Size	Size during infancy	Projected size in adulthood	Management strategy
Giant	>14 cm	> 40 cm	Remove nevus, observe for recurrence in original or distal sites
Large	> 7 cm on torso, buttocks or extremities; >12 cm on head	20 to 40 cm	Remove nevus, observe for recurrence in original or distal sites
Medium	0.5 to 7 cm	1.5 to 20 cm	Consider referral to dermatologist for observation
Small	< 0.5 cm	< 1.5 cm	Observe in primary care setting