Pigmented Nevus of Lip. Presented by Dr. Maurice J. Costello.
A girl aged 4 has had a pigmented lesion on the center of the lower lip since birth. The lesion is half-dime-sized, hyperpigmented, sharply circumscribed, and noninfiltrated. The cutaneous and vermilion surfaces of the lip are involved. The patient is presented for suggestions as to therapy.
Dr. Isadore Rosen: I would leave it alone. There is no special indication for interference at this time.
Dr. Samuel M. Peck: I hate to disagree, but a nevus in that situation has the same indication for removal as one on the palm or sole, because it is open to trauma. We know what can happen to a junction nevus at puberty. There is a cosmetic problem. A beautiful result can be obtained by a good plastic surgeon. I do not believe it needs radical excision but would want to be 100%
Paul Gross, Maurice J. Costello. MANHATTAN DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1958;78(3):405–409. doi:10.1001/archderm.1958.01560090121028