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Brzoska T, Luger TA, Maaser C, Abels C, Bohm M

21 Differential Diagnosis Misdiagnosis at initial biopsy is common in our experience and that of others and may be the basis for inadequate initial local therapy that underlies the high rates of local recurrence of this neoplasm

Thus, although a structured approach with deep excision in compound and dermal nevus is proposed, the skills of the operator cannot predict the chance of recurrence 36 39 , 43 and the inadequate histological opinion can lead to medicolegal issues