An unexpected find leads to diagnosis

Any lesions with an unusual appearance should prompt a query with a pathologist

It is known that acquired melanocytic naevi are not expected on the head and neck.1-3


Congenital-type naevi are commonly seen at this location, being raised naevi that often exhibit terminal hairs as a clue to their hamartomatous origin.

These naevi have a characteristic clinical and dermatoscopic morphology but, because there are numerous subtle variations, dermatoscopists are encouraged to deliberately examine these when encountered so as to become confident in diagnosing them.

Flat congenital-type naevi are also expected but