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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.
A 26-year-old man comes to establish primary care. Physical examination reveals multiple moles on his body, which he describes as "funny-looking." There is no family history of melanoma. He thinks that one of his two brothers (15 years of age) and his father have the same kind of moles. How should this case be managed?
The Clinical Problem
Various names are used in the literature
Pathological Diagnosis of Dysplastic Nevi
Clinicopathological Correlations
Epidemiologic Characteristics
Clinical Significance of Dysplastic Nevi
Strategies and Evidence
Prophylactic Excision
Follow-up of Patients with Dysplastic Nevi
Self-Examination
Ocular Examination
Genetic Screening
Areas of Uncertainty
Use of Sunscreens
Dermoscopy
Guidelines
Conclusions and Recommendations
Source Information
From the Department of Dermatology, Gent University Hospital, Gent, Belgium.
Drs. Naeyaert and Brochez contributed equally to this article.
Address reprint requests to Dr. Naeyaert at the Department of Dermatology, Gent University Hospital, De Pintelaan 185, 9000 Gent, Belgium, or at jeanmarie.naeyaert@ugent.be.
Related Letters:
Dysplastic Nevi
Burkhart C. G., Milette F., Keller D. L., Naeyaert J. M., Brochez L.
Extract |
Full Text |
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N Engl J Med 2004;
350:1258-1259, Mar 18, 2004.
Correspondence
This article has been cited by other articles:
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