Small Dysplastic Congenital Melanocytic Nevi in Childhood as Possible Melanoma Imitators


  • Georgi Tchernev Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, Sofia; ”Onkoderma” - Policlinic for Dermatology and Dermatologic Surgery, Sofia
  • Anastasiya Atanasova Chokoeva
  • Ivan Terziev Universitetska mnogoprofilno bolnitsa za aktivno lechenie Tsaritsa Yoanna, Common and Clinical Pathology, Sofia
  • Yavor Grigorov University Hospital Lozenetz - Department of Orthopedics and Traumatology, Sofia
  • Torello Lotti University G. Marconi of Rome - Dermatology and Venereology, Rome
  • Uwe Wollina Städtisches Klinikum Dresden - Department of Dermatology and Allergology, Dresden, Sachsen
  • José Carlos Cardoso Dermatology Department, Coimbra Hospital and University Center, Praceta Mota Pinto, Coimbra
  • Irina Yungareva Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, Sofia
  • Ilia Lozev Medical Institute of Ministry of Interior Department of General, Vascular and Abdominal Surgery, Sofia
  • Georgi Konstantinov Maximov ”Onkoderma” - Policlinic for Dermatology and Dermatologic Surgery, Sofia



Nevi, Small congenital nevi, Surgical approach, Melanoma imitators, Treatment, Melanoma, Histopathological evaluation


Small pigmented lesions in children can represent a significant diagnostic challenge. If the diagnostic features and therapeutic approach are relatively well established in large and giant nevi, there is still much controversy regarding small and intermediate-sized congenital pigmented lesions that can lead to significant diagnostic challenges, both clinically and dermoscopically, and consequently to difficulty in defining the optimal approach in such cases. Although dermoscopy can be useful in the diagnosis of pigmented lesions, the diversity of clinical and dermoscopic features of pigmented nevi in children usually hinder the differentiation between them and melanoma. Histological findings after resection often show surprising results that do not correspond either to the clinical nor the dermoscopic features. With the present case, we want to emphasise the variable natural behaviour of melanocytic lesions in children, which sometimes leads to unnecessary surgical excisions, which should be avoided in pediatric patients.


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Senthilkumar M, Thappa DM. Melanocytic nevi in children: A clinical study. Indian J Dermatol. 2006; 51:26-9.

Rogers T, Marino M, Raciti P, Jain M, Busam KJ, Marchetti MA, Marrghoob AA. Biologically distinct subsets of nevi G Ital Dermatol Venereol. 2016; 151(4): 365–384. PMid:27119653 PMCid:PMC5445663

Scope A, Dusza SW, Marghoob AA, Satagopan JM, Tavoloni G, Braga J, Psaty EL, Weinstock MA, Oliveria AS, Bishop M, Geller AC, Halpern AH. Clinical and dermoscopic stability and volatility of melanocytic nevi in a population-based cohort of children in Framingham school system. J Invest Dermatol. 2011; 131(8):1615–1621. PMid:21562569 PMCid:PMC3136658

Scope A, Marghoob AA, Dusza SW, Satagopan JM, Agero AL, Benvenuto-Andrade C, Lieb JA, Weinstock MA, Oliveria SA, Geller AC, Halpern AC. Dermoscopic patterns of naevi in fifth-grade children of the Framingham school system. Br J Dermatol. 2008; 158(5):1041-9. PMid:18363751

Seidenari S, Pellacani G, Martella A, Giusti F, Argenziano G, Buccini P, Carli P, Catricalà C, De Giorgi V, Ferrari A, Ingordo V, Manganoni AM, Peris K, Piccolo D, Pizzichetta M. Instrument-, age- and site-dependent variations of dermoscopic patterns of congenital melanocytic naevi: a multicentre study. Br J Dermatol. 2006; 155(1):56-61. PMid:16792752

Zalaudek I, Grinschgl S, Argenziano G, Marghoob AA, Blum A, Richtig E, Wolf IH, Fink-Puches R, Kerl H, Soyer HP, Hofmann-Wellenhof R. Age-related prevalence of dermoscopy patterns in acquired melanocytic naevi. Br J Dermatol. 2006; 154(2):299-304. PMid:16433800



How to Cite

Tchernev G, Chokoeva AA, Terziev I, Grigorov Y, Lotti T, Wollina U, Cardoso JC, Yungareva I, Lozev I, Maximov GK. Small Dysplastic Congenital Melanocytic Nevi in Childhood as Possible Melanoma Imitators. Open Access Maced J Med Sci [Internet]. 2018 Jan. 13 [cited 2022 Jan. 28];6(1):149-51. Available from:

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