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Congenital Nevus

12/2/2014

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Picture
This patient came for a second opinion as her GP was concerned about the lesion and wanted to remove it urgently.  You will see serpentine blood vessels and the lesion has been growing over recent months.  Dermatoscopy can make the decision difficult if you place a lot of emphasis on the blood vessels when in reality they are only a minor clue.
This is a young person who has not had a lot of sun exposure and  the lesion has been present for a long time but have grown recently.
Examination shows terminal hairs growing from within the lesion and the lesion is smooth with no ulceration.  It is reasonable to review these after three months to see whether there has been any change. It appears to be a Congenital Nevus. 

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