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Image Number 600 (Blue naevus, cellular)


Diagnosis: Blue naevus, cellular

Site: Cheek

Sex: M

Age: 30

Type: Clinical and Histology

Description: Nodular lesion on the cheek

Submitted by: Nasuhi Engin Aydin

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Differential Diagnosis

History: A paramedic noticed increase in size of a long-standing nodule on his cheek. Excision revealed a cellular dermal lesion with mitotic activity. However, there was no epidermal migration and the lesion was well demarcated. The final diagnosis ( the consensus of three pathologists from different countries) was cellular blue naevus. One of the consultants (a dermatologist from Graz, Austria) was more cautious and suggested close follow-up with a prefix "borderline malignancy". The patient is well without recurrence after a 2 year clinical surveillance.

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