Dysplastic nevus: why this term should be abandoned in dermatoscopy

Dermatol Clin. 2013 Oct;31(4):579-88, viii. doi: 10.1016/j.det.2013.06.009. Epub 2013 Jul 23.

Abstract

The term "dysplastic nevus" is a misnomer and should be abandoned. Dysplastic nevus is not just a name, it is the root of the concept that histomorphology (or any morphologic examination including dermatoscopy) is able to predict the fate of a benign melanocytic proliferation. There is no evidence that this hypothesis is true but there are observations that falsify it. Preferably a specific diagnosis should be made based on dermatoscopic pattern and, if this is not possible, on clinical or dermatoscopic grounds alone the term "nevus, not otherwise specified" should be used.

Keywords: Congenital; Dermatopathology; Dermatoscopy; Dysplastic; Follow-up; Melanoma; Nevi.

Publication types

  • Review

MeSH terms

  • Dermoscopy*
  • Diagnosis, Differential
  • Dysplastic Nevus Syndrome / classification
  • Dysplastic Nevus Syndrome / diagnosis*
  • Dysplastic Nevus Syndrome / pathology
  • Humans
  • Melanoma / diagnosis*
  • Melanoma / pathology
  • Skin Neoplasms / classification
  • Skin Neoplasms / diagnosis*
  • Skin Neoplasms / pathology
  • Terminology as Topic*