Department of Dermatology, Princess Alexandra Hospital, Queensland, Australia.
Australas J Dermatol. 2011 May;52(2):104-8. doi: 10.1111/j.1440-0960.2011.00743.x. Epub 2011 Mar 24.
BACKGROUND/OBJECTIVES: The Reed naevus or pigmented spindle cell naevus of Reed (PSCN) was previously considered a pigmented variant of the spindle cell-type of Spitz naevus. It is now considered a distinct entity and may overlap with cutaneous melanoma in both clinical and dermatoscopic features. We hypothesised that PSCN is an under-recognised entity in Australia and present a typical case. To test our hypothesis, we performed a clinically based survey of Australian dermatology trainees (Registrars). A further aim of our study was to determine the approach of dermatology trainees in this country to the management of this type of lesion.
A web-based survey questionnaire based on the presented case was circulated to trainees of the Australasian College of Dermatologists. Responses, including level of training and initial approach to management, were collated and form the basis of the results presented herein.
Of 39 respondents, 13 (33%) diagnosed the lesion as PSCN. The majority (33/39; 84.6%) indicated they would biopsy the lesion, with most of these (91%) preferring excisional biopsy.
The results support our hypothesis that PSCN is under-recognised in Australia. The results also show that despite difficulty distinguishing this lesion, management of these lesions by dermatology trainees in Australia is consistent and parallels current recommendations.
背景/目的：Reed 痣或 Reed 色素性梭形细胞痣（PSCN）以前被认为是 Spitz 痣梭形细胞型的色素变体。现在它被认为是一种独特的实体，在临床和皮肤镜特征上可能与皮肤黑色素瘤重叠。我们假设 PSCN 在澳大利亚是一种未被充分认识的实体，并呈现一个典型病例。为了验证我们的假设，我们对澳大利亚皮肤科住院医师（住院医师）进行了一项基于临床的调查。我们研究的另一个目的是确定该国皮肤科住院医师对这种类型病变的管理方法。
根据呈现的病例，我们向澳大利亚皮肤科医生学院的住院医师发放了基于网络的调查问卷调查表。我们收集了包括培训水平和初始管理方法在内的回复，并以此作为本文结果的基础。
在 39 名受访者中，有 13 名（33%）将病变诊断为 PSCN。大多数（33/39；84.6%）表示他们会对病变进行活检，其中大多数（91%）倾向于切除活检。
结果支持我们的假设，即在澳大利亚 PSCN 被低估了。结果还表明，尽管难以区分这种病变，但澳大利亚皮肤科住院医师对这些病变的管理是一致的，并与当前的建议一致。
