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If a melanocytic nevus is suspected of being a melanoma, it needs to be sampled or removed via skin biopsy, and sent for microscopic evaluation by a pathologist. Depending on the size and location of the original nevus, a complete excisional skin biopsy or a punch skin biopsy can be done. Removal can also occur by shaving.
However, a melanocytic nevus is benign, and melanoma is malignant. Most melanocytic nevi never evolve into a cancer, with the lifetime risk for an individual nevus being 1 in 3000 for men and 1 in 11 000 for women. [5] Moreover, dermatologists have a standardized system for determining whether a skin lesion is suspicious for malignant melanoma.
Although a nevus and a melanoma are often treated as independent entities, there is evidence that a nevus can be a precursor for a melanoma. [1] Common mutations have been identified in nevi and melanomas. [2] [3] [4]
Nevus (pl.: nevi) is a nonspecific medical term for a visible, circumscribed, chronic lesion of the skin or mucosa. [1] The term originates from nævus , which is Latin for " birthmark "; however, a nevus can be either congenital (present at birth) or acquired.
A related category of melanocytic proliferation is superficial atypical melanocytic proliferations of uncertain significance (SAMPUS). This category, unlike MELTUMP, which implies as yet undetermined potential for metastases even after complete excision, signifies lesions without metastatic potential at time of excision but with potential to ...
Skin cancers result in 80,000 deaths a year as of 2010, 49,000 of which are due to melanoma and 31,000 of which are due to non-melanoma skin cancers. [74] This is up from 51,000 in 1990. [74] More than 3.5 million cases of skin cancer are diagnosed annually in the United States, which makes it the most common form of cancer in that country.
An atypical mole may also be referred to as an atypical melanocytic nevus, [2] atypical nevus, B-K mole, Clark's nevus, dysplastic melanocytic nevus, or nevus with architectural disorder. [ 3 ] Dysplastic nevi often grow to larger than ordinary moles and may have irregular and indistinct borders.
Pseudomelanoma (also known as a "recurrent melanocytic nevus", [1] and "recurrent nevus" [2]) is a cutaneous condition in which melanotic skin lesions clinically resemble a superficial spreading melanoma at the site of a recent shave removal of a melanocytic nevus.