The Value of Sequential Dermoscopy in Avoiding Unnecessary Re‐Excisions of Recurrent Nevi

Dear Editors,Recurrent nevi are repigmentations that develop after incomplete removal of a melanocytic nevus.Clinically and dermoscopically, they may mimic melanoma, often prompting re-excisions and causing patient anxiety.1,2 While dermoscopy has transformed the evaluation of pigmented lesions, a single static image may not capture the evolving morphology of a recurrent nevus.3,4 Although only limited reports have explored the use of sequential dermoscopy to support conservative management of recurrent nevi, the role of sequential dermoscopy alone in guiding longitudinal decision-making remains underrepresented in the literature.5 We present two illustrative cases where serial imaging provided reassurance and prevented unnecessary surgical intervention.In both cases, patients were referred from external dermatology clinics.Therefore, no original dermoscopic images, clinical photographs, or histologic slides were available for review.Our assessment relied on the histopathological referral reports, which confirmed the diagnosis of dermal nevus in each case.A 46-year-old woman was referred for re-excision of a recurrent pigmented macule on the lumbar region, appearing eight months after removal of a dermal nevus.Clinically, it presented as a 15 mm disarranged macule over the scar.