Difference between revisions of "Intradermal nevus"

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#redirect [[Melanocytic lesions#Intradermal melanocytic nevus]]
{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Intradermal nevus -- intermed mag.jpg
| Width      =
| Caption    = Intradermal nevus. [[H&E stain]].
| Synonyms  = intradermal melanocytic nevus
| Micro      = nests of melanocytes in dermis (only), melanocytes "mature" with depth, usu. no mitoses (occ. superficial), no destruction of surrounding structures, no conspicuous nucleoli, no significant melanocyte enlargement
| Subtypes  =
| LMDDx      = [[malignant melanoma]] (nevoid), [[junctional nevus]], [[compound nevus]], [[dysplastic nevus]], [[skin tag]]
| Stains    =
| IHC        =
| EM        =
| Molecular  =
| IF        =
| Gross      = pigment skin lesion, usu. small, regular border, no irregularity in pigmentation
| Grossing  =
| Site      = [[skin]] - see ''[[melanocytic lesions]]'' and ''[[common nevus]]''
| Assdx      =
| Syndromes  =
| Clinicalhx =
| Signs      =
| Symptoms  =
| Prevalence = very common
| Bloodwork  =
| Rads      =
| Endoscopy  =
| Prognosis  = benign
| Other      =
| ClinDDx    = pigmented skin lesions
| Tx        = none required, may be excised for cosmetic reasons
}}
'''Intradermal nevus''' (abbreviated '''IDN'''), also '''intradermal melanocytic nevus''', is a common benign [[melanocytic lesion]].
 
The ''intradermal nevus'' is in the large group '''[[common nevus]]'''. In common language, ''nevus'' is known as a ''mole''.
 
==General==
*Benign.
*Common.
*Think ''[[melanoma]]''.
 
Clinical:
*''ABCD'' = asymmetric, borders (irregular), colour (black), diameter (large).
 
==Microscopic==
Features:
*Symmetrical lesion.
*"Matures" with depth.
**Less cellular with depth.
**Less nuclear atypia with depth.
**Smaller cells with depth.
**Smaller nests with depth.
*Rare mitoses (superficial).
**No deep mitoses.
*No destruction of surrounding structures.
*No nucleoli.
*In the dermis only - '''key feature'''.
*+/-Adipocytes - uncommon.<ref name=pmid9810886>{{Cite journal  | last1 = Eng | first1 = W. | last2 = Cohen | first2 = PR. | title = Nevus with fat: clinical characteristics of 100 nevi containing mature adipose cells. | journal = J Am Acad Dermatol | volume = 39 | issue = 5 Pt 1 | pages = 704-11 | month = Nov | year = 1998 | doi =  | PMID = 9810886 }}</ref>
 
DDx:
*[[Malignant melanoma]] (nevoid).
*[[Dysplastic nevus]].
*[[Junctional nevus]].
*[[Compound nevus]].
*[[Skin tag]].
 
===Images===
<gallery>
Image: Intradermal nevus -- very low mag.jpg | IDN - very low mag.
Image: Intradermal nevus -- low mag.jpg | IDN - low mag.
Image: Intradermal nevus -- intermed mag.jpg | IDN - intermed. mag.
Image: Intradermal nevus -- high mag.jpg | IDN - high mag.
Image: Intradermal nevus -- very high mag.jpg | IDN - very high mag.
</gallery>
 
==Sign out==
 
 
==See also==
*[[Melanocytic lesions]].
 
==References==
{{Reflist|2}}
 
[[Category:Diagnosis]]
[[Category:Melanocytic lesions]]
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