Vol 35, (8) 561 - 656 August 2006
Dysplastic melanocytic naevus syndrome
Anthony Dixon MBBS, FACRRM, is dermasurgeon and Director of Research, Skin Alert Skin Cancer Clinics and Skincanceronly, Belmont, Victoria.
Case history
Mr BS, 55 years of age, presented with numerous naevi in 2001. His
history included a 0.85 mm thickness Clarke 3 malignant melanoma excised
from his scalp at 50 years of age.
Initial examination revealed
dozens of likely dysplastic melanocytic naevi (DMN) on his skin,
especially on the trunk. The diagnosis of dysplastic melanocytic naevus
syndrome was confirmed when several of the most concerning naevi were
biopsied for confirmatory histology. Mr BS also demonstrated numerous
pigmented seborrhoeic keratoses, many of which were quite dark and
irregular.
There was no evidence of any residual or recurrent melanoma.
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