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Cancerous
Benign Melanoma Pigmented Nevi
melanoma
Case Studies - Case 1
• Change in size
• Irregular change in color, especially spread of
red, white, and blue pigmentation to
surrounding normal skin
• Change in surface characteristics, consistency,
or shape
• Signs of inflammation in surrounding skin,
with possible bleeding, ulceration, itching, or
tenderness
Pigmented lesions with the following features
should be excised or biopsied:
• Recent enlargement
• Darkening
• Bleeding
• Ulceration
Melanocytic nevi on or near genital
skin
• Location of genital lesions complicates discovery,
and continued observation.
• No evidence that genital melanocytic nevi differ
from similar nevi, in other locations of the body,
in terms of malignant potential.
• Lesions may not be homogenous, both benign
and malignant areas represented in the same
lesion.
• Thus, a preference for complete excision exists, a
surgical margin around the lesion is also
important.