Melanocytic Nevi, Including Atypical Nevi (Dysplastic Nevi, Nevus with Architectural disorder and Cytologic Atypia) Dermatology Advisor Congenital Melanocytic Nevus: Causes, Symptoms, and Treatment Features of small melanocytic lesions: does small mean benign? An acral nevus is a benign melanocytic lesion found on the palms and soles. Dermoscopically, it most commonly shows the parallel furrow pattern, where pigmentation follows the furrows of the skin markings. Management of Melanocytic Lesions in the Primary Care Setting Mayo Clinic Proceedings