Frequency and Characteristics of Enlarging Common Melanocytic Nevi

Dermoscopic Changes in Acral Melanocytic Nevi During Digital Follow-up

“…However, the rate of dermoscopic change observed in our series of nevi cannot be compared directly with rates seen in follow-up studies with different inclusion criteria or in studies evaluating melanocytic nevi located on nonglabrous skin. 11,17,21,22 Kittler et al 11 observed substantial dermoscopic change over time in 5.9% of common nevi and in 9.1% of atypical nevi after a median follow-up of 12.6 months. In a subsequent study, 17 researchers showed that nearly 80% of nevi with a peripheral rim of brown globules enlarged during a median follow-up period of 11.4 months.…”

“…11,17,21,22 Kittler et al 11 observed substantial dermoscopic change over time in 5.9% of common nevi and in 9.1% of atypical nevi after a median follow-up of 12.6 months. In a subsequent study, 17 researchers showed that nearly 80% of nevi with a peripheral rim of brown globules enlarged during a median follow-up period of 11.4 months. In contrast, Braun et al 22 reported a 69% rate of dermoscopic variations over time in 150 melanocytic lesions, including common and Spitz nevi, that were observed over 2 years.…”

“…[11][12][13][14][15][16] Dermoscopy has been used to follow the morphologic changes over time in benign melanocytic lesions such as congenital, dysplastic, and Spitz-Reed nevi. [17][18][19][20] However, to our knowledge, the type and fre-quency of dermoscopic changes of melanocytic lesions located on acral volar skin have been not yet described.…”

Dermoskopide hasta yönetimi

“…Çocuk ve adölesan yaş grubunda bir hastadaki tipik bir lezyonda gözlenen simetrik büyüme eksizyon gerektirmez. Bir yetişkinde ise tipik özelliklerde bir lezyonda bile büyüme önemlidir ve bu büyüme simetrik bile olsa dikkatli izlem gerekir 9 . Çocuk veya yetişkinde lezyon atipik ise büyüme simetrik bile olsa eksizyon önerilmelidir 10 .…”

Dermoscopy of nevi and melanoma in childhood

“…This pattern signifies active growth of the nevus, and therefore it can be predicted that such lesions will symmetrically enlarge over time. Once these nevi enter senescence, they manifest a Review reticular or homogeneous pattern, and the peripheral globules tend to diminish in size until they eventually disappear from sight [44]. From a management perspective, it is reassuring to know that symmetrically enlarging acquired nevi manifesting a peripheral rim of globules do not need to be subjected to biopsy and can be confidently monitored clinically and dermoscopically in children and young adults.…”