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“Fried Egg” Nevus That Resembles a Melanoma
There are some nevi with odd-appearing morphologies but well-recognized benign courses. Fried egg nevus is one.
A 32-year-old woman complains that an asymptomatic mole on her back looks alarming to her spouse. There is neither a personal nor family history of melanoma, and remainder of her cutaneous examination is unremarkable.
Key point: There are some nevi with odd-appearing morphologies but well-recognized benign courses. One of those is the so-called fried egg nevus, as depicted in this case. No treatment is indicated, especially if removal will result in substantial scar formation.
Treatment: Reassurance was given. Since the lesion was located near the shoulder, a notorious site for scarring following excision, the patient opted for observation.
Note: Eccentric placement of a dark spot in an otherwise bland-appearing nevus is reason for concern, biopsy, or removal. The “fried egg” morphology is invoked only when the dark spot is at or very nearly dead center, much like a “sunny-side up” cooked egg.
Atopic Dermatitis: The Pipeline and Clinical Approaches That Could Transform the Standard of Care
September 24th 2025Patient Care tapped the rich trove of research and expert perspectives from the Revolutionizing Atopic Dermatitis 2025 conference to create a snapshot of the AD care of the future.
