Abstract
Melanocytic nevi are a common finding in children. By age 10 years, the mean nevus count among white children is 10–30 and 5–10 among African, Asian, and Native American children. These lesions are frequently encountered by pediatricians and can be a source of concern among parents, especially new or changing pigmented lesions. Fortunately, childhood melanoma is a rare disease, especially among children <10 years. However, the rising incidence of melanoma over the past three decades has led to a heightened awareness among parents and physicians. This chapter attempts to provide a basis for understanding the nomenclature, appearance, biologic behavior, potential for malignancy, and recommended management strategies for pigmented skin lesions in children and adolescents.
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