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it was melanoma in situ • Clinical features • Histology: increased numbers of atypical Differential diagnosis basal melanocytes with atypical nuclei of different sizes, epidermotropism, nest of melanocytes with variation in size and shape, asymmetrical no maturation of melanocytes, signs of regression • • • • Spitz nevus Congenital nevocellular nevus Acquired melanocytic nevus Blue nevus Mallory Chapter 14 238 27/1/05 2:30 pm Page 238 Illustrated Manual of Pediatric Dermatology • Traumatic hemorrhage (especially under the nails, on the heels, or on the mucous membranes) • Pyogenic granuloma Treatment • Excision with wide margins based on microscopic • depth of melanoma cells: 1

DIM

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