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  • Title: Persistent blue nevus simulating melanoma.
    Author: Muñoz C, Quintero A, Sánchez JL, Ruiz-Santiago H.
    Journal: J Am Acad Dermatol; 2004 May; 50(5 Suppl):S118-20. PubMed ID: 15097945.
    Abstract:
    We report a case of a persistent blue nevus that significantly extended beyond the scar of the original excision mimicking those clinical changes usually seen in melanoma. The histopathologic evaluation revealed a common blue nevus. The lesion was re-excised, and 10 months later a bluish macule appeared next to the surgical scar. This case of a persistent blue nevus with an unusual clinical presentation and a benign clinical course highlights the fact that the clinical markers commonly used to identify melanoma in pigmented lesions will not always accurately diagnose melanoma.
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