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Image Number 622 (Nevus spilus)

 
Morphology:
Patch

Diagnosis: Nevus spilus

Site: Chest

Sex: M

Age: 38

Type: Clinical

Description: Brown flat patch with speckled, dotted darker brown macules inside

Submitted by: Mehravaran Mehrdad

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Differential Diagnosis

History: Nevus spilus, or speckled lentiginous nevus, is a congenital flat brown patch, which develops dotted brown macules during childhood. Histologically, the brown patch has features of a lentigo, whereas the dotted brown macules most often reveal features of junctional nevi. Because this lesion is benign, there is no requirement to remove it, Therefore “watch and wait” is indicated.

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