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Benign nevus inclusions (BNI) in lymph nodes have been described as aggregates of nevus cells in the lymph node hilus, capsule, or trabeculae.[1] These are usually incidental and are asymptomatic.[1] Among patients with melanoma, undergoing lymphadenectomy, 3-28% of patients have had BNI.[2,3] In patients with melanoma, BNI were found in 0.12-0.54% of nodes from full lymph node dissections, 1.2% of nodes from selective lymph node dissections and 3.9-13% of sentinel lymph nodes.[3] The increase was attributed to extensive serial sectioning and use of ancillary techniques such as immunohistochemistry.[2] Their frequency is less in lymphadenectomy specimens for breast carcinoma, having been found in 0.33% of the cases and Department of Pathology, 1Head and Neck Services, Surgical Oncology, Advanced Center for Treatment, Research and Education in Cancer, Navi Mumbai, 2Pathology, Tata Memorial Hospital, Mumbai, India

Benign nevus inclusions in a node with primary squamous carcinoma of tongue