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dermal melanocytic nevus (basal cell nevus)

Acquired, benign lesion with little potential for malignant transformation. Pathology: (histology) -> nests of melanocytes in dermis Clinical manifestations: 1) dome-shaped, polypoid, pedunculated 2) skin-colored to black 3) may be indistinguishable from basal cell carcinoma 4) no crusting or ulceration 5) may have associated telangiectasias 6) stable size 7) soft Management: -> observation for change

Related

nevoid basal cell carcinoma syndrome; basal cell nevus syndrome; Gorlin-Goltz syndrome

Specific

blue nevus (dermal melanocytoma)

General

melanocytic nevus (mole)

References

  1. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 960-61
  2. Color Atlas and Synopsis of Clinical Dermatology, Common and Serious Diseases, 3rd ed, Fitzpatrick et al, McGraw Hill, NY, 1997, pg 136
  3. Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 319
  4. Usatine, RP, In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001