Melanocytic nevus


  • Melanocytic nevus (mole) is a benign cutaneous tumor composed of pigment-producing nevus cells derived from melanocytes.
  • Histopathology: well-nested melanocytic proliferations at the dermal-epidermal junction

Common acquired melanocytic nevus

  • Definition: an acquired melanocytic nevus that arises from clusters of melanocytic nevus cells in the epidermis and dermis and manifests as a uniformly pigmented lesion
  • Epidemiology: common regardless of age, gender, or ethnicity
  • Clinical features
    • Most commonly on sun-exposed areas
    • Uniform in color and shape
  • Stages
    • Junctional nevus
      • Uniformly brown-black macule with a flat smooth, hairless surface and well-demarcated border
      • Grows at the dermal-epidermal junction during childhood
    • Compound nevus
      • Uniformly brown-black, dome-shaped elevated papule or nodule with a smooth or verrucous surface; hair may be present
      • Arises from a junctional nevus and extends to the dermis after childhood
    • Dermal nevus
      • Uniformly brown-black, dome-shaped elevated nodule with a smooth or verrucous surface; can become fibrotic over time and hair may be present
      • Arises from a compound nevus in the dermis in adults
FeatureMelanocytic NevusLentigo MalignaMalignant Melanoma
DefinitionBenign melanocyte proliferationMelanoma in situInvasive melanocyte malignancy
ClinicalSymmetric, uniform, <6 mmLarge, flat, slow horizontal growing macule on sun-exposed skin (esp. elderly)ABCDEs (Asymmetry, irregular Border, Color variation, Diameter >6mm, Evolving)
HistologyNests of melanocytes; maturation in dermisAtypical melanocytes confined to epidermisInvasion into dermis or deeper
PrognosisExcellentGood (pre-invasive)Depends on Breslow depth