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Moscarella E et al. - Melanocytic lesions in children are almost invariably benign and, consequently, their clinical management in most cases should be easy. There are, however, two problematic issues: one is the differential diagnosis between melanoma and Spitz nevus; the second is related to giant congenital melanocytic nevus. This is the most important risk factor for melanoma among children younger than 12 years of age, although less than 1% of children with congenital nevi will develop melanoma.

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