TY - CHAP M1 - Book, Section TI - Dysplastic Nevus A1 - Smith, Mindy A. A1 - Usatine, Richard P. A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A teenage boy presents with concern over a mole on his back that his mother says is growing larger and more variable in color. His mother, who is present with him, reports that his father had a melanoma that was caught early and successfully treated. The edges are irregular and the color almost appears to be “leaking” into the surrounding skin. He reports no symptoms related to this lesion. On physical exam, the nevus is 9 mm in diameter with asymmetry, variations in color and an irregular border (Figure 146-1). A full-body skin exam did not demonstrate any other suspicious lesions. Dermoscopy showed an irregular network with multiple asymmetrically placed dots off the network (Figure 146-2). A scoop saucerization was performed with a DermaBlade taking 2-mm margins of clinically normal skin (Figure 146-3). The pathology showed a completely excised compound dysplastic nevus with no signs of malignancy. No further treatment was needed except yearly skin exams to monitor for melanoma. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114876773 ER -