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Typically, lesions are present before puberty but often have increased coarse hair growth and a slightly raised texture during adolescence due to androgen stimulation

These pictures are only a guide to what melanoma skin cancers may look like

The flat, dark elements of nevus spilus may demonstrate foci of increased melanocytic hyperplasia or melanocytic dysplasia (architectural disorder and variable cellular atypia), whereas the raised elements usually contain collections of nevomelanocytes in the epidermis and/or dermis

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They are commonly used to treat melasma, sunspots, and other forms of hyperpigmentation