Speckled Lentiginous Nevus Treatment & Management

Updated: Mar 02, 2022
  • Author: Rossitza Lazova, MD; Chief Editor: Dirk M Elston, MD  more...
  • Print

Surgical Care

Surgical removal is a therapeutic option for some patients. The entire area of hyperpigmentation must be excised to prevent recurrence because speckled lentiginous nevus represents a "field defect," ie, a defect in the melanoblasts that populate a localized area of the skin. Large scars can result. [27]

The Q-switched ruby or Q-switched neodymium-doped yttrium aluminum garnet (Nd:YAG) lasers have been used to treat both the background hyperpigmentation and the speckles of speckled lentiginous nevi. Results have not been promising from a cosmetic standpoint. Laser treatment of melanocytic nevi, including speckled lentiginous nevi, remains controversial.