West E A, McPartland J L, Rigby H, Parslew R A G
Department of Dermatology, Royal Liverpool Children's Hospital, Liverpool, UK.
Br J Dermatol. 2007 Sep;157(3):599-601. doi: 10.1111/j.1365-2133.2007.08062.x. Epub 2007 Jul 11.
Giant congenital melanocytic naevi remain a challenge to clinicians and histopathologists with respect to observation for malignant change and interpretation of histology findings, respectively. We report a 5-year-old boy with a giant bathing trunk naevus who, after multiple previous skin biopsies, developed lymphadenopathy. Biopsy from the lymph nodes demonstrated collections of naevomelanocytes within the lymph node. Interpretation of these findings and subsequent management is discussed.