melanocytic nevus

Question 1

task

Question 2

hx

Answer 2

-for how long
-any changes shape, colour, size
-any recent itching or bleeding
-any other pigmented lesions in body
-SADMA
-any other pmhs, family hx

Question 3

examination

Answer 3

site, size, shape, colou, border, surafce
-any other stellate nodules
lymph node involvement

Question 4

explanation

Answer 4

-most pigmented lesions benign
-1/3 malignancies arise from pre existing naevi
RISK
-common in fair skinned people
-related to brief intense sun exposure, and chronic sun exposure
-multiple dysplastic naevus

Question 5

mx

Answer 5

-usually single dysplastic naevus no malignant potential
-but due to concern, size of lesion >complete excisional biopsy