Nino Massimiliano, Brunetti Bruno, Delfino Sergio, Brunetti Beniamino, Panariello Luigia, Russo Daniela
Department of Systematic Pathology, Section of Dermatology, University Federico II of Naples, Naples, Italy.
Dermatology. 2009;218(1):48-51. doi: 10.1159/000161120. Epub 2008 Oct 2.
Spitz nevus is an uncommon, benign melanocytic neoplasm that shares many clinical and histological features with melanoma. It presents clinical ambiguity that makes the diagnosis and management of the patient difficult. We present our experience in the management of Spitz nevus by rigorous dermoscopic long-term follow-up of 8 Spitz nevi in patients younger than 12 years. Dermoscopic images, acquired every 6 months, show evolution and modifications of these lesions. The aim of this paper is to better understand the long-term modifications of nevi with starburst pattern to avoid surgical excision of these lesions in the pediatric age group.
斯皮茨痣是一种罕见的良性黑素细胞肿瘤,与黑色素瘤有许多临床和组织学特征。它存在临床不确定性,这使得患者的诊断和管理变得困难。我们通过对12岁以下患者的8颗斯皮茨痣进行严格的皮肤镜长期随访,展示了我们在斯皮茨痣管理方面的经验。每6个月获取的皮肤镜图像显示了这些病变的演变和变化。本文的目的是更好地了解具有星爆模式的痣的长期变化,以避免在儿童年龄组中对这些病变进行手术切除。