caliph. However, a system that employed foreign slaves, from multiple ethic & multi-linguistic groups were preferred and often quoted as "ideal servants". With imams normally ruling over a majority non-Shii population the court eunuchs served an important role of being ambassadors of the Imam-Caliph. They would use their own loyalty and fervor toward both the Shii sect and the imam-caliph himself amongst the common people of the empire to increase love for Fatimid rule. This was effective due to the mixed heritages of the eunuchs which gave them an ethnic and/or cultural common ground with the people they spoke with.
What has happened is that many "shave" excisions does not adequately penetrate the dermis or subcutaneous fat enough to include the entire melanocytic lesion. Residual melanocytes regrow into the scar. The combination of scarring, inflammation, blood vessels, and atypical pigmented streaks seen in these recurrent nevus gives the perfect dermatoscopic picture of a melanoma. When a second physicians re-examine the patient, he or she has no choice but to recommend the reexcision of the scar. If one does not have access to the original pathology report, it is impossible to tell a recurring nevus from a severely dysplastic nevus or a melanoma. As the procedure is widely practiced, it is not unusual to see a patient with dozens of scallop scars, with as many as 20% of the scars showing residual pigmentation. The second issue with the shave excision is fat herniation, iatrogenic anetoderma, and hypertrophic scarring. As the deep shave excision either completely remove the full thickness of the dermis or greatly diminishing the dermal thickness, subcutaneous fat can herniate outward or pucker the skin out in an unattractive way. In areas prone to friction, this can result in pain, itching, or hypertrophic scarring. See also
Balloon cell nevus
Skin lesion
List of cutaneous conditions

References


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