Compound acral nevus
LEGEND
Absence of atypia and mitoses.
Normal maturation
The presence of thick compact hyperkeratosis is a good clue for acral location
Lentiginous and nested proliferation of melanocytic cells in the epidermis and dermis. This is a symmetrical lesion without a shouldering phenomenon (see dysplastic nevus)
Compound acral nevus
Melan-A highlights the melanocytic proliferation
In one-third of cases, pagetoid ascent can be observed in the center of the lesion. This is not worrisome for melanoma.
