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Blue-Black Nodule

Poll

Recent trauma caused this lesion, which had been present since the patient’s birth, to enlarge. What is it?

A 19-year-old woman has had a blue-black nodule next to her left eye since birth. After recent accidental trauma, the lesion has enlarged.

What is your clinical impression?

Nevus of Ota
Cellular blue nevus
Combined nevus
Spitz nevus
Melanoma
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