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October 2003

Terminology and Management of Dysplastic Nevi: Responses From 145 Dermatologists

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Arch Dermatol. 2003;139(10):1374-1375. doi:10.1001/archderm.139.10.1374

Dysplastic nevus (DN) is a well-recognized entity in dermatologic practice. However, there is no consensus regarding the terminology of DN.1 Likewise, data regarding management of incompletely removed DN are scant. A 1992 National Institutes of Health conference produced guidelines for commenting on margins in tissue specimens containing DN, as well as the recommendation for 0.2- to 0.5-cm margins "if complete excision is indicated," but the indications for complete excision were not specified.2 The aim of the present survey was to document the currently preferred terminology for reporting of DN; the frequency of reexcising incompletely removed DN; and the reasons for performing reexcision of DN. The purpose was not to validate or criticize any viewpoint, but to document what a nationwide sampling of practicing dermatologists currently report regarding preferred terminology and management of DN.

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