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Dermatology: Naevi - Congenital Naevi

Referral guidelines

CATEGORY DEFINITIONS
These are recommended guidelines for health professionals referring patients for assessments / treatment in a HHS.


within 1 week

within 4 weeks

within 16 weeks

Immediate and Urgent cases must be discussed with the Specialist or Registrar in order to get appropriate prioritisation and then a referral letter sent with the patient, faxed or e-mailed.  The times to assessment may vary depending on size and staffing of the hospital department.


Diagnosis
Evaluation
Management Options
Referral Guidelines

Clinical diagnosis

 

As a general principle:

Few congenital naevi will become malignant. Those that do, generally do so in adulthood.

For pigmented congenital naevi refer to dermatologist if greater than 1 cm in size or on a cosmetically significant site -

Category 2

to
Category 3   

Most other non-pigmented congenital naevi should not be referred.

 

Other References: 

Differential Diagnosis in Dermatology.  Richard Ashton & Barbara Leppard.  Radcliffe Medical Press. 1990