A 47-year-old female visited Primary Care for evaluation of a facial mole. The mole had been present throughout the patient’s life and had not changed in size or become symptomatic. Slight changes in color can be normal and within the context of this patient, the mole was diagnosed as a benign congenital nevus. Nevi, known to many as moles or birthmarks, are benign pigmented growths. The lesions are usually small and brown with a well-circumscribed border. They may feature a central hair. Nevi are extremely common and may be acquired throughout one’s lifetime. The size, shape, color(s), and any changes in the mole are used to rule out malignant potential using the ABDCE criteria. Individuals should be assessed for risk factors including family history of skin cancer, prior history of dysplastic nevi, and sun exposure. Suspicious lesions may be biopsied. Benign nevi do not require any treatment; however, patients may elect to have them removed for cosmetic purposes. All patients should be advised to apply sunscreen when spending time outdoors, and return for annual skin cancer screenings.
KeywordsMole Nevus Nevi Growth Congenital Hyperpigmentation Birthmark Lesion Benign Melanocyte
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