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In Vivo Confocal Reflectance Microscopy of Congenital Melanocytic Nevi

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Reflectance Confocal Microscopy for Skin Diseases

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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References

  1. Kopf AW, Bart RS, Hennessey P (1979) Congenital nevocytic nevi and malignant melanomas. J Am Acad Dermatol 1(2):123–130

    Article  PubMed  CAS  Google Scholar 

  2. Kinsler VA, Birley J, Atherton DJ (2009) Great Ormond Street Hospital for Children Registry for Congenital Melanocytic Naevi: prospective study 1988–2007. Part 2—Evaluation of treatments. Br J Dermatol 160(2):387–392

    Article  PubMed  CAS  Google Scholar 

  3. Berg P, Lindelof B (2002) Congenital nevocytic nevi: follow-up of a Swedish birth register sample regarding etiologic factors, discomfort, and removal rate. Pediatr Dermatol 19(4):293–297

    Article  PubMed  Google Scholar 

  4. Clemmensen OJ, Kroon S (1988) The histology of “congenital features” in early acquired melanocytic nevi. J Am Acad Dermatol 19(4):742–746

    Article  PubMed  CAS  Google Scholar 

  5. Walton RG, Jacobs AH, Cox AJ (1976) Pigmentedlesions in newborn infants. Br J Dermatol 95(4):389–396

    Article  PubMed  CAS  Google Scholar 

  6. Castilla EE, da Graca Dutra M, Orioli-Parreiras IM (1981) Epidemiology of congenital pigmented naevi: I. Incidence rates and relative frequencies. Br J Dermatol 104(3):307–315

    Article  PubMed  CAS  Google Scholar 

  7. Soyer HP et al (2001) Dermoscopy of pigmented skin lesions (Part II). Eur J Dermatol 11(5):483–498

    PubMed  CAS  Google Scholar 

  8. Changchien L et al (2007) Age- and site-specific variation in the dermoscopic patterns of congenital melanocytic nevi: an aid to accurate classification and assessment of melanocytic nevi. Arch Dermatol 143(8):1007–1014

    Article  PubMed  Google Scholar 

  9. Marghoob AA, Fu JM, Sachs D (2005) Dermoscopic features of congenital melanocytic nevi. In: Marghoob AA, Braun RP, Kopf AW (eds) Atlas of dermoscopy. Taylor & Francis, Abingdon, pp 141–159

    Google Scholar 

  10. Tannous ZS et al (2005) Congenital melanocytic nevi: clinical and histopathologic features, risk of melanoma, and clinical management. J Am Acad Dermatol 52(2):197–203

    Article  PubMed  Google Scholar 

  11. Everett MA (1989) Histopathology of congenital pigmented nevi. Am J Dermatopathol 11(1):11–12

    Article  PubMed  CAS  Google Scholar 

  12. Clemmensen O, Ackerman AB (1984) All small congenital nevi need not be removed. Am J Dermatopathol 6(Suppl):189–194

    PubMed  Google Scholar 

  13. Cribier BJ, Santinelli F, Grosshans E (1999) Lack of clinical-pathological correlation in the diagnosis of congenital naevi. Br J Dermatol 141(6):1004–1009

    Article  PubMed  CAS  Google Scholar 

  14. Krengel S, Hauschild A, Schafer T (2006) Melanoma risk in congenital melanocytic naevi: a systematic review. Br J Dermatol 155(1):1–8

    Article  PubMed  CAS  Google Scholar 

  15. Marghoob AA (2002) Congenital melanocytic nevi. Evaluation and management. Dermatol Clin 20(4):607–616, viii

    Article  PubMed  Google Scholar 

  16. Pellacani G et al (2007) The impact of in vivo reflectance confocal microscopy for the diagnostic accuracy of melanoma and equivocal melanocytic lesions. J Invest Dermatol 127(12):2759–2765

    PubMed  CAS  Google Scholar 

  17. Langley RG et al (2001) Confocal scanning laser microscopy of benign and malignant melanocytic skin lesions in vivo. J Am Acad Dermatol 45(3):365–376

    Article  PubMed  CAS  Google Scholar 

  18. Gerger A et al (2005) Diagnostic applicability of in vivo confocal laser scanning microscopy in melanocytic skin tumors. J Invest Dermatol 124(3):493–498

    Article  PubMed  CAS  Google Scholar 

  19. Gerger A et al (2006) Sensitivity and specificity of confocal laser-scanning microscopy for in vivo diagnosis of malignant skin tumors. Cancer 107(1):193–200

    Article  PubMed  Google Scholar 

  20. Pellacani G, Cesinaro AM, Seidenari S (2005) Reflectance-mode confocal microscopy of pigmented skin lesions–improvement in melanoma diagnostic specificity. J Am Acad Dermatol 53(6):979–985

    Article  PubMed  Google Scholar 

  21. Calzavara-Pinton P et al (2008) Reflectance confocal microscopy for in vivo skin imaging. Photochem Photobiol 84(6):1421–1430

    Article  PubMed  CAS  Google Scholar 

  22. Ahlgrimm-Siess V et al (2008) In vivo confocal scanning laser microscopy of common naevi with globular, homogeneous and reticular pattern in dermoscopy. Br J Dermatol 158(5):1000–1007

    Article  PubMed  CAS  Google Scholar 

  23. Gill M, Lieb JA, Patel YG (2008) Congenital and common acquired melanocytic nevi. In: Gonzalez S, Gill M, Halpern AC (eds) Reflectance confocal microscopy of cutaneous tumors. Informa Healthcare, London, pp 86–98

    Google Scholar 

  24. Pellacani G, Cesinaro AM, Seidenari S (2005) Reflectance-mode confocal microscopy for the in vivo characterization of pagetoid melanocytosis in melanomas and nevi. J Invest Dermatol 125(3):532–537

    Article  PubMed  CAS  Google Scholar 

  25. Haupt HM, Stern JB (1995) Pagetoid melanocytosis. Histologic features in benign and malignant lesions. Am J Surg Pathol 19(7):792–797

    Article  PubMed  CAS  Google Scholar 

  26. Massi G (2007) Melanocytic nevi simulant of melanoma with medicolegal relevance. Virchows Arch 451(3):623–647

    Article  PubMed  Google Scholar 

  27. Stern JB, Haupt HM (1998) Pagetoid melanocytosis: tease or tocsin? Semin Diagn Pathol 15(3):225–229

    PubMed  CAS  Google Scholar 

  28. Busam KJ, Marghoob AA, Halpern A (2005) Melanoma diagnosis by confocal microscopy: promise and pitfalls. J Invest Dermatol 125(3):vii

    Article  PubMed  CAS  Google Scholar 

  29. Li Y et al (2005) Dual mode reflectance and fluorescence confocal laser scanning microscopy for in vivo imaging melanoma progression in murine skin. J Invest Dermatol 125(4):798–804

    Article  PubMed  CAS  Google Scholar 

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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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Correspondence to Pantea Hashemi .

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© 2012 Springer-Verlag Berlin Heidelberg

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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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  • DOI: https://doi.org/10.1007/978-3-642-21997-9_11

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