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Atypical nevus

MedGen UID:
60020
Concept ID:
C0205748
Neoplastic Process
Synonyms: Dysplastic Nevi; Dysplastic Nevus; Nevi, Dysplastic; Nevus, Dysplastic
SNOMED CT: Dysplastic nevus (61814002); Atypical nevus (61814002); DN - Dysplastic nevus (61814002); Atypical nevus of skin (254818000); Dysplastic nevus of skin (254818000)
 
HPO: HP:0001062

Definition

A large pigmented lesion measuring 5-15 mm in diameter with irregular, notched, and ill defined border and with color that may range from tan to dark brown to pink. [from HPO]

Term Hierarchy

Conditions with this feature

Melanoma, cutaneous malignant, susceptibility to, 1
MedGen UID:
320506
Concept ID:
C1835047
Finding
Malignant melanoma is a neoplasm of pigment-producing cells called melanocytes that occurs most often in the skin, but may also occur in the eyes, ears, gastrointestinal tract, leptomeninges, and oral and genital mucous membranes (summary by Habif, 2010). Genetic Heterogeneity of Susceptibility to Cutaneous Malignant Melanoma The locus for susceptibility to familial cutaneous malignant melanoma-1 (CMM1) has been mapped to chromosome 1p36. Other CMM susceptibility loci include CMM2 (155601), caused by variation in the CDKN2A gene (600160) on chromosome 9p21; CMM3 (609048), caused by variation in the CDK4 gene (123829) on chromosome 12q14; CMM4 (608035), mapped to chromosome 1p22; CMM5 (613099), caused by variation in the MC1R gene (155555) on chromosome 16q24; CMM6 (613972), caused by variation in the XRCC3 gene (600675) on chromosome 14q32; CMM7 (612263), mapped to chromosome 20q11; CMM8 (614456), caused by variation in the MITF gene (156845) on chromosome 3p13; CMM9 (615134), caused by variation in the TERT gene (187270) on chromosome 5p15; and CMM10 (615848), caused by mutation in the POT1 gene (606478) on chromosome 7q31. Somatic mutations causing malignant melanoma have also been identified in several genes, including BRAF (164757), STK11 (602216), PTEN (601728), TRRAP (603015), DCC (120470), GRIN2A (138253), ZNF831, BAP1 (603089), and RASA2 (601589). A large percentage of melanomas (40-60%) carry an activating somatic mutation in the BRAF gene, most often V600E (164757.0001) (Davies et al., 2002; Pollock et al., 2003).
Melanoma, cutaneous malignant, susceptibility to, 3
MedGen UID:
373202
Concept ID:
C1836892
Finding
Malignant melanoma is a neoplasm of pigment-producing cells called melanocytes that occurs most often in the skin, but may also occur in the eyes, ears, gastrointestinal tract, leptomeninges, and oral and genital mucous membranes (summary by Habif, 2010). For a discussion of genetic heterogeneity of malignant melanoma, see 155600.

Professional guidelines

PubMed

Tognetti L, Cartocci A, Żychowska M, Savarese I, Cinotti E, Pizzichetta MA, Moscarella E, Longo C, Farnetani F, Guida S, Paoli J, Lallas A, Tiodorovic D, Stanganelli I, Magi S, Dika E, Zalaudek I, Suppa M, Argenziano G, Pellacani G, Perrot JL, Miracapillo C, Rubegni G, Cevenini G, Rubegni P
J Eur Acad Dermatol Venereol 2023 Nov;37(11):2301-2310. Epub 2023 Jul 26 doi: 10.1111/jdv.19360. PMID: 37467376
Arnaut JRMB, Guimarães IDS, Dos Santos ACE, Rodrigues EM, Machado JRDS, de Melo AC
Int J Dermatol 2023 Aug;62(8):1060-1066. Epub 2023 Jun 15 doi: 10.1111/ijd.16742. PMID: 37322831
Kirkwood JM, Farkas DL, Chakraborty A, Dyer KF, Tweardy DJ, Abernethy JL, Edington HD, Donnelly SS, Becker D
Mol Med 1999 Jan;5(1):11-20. PMID: 10072444Free PMC Article

Recent clinical studies

Etiology

Prieto Herman Reinehr C, Marchiori Bakos R
Dermatology 2022;238(4):670-676. Epub 2021 Dec 10 doi: 10.1159/000520164. PMID: 34903683
Emiroglu N, Sallahoglu K, Cengiz FP, Cemil BC, Onsun N
Dermatol Ther 2020 Jan;33(1):e13205. Epub 2020 Jan 13 doi: 10.1111/dth.13205. PMID: 31872489
Taylor NJ, Mitra N, Goldstein AM, Tucker MA, Avril MF, Azizi E, Bergman W, Bishop DT, Bressac-de Paillerets B, Bruno W, Calista D, Cannon-Albright LA, Cuellar F, Cust AE, Demenais F, Elder DE, Gerdes AM, Ghiorzo P, Grazziotin TC, Hansson J, Harland M, Hayward NK, Hocevar M, Höiom V, Ingvar C, Landi MT, Landman G, Larre-Borges A, Leachman SA, Mann GJ, Nagore E, Olsson H, Palmer JM, Perić B, Pjanova D, Pritchard A, Puig S, van der Stoep N, Wadt KAW, Whitaker L, Yang XR, Newton Bishop JA, Gruis NA, Kanetsky PA; GenoMEL Study Group
J Invest Dermatol 2017 Dec;137(12):2606-2612. Epub 2017 Aug 19 doi: 10.1016/j.jid.2017.07.829. PMID: 28830827Free PMC Article
Sherrill AM, Crespo G, Prakash AV, Messina JL
Am J Dermatopathol 2011 Feb;33(1):35-9. doi: 10.1097/DAD.0b013e3181e5dfa0. PMID: 21124206
Rezze GG, Leon A, Duprat J
An Bras Dermatol 2010 Nov-Dec;85(6):863-71. doi: 10.1590/s0365-05962010000600013. PMID: 21308311

