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In fact, this absence of dermal nests is one finding that may suggest a diagnosis of lentigo maligna or lentiginous melanoma.3,4,6,11 Unlike other lentiginous proliferations such as solar lentigo, lentigo simplex, and nevus lentiginous, atypical lentiginous nevus presentsin addition to cellular atypiairregular epidermal hyperplasia, single and nested melanocytes in the rete ridges, and irregularly distributed melanocytes in the suprapapillary epidermis that may converge focally.2,3 Atypical lentiginous nevus also presents other features suggestive of melanoma (lentiginous melanoma and lentigo maligna), including, in some cases, adnexal involvement and, occasionally, foci of pagetoid spread of melanocytes into the upper layers of the epidermis

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