Atypical lentiginous nevus

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Atypical lentiginous nevus, also atypical lentiginous nevus of the elderly, is a melanocytic lesion associated with old age and melanoma.

It can be considered a type of dysplastic nevus.[1][2]

General

Gross

  • Pigmented lesion usually 0.3-1.0 cm.[4]

Microscopic

Features:[4]

  • Elongated rete ridges - key feature.
  • Superficial dermal fibrosis, diffuse (non-lamellar) - important.
  • Mild-to-moderated cytologic atypia.

DDx:[4]

See also

References

  1. Edwards, SL.; Blessing, K. (Jun 2000). "Problematic pigmented lesions: approach to diagnosis.". J Clin Pathol 53 (6): 409-18. PMID 10911797.
  2. Kossard, S. (May 2002). "Atypical lentiginous junctional naevi of the elderly and melanoma.". Australas J Dermatol 43 (2): 93-101. PMID 11982564.
  3. Kossard, S.; Commens, C.; Symons, M.; Doyle, J. (1991). "Lentinginous dysplastic naevi in the elderly: a potential precursor for malignant melanoma.". Australas J Dermatol 32 (1): 27-37. PMID 1930003.
  4. 4.0 4.1 4.2 Agustí-Mejias, A.; Messeguer Badia, F.; García Ruiz, R.; Oliver Martínez, V.; Alegre de Miquel, V. (Jun 2012). "[Atypical lentiginous nevus: a clinical and histopathologic study of 14 cases].". Actas Dermosifiliogr 103 (5): 394-400. doi:10.1016/j.ad.2011.10.006. PMID 22421501.