Diagnosis

Zhang Y, Ostrowski SM, Fisher DE
Hematol Oncol Clin North Am 2024 Oct;38(5):939-952. Epub 2024 Jun 15 doi: 10.1016/j.hoc.2024.05.005. PMID: 38880666Free PMC Article
High WA
Dermatol Clin 2017 Oct;35(4):525-536. Epub 2017 Jul 28 doi: 10.1016/j.det.2017.06.015. PMID: 28886809
Fink C, Haenssle HA
Skin Res Technol 2017 Aug;23(3):261-271. Epub 2016 Nov 22 doi: 10.1111/srt.12350. PMID: 27878858
Rezze GG, Leon A, Duprat J
An Bras Dermatol 2010 Nov-Dec;85(6):863-71. doi: 10.1590/s0365-05962010000600013. PMID: 21308311
Campos-do-Carmo G, Ramos-e-Silva M
Int J Dermatol 2008 Jul;47(7):712-9. doi: 10.1111/j.1365-4632.2008.03556.x. PMID: 18613881

Therapy

Lamel SA, Haldeman KM, Ely H, Kovarik CL, Pak H, Armstrong AW
J Am Acad Dermatol 2012 Oct;67(4):576-81. Epub 2012 Jan 13 doi: 10.1016/j.jaad.2011.11.957. PMID: 22243769
Plummer RS, Shea CR
J Am Acad Dermatol 2011 Sep;65(3):592-596. Epub 2011 Apr 17 doi: 10.1016/j.jaad.2010.07.033. PMID: 21501891
Schmitt J, Seidler A, Heinisch G, Sebastian G
J Dtsch Dermatol Ges 2011 Aug;9(8):608-16. Epub 2011 Apr 19 doi: 10.1111/j.1610-0387.2011.07655.x. PMID: 21501381
Kirkwood JM, Farkas DL, Chakraborty A, Dyer KF, Tweardy DJ, Abernethy JL, Edington HD, Donnelly SS, Becker D
Mol Med 1999 Jan;5(1):11-20. PMID: 10072444Free PMC Article
Tucker MA, Halpern A, Holly EA, Hartge P, Elder DE, Sagebiel RW, Guerry D 4th, Clark WH Jr
JAMA 1997 May 14;277(18):1439-44. PMID: 9145715

Prognosis

Emiroglu N, Sallahoglu K, Cengiz FP, Cemil BC, Onsun N
Dermatol Ther 2020 Jan;33(1):e13205. Epub 2020 Jan 13 doi: 10.1111/dth.13205. PMID: 31872489
High WA
Dermatol Clin 2017 Oct;35(4):525-536. Epub 2017 Jul 28 doi: 10.1016/j.det.2017.06.015. PMID: 28886809
Fink C, Haenssle HA
Skin Res Technol 2017 Aug;23(3):261-271. Epub 2016 Nov 22 doi: 10.1111/srt.12350. PMID: 27878858
Socik A, Burnes A, Rhodes AR
JAMA Dermatol 2016 Nov 1;152(11):1209-1217. doi: 10.1001/jamadermatol.2016.1885. PMID: 27304981
Adaji A, Gaba P, Lohse CM, Brewer JD
J Cutan Pathol 2016 Jul;43(7):557-63. Epub 2016 Mar 31 doi: 10.1111/cup.12709. PMID: 26969303Free PMC Article

Clinical prediction guides

Tognetti L, Cartocci A, Żychowska M, Savarese I, Cinotti E, Pizzichetta MA, Moscarella E, Longo C, Farnetani F, Guida S, Paoli J, Lallas A, Tiodorovic D, Stanganelli I, Magi S, Dika E, Zalaudek I, Suppa M, Argenziano G, Pellacani G, Perrot JL, Miracapillo C, Rubegni G, Cevenini G, Rubegni P
J Eur Acad Dermatol Venereol 2023 Nov;37(11):2301-2310. Epub 2023 Jul 26 doi: 10.1111/jdv.19360. PMID: 37467376
Prieto Herman Reinehr C, Marchiori Bakos R
Dermatology 2022;238(4):670-676. Epub 2021 Dec 10 doi: 10.1159/000520164. PMID: 34903683
Rishpon A, Sprecher E, Dusza SW, Kleinman E, Haupt S, Rabinovitz H, Scope A
Int J Dermatol 2022 Feb;61(2):208-215. Epub 2021 Jul 4 doi: 10.1111/ijd.15754. PMID: 34219231
Emiroglu N, Sallahoglu K, Cengiz FP, Cemil BC, Onsun N
Dermatol Ther 2020 Jan;33(1):e13205. Epub 2020 Jan 13 doi: 10.1111/dth.13205. PMID: 31872489
Fink C, Haenssle HA
Skin Res Technol 2017 Aug;23(3):261-271. Epub 2016 Nov 22 doi: 10.1111/srt.12350. PMID: 27878858

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