Dermoscopy for Congenital Melanocytic Nevi

Rashmi Lodha, William Scott McDonald, George W. Elgart, Seth Thaller

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Small and medium congenital melanocytic nevi are relatively common but present a small but significant risk of malignant transformation. Because prophylactic excision of all nevi is impractical, dermoscopic evaluation has a role in the clinical decision-making process. Dermoscopy of benign congenital nevi reveals a globular or homogenous pattern, black or brown dots and globules, small milia-like cysts within the globules, and terminal hairs. Dermoscopic criteria of melanoma are outlined here, with discussion of common scoring methods, the seven-point checklist, the ABCD rule, pattern analysis, and the Menzies criteria. Serial examination of congenital nevi with dermoscopy and excision of those lesions with malignant criteria are useful in the management of congenital melanocytic nevi.

Original languageEnglish (US)
Pages (from-to)661-665
Number of pages5
JournalJournal of Craniofacial Surgery
Volume14
Issue number5
DOIs
StatePublished - Sep 2003

Keywords

  • Benign nevus
  • Congenital nevi
  • Dermoscopy
  • Malignant melanoma

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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