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DIAGNOSIS AND TREATMENT OF PIGMENTED NEVI: Consideration of Some of the Pitfalls

DIAGNOSIS AND TREATMENT OF PIGMENTED NEVI: Consideration of Some of the Pitfalls Abstract THERE is still considerable difference of opinion between dermatologists, on the one hand, and surgeons and oncologists, on the other, relative to the treatment of pigmented nevi, or "moles," as they are commonly called. The dermatologist's aid is enlisted more frequently for the cosmetic treatment; less frequently is his opinion sought relative to the significance of a lesion which has enlarged, has ulcerated or has become darker. Thousands of pigmented moles are treated daily for purely cosmetic reasons, with results that are permanently satisfactory to the patient. The surgeon and the oncologist, on the other hand, are consulted most frequently for the treatment of tumors which have supposedly originated in pigmented moles and which have not responded to therapeutic measures carried out by the general practitioner or, perhaps occasionally, by the dermatologist. The criteria for the diagnosis of a pigmented nevus include primarily the presence of nevus References 1. Becker, S. W.: Benign Epidermal Neoplasms , Arch. Dermat. & Syph. 26:838 ( (Nov.) ) 1932. 2. Ormsby, O. S., and Montgomery, H.: Diseases of the Skin , ed. 6, Philadelphia, Lea & Febiger, 1943. 3. MacKee, G. M., and Cipollaro, A. C.: Cutaneous Cancer and Precancer , New York, American Journal of Cancer, 1938. 4. Sutton, R. L., and Sutton, R. L., Jr.: Diseases of the Skin , ed. 10, St. Louis, C. V. Mosby Company, 1939. 5. Andrews, G. C.: Diseases of the Skin for Practitioners and Students , ed. 3, Philadelphia, W. B. Saunders Company, 1946. 6. Klauder, J. V.: Treatment of Nevi: The Hazard of Insufficient Destruction of Pigmented Nevi , Pennsylvania M. J. 33:472, 1930. 7. Traub, E. F.: The Treatment of Nevi , Clinics 3:974, 1944. 8. Pack, G. T., and Livingston, E. M.: The Treatment of Pigmented Nevi and Melanomas , in The Treatment of Cancer and Allied Diseases , New York, Paul B. Hoeber, Inc., 1940, vol. 3, chap. 122, pp. 2071-2094. 9. Wood, F. C.: Tumors , in Nelson Loose-Leaf Surgery , New York, Thos. Nelson & Sons, 1941, vol. 2, p. 65. 10. Becker, S. W.: Origin and Nature of Pigmented Nevi (Schwannomas) , Arch. Dermat. & Syph. 30:779 ( (Dec.) ) 1934. 11. Miescher, G., and von Albertini, A.: Histologie de 100 cas de naevi pigmentaires d'après les méthodes de Masson , Bull. Soc. franç. de dermat. et syph. 42:1265, 1935. 12. Traub, E. F., and Keil, H.: The "Common Mole": Its Clinicopathologic Relations and the Question of Malignant Degeneration , Arch. Dermat. & Syph. 41:214 ( (Feb.) ) 1940. 13. Montgomery, H., and Kahler, J. E.: The Blue Nevus (Jadassohn-Tièche): Its Distinction from Ordinary Moles and Malignant Melanomas , Am. J. Cancer 36:527, 1939. 14. Ebert, M. H.: Multiple Pigmented Nevi: A Study of the Origin of the Nevus Cell , Arch. Dermat. & Syph. 37:1 ( (Jan.) ) 1938. 15. Arnold, H. L., Jr.: Multiple Pigmented Nevi: Report of a Case , Arch. Dermat. & Syph. 40:387 ( (Sept.) ) 1939. 16. Satenstein, cited by Traub and Keil.12 17. Montgomery, H., and Kernohan, J. W.: Pigmented Nevi, with Special Studies Regarding a Possible Neuro-Epithelial Origin of the Nevus Cell , J. Invest. Dermat. 3:465, 1940. 18. Driver, J. R., and MacVicar, D. M.: Cutaneous Melanomas: A Clinical Study of Sixty Cases , J. A. M. A. 121:413 ( (Feb. 6) ) 1943. 19. Becker, S. W.: Pigmentary Diseases of the Skin , Clinics 3:886, 1944. 20. Becker, S. W.: Melanotic Neoplasms of the Skin , Am. J. Cancer 22:17, 1934. 21. Becker, S. W.: Cutaneous Melanoma , Arch. Dermat. & Syph. 21:818 ( (May) ) 1930. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology and Syphilology American Medical Association

DIAGNOSIS AND TREATMENT OF PIGMENTED NEVI: Consideration of Some of the Pitfalls

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References (21)

