• Danya Reich
  • Corinna Eleni Psomadakis
  • Bobby Buka


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.


Mole Nevus Nevi Growth Congenital Hyperpigmentation Birthmark Lesion Benign Melanocyte 


  1. 1.
    Moles: Who gets and types [Internet]. American Academy of Dermatology; 2014. Available from:
  2. 2.
    Kane KS, Ryder JB, Johnson RA, Baden HP, Stratigos A. Chapter 7. Disorders of melanocytes. In: Kane KS, editor. Color atlas & synopsis of pediatric dermatology. New York: McGraw-Hill; 2002. p. 151.Google Scholar
  3. 3.
    Tannous ZS, Mihm MC, Sober AJ, Duncan LM. Congenital melanocytic nevi: clinical and histopathologic features, risk of melanoma, and clinical management. J Am Acad Dermatol. 2005;52(2):197–203.CrossRefGoogle Scholar
  4. 4.
    Alikhan A, Ibrahimi OA, Eisen DB. Congenital melanocytic nevi: where are we now? J Am Acad Dermatol. 2012;67(4):495.e1–17.CrossRefGoogle Scholar
  5. 5.
    Elewski BE, Hughey LC, Parsons ME. Differential diagnosis in dermatology. Philadelphia: Elsevier; 2005. p. 379.Google Scholar
  6. 6.
    Blum A, Rassner G, Garbe C. Modified ABC-point list of dermoscopy: a simplified and highly accurate dermoscopic algorithm for the diagnosis of cutaneous melanocytic lesions. J Am Acad Dermatol. 2003;48(5):672–8.CrossRefGoogle Scholar
  7. 7.
    Goodson AG, Florell SR, Boucher KM, Grossman D. Low rates of clinical recurrence after biopsy of benign to moderately dysplastic melanocytic nevi. J Am Acad Dermatol. 2010;62(4):591–6.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Danya Reich
    • 1
  • Corinna Eleni Psomadakis
    • 2
  • Bobby Buka
    • 3
  1. 1.Department of Family MedicineMount Sinai School of Medicine Attending Mount Sinai Doctors/Beth Israel Medical Group-WilliamsburgBrooklynUSA
  2. 2.School of Medicine Imperial College LondonLondonUK
  3. 3.Department of DermatologyMount Sinai School of MedicineNew YorkUSA

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