Abstract
The presence of congenital melanocytic nevi (CMN) is determined in utero. CMN are neural crest-derived malformations, composed mainly of a benign proliferation of melanocytes. The most common method for the classification of CMN is based upon nevus size. Small CMN are defined as smaller than 1.5 cm in diameter, medium-sized CMN are 1.5–19.9 cm, large CMN are over 20 cm in diameter, and very large (i.e., giant CMN) are over 50 cm in diameter. Rational for the size-based classification is that there is an increased risk of developing melanoma, a larger cosmetic impact and a greater surgical complexity with increasing size of CMN. In addition, large and giant CMN are often intermixed with various other neural crest-derived elements such as neural tissue and may be associated with extra-cutaneous malformations such as neurocutaneous melanocytosis, dandy-walker malformation, and vascular anomalies [1].
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Acknowledgment
We would like to thank Itay Klaz, MD, for his assistance in the preparation of the figures.
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Hashemi, P., Marghoob, A.A., Rabinovitz, H.S., Scope, A. (2012). In Vivo Confocal Reflectance Microscopy of Congenital Melanocytic Nevi. In: Hofmann-Wellenhof, R., Pellacani, G., Malvehy, J., Soyer, H. (eds) Reflectance Confocal Microscopy for Skin Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-21997-9_11
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