Sauer notes dos and donts regarding nevi

1. Don't remove a nevus in a child by electrosurgery or laser; remove only by surgical excision and submit nevus for histopathologic examination.

2. Do remember that in a child a benign junctional nevus may resemble a malignant melanoma histologically (Spitz nevus). Don't alarm the parents unnecessarily, because these nevi are no threat to life.

3. Don't remove a flat pigmented nevus, particularly on the palm, the sole, or the genitalia, by electrosurgery or laser. These should be excised surgically, if indicated, and should be examined histologically.

4. Don't remove any suspicious nevus by electrosurgery or laser. Excise it and examine it histologically.

5. Don't perform a radical deforming surgical procedure on a possible malignant melanoma until the biopsy report has been returned. Many of these tumors can turn out to be seborrheic keratoses, granuloma pyogenicum, and so on

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