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Atypical/Dysplastic Nevi

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Reflectance Confocal Microscopy for Skin Diseases

Abstract

Atypical nevi, also referred as dysplastic nevi, are ­characterized by intermediate aspects in between to common nevi and melanomas. From a clinical point of view, they usually show up as larger and more irregular and nonhomogenously pigmented lesions than common nevi. In dermatopathology, they are classically characterized by lentiginous melanocytic hyperplasia, epithelioid melanocytic atypia, lamellar fibroplasias and perivascular lymphocytic infiltrate [1]. From these observations a pathogenetic model for stepwise development of a MM from a nevus has been proposed. However, this model remains controversial due to nonclear and reproducible clinical definition of dysplastic nevus, limitations in recognition of early melanoma and dysplastic nevus, and weak correlation between histologic dysplasia and clinical atypia [2].

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References

  1. Clark WH Jr, Reimer RR, Greene M, Ainsworth AM, Mastrangelo MJ (1978) Origin of familial malignant melanomas from heritable melanocytic lesions. The B-K mole syndrome. Arch Dermatol 114:732–738

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  2. Ackerman AB (1988) What nevus is dysplastic, a syndrome and the commonest precursor of malignant melanoma? A riddle and an answer. Histopathology 13:241–256

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  3. Shea CR, Vollmer RT, Prieto VG (1999) Correlating architectural disorder and cytologic atypia in Clark (dysplastic) melanocytic nevi. Hum Pathol 30:500–505

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  4. Pellacani G, Farnetani F, Gonzalez S, Longo C, Cesinaro AM, Casari A, Beretti F, Seidenari S, Gill M (2011) In vivo confocal microscopy for detection and grading of dysplastic nevi: A pilot study. J Am Acad Dermatol Epub Jul 8 2011

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Correspondence to Giovanni Pellacani .

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© 2012 Springer-Verlag Berlin Heidelberg

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Pellacani, G., Farnetani, F., Argenziano, G., Zalaudek, I., Longo, C., Gill, M. (2012). Atypical/Dysplastic Nevi. In: Hofmann-Wellenhof, R., Pellacani, G., Malvehy, J., Soyer, H. (eds) Reflectance Confocal Microscopy for Skin Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-21997-9_9

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  • DOI: https://doi.org/10.1007/978-3-642-21997-9_9

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