Publisher
American Medical Association
Copyright
Copyright © 1949 American Medical Association. All Rights Reserved.
ISSN
0096-6029
DOI
10.1001/archderm.1949.01530010047004
Publisher site
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Abstract

Abstract THERE is still considerable difference of opinion between dermatologists, on the one hand, and surgeons and oncologists, on the other, relative to the treatment of pigmented nevi, or "moles," as they are commonly called. The dermatologist's aid is enlisted more frequently for the cosmetic treatment; less frequently is his opinion sought relative to the significance of a lesion which has enlarged, has ulcerated or has become darker. Thousands of pigmented moles are treated daily for purely cosmetic reasons, with results that are permanently satisfactory to the patient. The surgeon and the oncologist, on the other hand, are consulted most frequently for the treatment of tumors which have supposedly originated in pigmented moles and which have not responded to therapeutic measures carried out by the general practitioner or, perhaps occasionally, by the dermatologist. The criteria for the diagnosis of a pigmented nevus include primarily the presence of nevus References 1. Becker, S. W.: Benign Epidermal Neoplasms , Arch. Dermat. & Syph. 26:838 ( (Nov.) ) 1932. 2. Ormsby, O. S., and Montgomery, H.: Diseases of the Skin , ed. 6, Philadelphia, Lea & Febiger, 1943. 3. MacKee, G. M., and Cipollaro, A. C.: Cutaneous Cancer and Precancer , New York, American Journal of Cancer, 1938. 4. Sutton, R. L., and Sutton, R. L., Jr.: Diseases of the Skin , ed. 10, St. Louis, C. V. Mosby Company, 1939. 5. Andrews, G. C.: Diseases of the Skin for Practitioners and Students , ed. 3, Philadelphia, W. B. Saunders Company, 1946. 6. Klauder, J. V.: Treatment of Nevi: The Hazard of Insufficient Destruction of Pigmented Nevi , Pennsylvania M. J. 33:472, 1930. 7. Traub, E. F.: The Treatment of Nevi , Clinics 3:974, 1944. 8. Pack, G. T., and Livingston, E. M.: The Treatment of Pigmented Nevi and Melanomas , in The Treatment of Cancer and Allied Diseases , New York, Paul B. Hoeber, Inc., 1940, vol. 3, chap. 122, pp. 2071-2094. 9. Wood, F. C.: Tumors , in Nelson Loose-Leaf Surgery , New York, Thos. Nelson & Sons, 1941, vol. 2, p. 65. 10. Becker, S. W.: Origin and Nature of Pigmented Nevi (Schwannomas) , Arch. Dermat. & Syph. 30:779 ( (Dec.) ) 1934. 11. Miescher, G., and von Albertini, A.: Histologie de 100 cas de naevi pigmentaires d'après les méthodes de Masson , Bull. Soc. franç. de dermat. et syph. 42:1265, 1935. 12. Traub, E. F., and Keil, H.: The "Common Mole": Its Clinicopathologic Relations and the Question of Malignant Degeneration , Arch. Dermat. & Syph. 41:214 ( (Feb.) ) 1940. 13. Montgomery, H., and Kahler, J. E.: The Blue Nevus (Jadassohn-Tièche): Its Distinction from Ordinary Moles and Malignant Melanomas , Am. J. Cancer 36:527, 1939. 14. Ebert, M. H.: Multiple Pigmented Nevi: A Study of the Origin of the Nevus Cell , Arch. Dermat. & Syph. 37:1 ( (Jan.) ) 1938. 15. Arnold, H. L., Jr.: Multiple Pigmented Nevi: Report of a Case , Arch. Dermat. & Syph. 40:387 ( (Sept.) ) 1939. 16. Satenstein, cited by Traub and Keil.12 17. Montgomery, H., and Kernohan, J. W.: Pigmented Nevi, with Special Studies Regarding a Possible Neuro-Epithelial Origin of the Nevus Cell , J. Invest. Dermat. 3:465, 1940. 18. Driver, J. R., and MacVicar, D. M.: Cutaneous Melanomas: A Clinical Study of Sixty Cases , J. A. M. A. 121:413 ( (Feb. 6) ) 1943. 19. Becker, S. W.: Pigmentary Diseases of the Skin , Clinics 3:886, 1944. 20. Becker, S. W.: Melanotic Neoplasms of the Skin , Am. J. Cancer 22:17, 1934. 21. Becker, S. W.: Cutaneous Melanoma , Arch. Dermat. & Syph. 21:818 ( (May) ) 1930.

Journal

Archives of Dermatology and Syphilology – American Medical Association

Published: Jul 1, 1949

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