Ashfaq Marghoob, MD

Nevus: Clinical Pearls from Ashfaq Marghoob, MD

  1. Globular nevi, reticular nevi, starburst nevi, homogeneous blue nevi are all biologically distinct subsets of nevi
  2. Peripheral globular and starburst pattern correlate with the radial growth phase of dysplastic nevi and Spitz/Reeds nevi respectively
  3. DN and Spitz nevi are markers for increased risk for developing melanoma
  4. DN and markers for increase risk for melanoma and potential precursors to melanoma
  5. Congenital nevi have a 1-5% risk for developing an associated melanoma
  6. Screening for melanoma requires looking for lesions that are different, uneven in distribution of texture/color (ABCD), and/or changing
  7. Dermoscopy improves the clinical sensitivity and specificity for cutaneous malignancy