What is the management for nevus?

What is the management for nevus?

• A. Monitor for progression and record size; UV protection
• B. Immediate surgical excision
• C. Laser photocoagulation
• D. No follow-up needed

Answer: (A)

Most nevi are benign and remain stable over time, so the best approach is to observe while carefully documenting the lesion’s size, shape, color, and borders at baseline and in follow-up visits. Recording size changes with photography or precise measurements allows you to detect early progression that might suggest a need for further workup. Counseling on UV protection helps reduce potential pigment changes and overall ocular surface stress associated with sun exposure, which can influence lesion behavior over time. Immediate surgical excision is reserved for lesions that develop concerning features (e.g., rapid growth, color change, irregular borders, nodularity, or new symptoms), not for an already stable nevus. Laser photocoagulation is not a standard treatment for a benign nevus and can complicate future assessment. No follow-up is inappropriate because ongoing monitoring is essential to catch any changes early.

Most nevi are benign and remain stable over time, so the best approach is to observe while carefully documenting the lesion’s size, shape, color, and borders at baseline and in follow-up visits. Recording size changes with photography or precise measurements allows you to detect early progression that might suggest a need for further workup. Counseling on UV protection helps reduce potential pigment changes and overall ocular surface stress associated with sun exposure, which can influence lesion behavior over time.

Immediate surgical excision is reserved for lesions that develop concerning features (e.g., rapid growth, color change, irregular borders, nodularity, or new symptoms), not for an already stable nevus. Laser photocoagulation is not a standard treatment for a benign nevus and can complicate future assessment. No follow-up is inappropriate because ongoing monitoring is essential to catch any changes early.