Anatomic Distribution of Acquired Melanocytic Nevi in White Children: A Comparison With Melanoma: The Vancouver Mole Study

doi:10.1001/archderm.1990.01670280050008

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Vol. 126 No. 4, April 1990

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Anatomic Distribution of Acquired Melanocytic Nevi in White Children

A Comparison With Melanoma: The Vancouver Mole Study

Richard P. Gallagher, MA; David I. McLean, MD; C. Paul Yang, MD; Andrew J. Coldman, PhD; Hulbert K. B. Silver, MD; John J. Spinelli, MSc; Marjorie Beagrie, MA

Arch Dermatol. 1990;126(4):466-471.

Abstract

• The presence of acquired benign nevi is a risk factorfor cutaneous melanoma, yet relatively little is known aboutthe etiology of nevi. We have conducted a study of the prevalenceof melanocytic nevi among 1146 white Vancouver (Canada) schoolchildrenaged 6 to 18 years. Numbers of nevi per square meter of bodysurface area increase with age in children of both sexes. Maleadolescents have more nevi than female adolescents on the headand neck as well as on the trunk, while prevalence in femalesis higher on the upper and lower limbs. This distribution parallelsthat of cutaneous melanoma in British Columbia adults. Neviare more common in children on intermittently exposed body sitesthan on constantly or minimally sun-exposed sites. This suggeststhat exposure to strong intermittent sunlight in childhood (arisk factor for cutaneous melanoma) may also be important inthe etiology of acquired benign nevi.

(Arch Dermatol. 1990;125:466-471)

Author Affiliations

From the Divisions of Epidemiology, Biometry, and Occupational Oncology (Mr Gallagher and Drs Yang and Coldman, and Mr Spinelli and Ms Beagrie), Dermatologic Oncology (Dr McLean), and Department of Advanced Therapeutics (Dr Silver), Cancer Control Agency of British Columbia; the Department of Health Care and Epidemiology (Mr Gallagher), Division of Dermatology (Dr McLean), and Department of Medicine (Dr Silver), University of British Columbia, Vancouver, Canada.

Footnotes

Accepted for publication September 11, 1989.

Reprint requests to Division of Epidemiology, Biometry, andOccupational Oncology, Cancer Control Agency of British Columbia,600 W 10th Ave, Vancouver, British Columbia, Canada V5Z 4E6(Dr Gallagher).

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