de Giorgi Vincenzo, Massi Daniela, Salvini Camilla, Trez Elisa, Mannone Francesca, Carli Paolo
Department of Dermatology, University of Florence, Florence, Italy.
J Cutan Pathol. 2004 Oct;31(9):600-4. doi: 10.1111/j.0303-6987.2004.00237.x.
In order to investigate the possible role of dermoscopy in the non-invasive classification of combined nevi, we analyzed dermoscopic features of a series of combined nevi consecutively excised. Two dermatologists expert in dermoscopy retrospectively evaluated all images based on the presence of dermoscopic findings to analyze which epiluminescence microscopy features were more frequently associated with each type of combined nevus. Dermoscopy may provide useful information in the non-invasive diagnosis of combined nevi, allowing a conservative management, but this may be limited to combined nevi including a blue nevus component. Conversely, combined nevi including a Spitz nevus component may be difficult to classify even by dermoscopy, thus requiring careful monitoring or surgical excision.
为了研究皮肤镜检查在复合痣无创分类中的可能作用，我们分析了一系列连续切除的复合痣的皮肤镜特征。两位皮肤镜专家皮肤科医生根据皮肤镜检查结果的存在情况，对所有图像进行了回顾性评估，以分析哪些表皮透光显微镜特征与每种类型的复合痣更常相关。皮肤镜检查可能为复合痣的无创诊断提供有用信息，从而实现保守治疗，但这可能仅限于包含蓝痣成分的复合痣。相反，即使通过皮肤镜检查，包含Spitz痣成分的复合痣也可能难以分类，因此需要仔细监测或手术切除。
