RT Book, Section
A1 Simpson, Isac P.
A1 Smith, Mindy A.
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164361148
T1 Dysplastic Nevus and Spitz Nevus
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164361148
RD 2024/04/19
AB A  44-year-old  man  presents  with  concern  over  a  mole  on  his  back  that  his  wife  says  is  growing  larger  and  more  variable  in  color.  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  and  variations  in  color  and  an  irregular  border  (Figure  171-1).  A  full-body  skin  exam  demonstrated  no  other  suspicious  lesions.  Dermoscopy  showed  an  irregular  network  with  multiple  asymmetrically  placed  dots  off  the  network  (Figure  171-2).  A  saucerization  (deep  shave)  was  performed  with  a  DermaBlade  taking  2-mm  margins  of  clinically  normal  skin  (Figure  171-3).  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.