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A 28-Year-Old Fair-Skinned Woman With Multiple Moles

June K. Robinson, MD
JAMA. 1997;278(20):1693-1699. doi:10.1001/jama.1997.03550200069034.
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Dr DALEY:  Ms G is a 28-year-old single health care office worker who has had 2 abnormal moles removed in the past. She lives in greater Boston and is engaged to be married. Her health insurance is through a managed care plan in eastern Massachusetts.In 1994, a physician with whom Ms G works noted a "funnylooking" mole on her left ear and suggested that she have it evaluated. Ms G sought consultation from Dr V, a dermatologist, who noted more than 50 nevi over her body and 2 abnormal-appearing moles: one on her left ear and another on her anterior abdominal wall. Physical examination revealed each mole had the appearance of a dysplastic nevus. After a biopsy in October 1994, the ear lesion was noted to be a "lentiginous compound nevus with architectural features of a dysplastic nevus; the cytologic atypia is mild." The anterior abdominal wall lesion was


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