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Cellular Blue Nevus Next to Eye and Basal Cell Carcinoma on Shin

Cellular Blue Nevus Next to Eye and Basal Cell Carcinoma on Shin


Case 1:
A 19-year-old woman has had a blue-black nodule next to her left eye since birth. After recent accidental trauma, the lesion has enlarged. What is your clinical impression?

A. Nevus of Ota.
B. Cellular blue nevus.
C. Combined nevus.
D. Spitz nevus.
E. Melanoma.

Bonus question: Why does this pigmented lesion appear grayish blue-black rather than brown or black?

(Answers on next page.)

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