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Atypical Nevi

MULTIPLE ATYPICAL NEVI WITH STRONG FAMILY HISTORY OF CANCER

HISTORY 24-year-old woman presents with multiple atypical nevi.  Almost all lesions had mild atypia, few had focally moderate atypia, and one on her right posterior shoulder had severe atypia and was excised with 5mm margins elsewhere. Family history is significant for melanoma in grandmother and pancreatic cancer in her father. Physical exam showed multiple 2-4…

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Atypical Nevus – Chasing Excision Margins

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A 12 year old with a 10 x 7 mm pigmented nevus present since infancy undergoes excisional biopsy of the nevus for cosmetic and diagnostic purposes. Pathology evaluation finds this to be a compound nevus with  moderate atypia and partial margin involvement. Pathologist recommends re-excision with 2 mm margins. Do we chase the margins as…

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