RT Book, Section
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
SR Print(0)
ID 1114876773
T1 Dysplastic Nevus
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114876773
RD 2024/04/19
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.