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BOX 7-2 Ways to Classify Melanocytic Nevi Onset Congenital: present at birth or soon thereafter Acquired: occurs after 6 months old Location of Nevus Cells Epidermal: arising in the epidermis only Junctional: arising at the dermal-epidermal junction Dermal: nests in the dermis or subcutaneous fat only Compound: a combination of junctional and dermal Type of Cells Melanocytic: melanocytes only Spindle cell: spindle-shaped cells as in Spitz nevus Blue pigmented cells: Cellular blue nevi The subtypes of nevi can be classified in several ways, including onset of the lesion, location of the nested cells, and type of cells (Box 7-2)