Management of dysplastic nevi: a 6 year follow-up survey assessing practice trends among US dermatologists.

This letter published in the Journal of Dermatological Treatment discusses the management of dysplastic nevi (DN) and presents the results of a survey conducted among US dermatologists. The survey aimed to assess the practice trends for DN evaluation and management over a 20-year period. The study found significant differences in certain aspects of DN management between the years 2015 and 2021, including the use of technology for evaluation, recommendations for ophthalmologic exams, and the re-excision of severe DN with negative margins. The findings provide insights into the evolving practices in the field of dermatology. The study examines the current management practices of dermatologists in the United States regarding dysplastic nevi (DN), a type of mole that can be a risk factor for melanoma. The study found that while dermatologists still believe there is additional risk for melanoma in DN patients, fewer dermatologists attempt total removals to achieve clear margins. Average surgical margins have increased over time. The study also found that there were changes in the decision to re-excise DN with positive and negative margins. The use of dermoscopy and technology has grown, and there have been changes in screening practices and influences on management decisions. The study suggests that further research is needed to better educate dermatologists on this topic. [Extracted from the article]