Department of Dermatology, Memorial Sloan-Kettering Cancer Center, New York, NY 11788, USA.
Dermatol Clin. 2013 Apr;31(2):327-35. doi: 10.1016/j.det.2012.12.009. Epub 2013 Jan 30.
Few benign melanocytic lesions encountered in clinical practice elicit the level of controversy as that generated by lesions within the spectrum of Spitz nevi. Unlike melanoma, the dermoscopic structures found in Spitz nevi tend to be distributed in a symmetric and organized manner. This review highlights the melanoma-specific structures and patterns commonly seen in Spitz nevi. Knowledge of the dermoscopic structures and patterns encountered in Spitz nevi (particularly the classic symmetric starburst pattern), together with understanding of their growth dynamics, can inform the decision whether to biopsy or monitor.
在临床实践中，很少有良性黑素细胞病变像 Spitz 痣那样引起如此大的争议。与黑色素瘤不同，Spitz 痣的皮肤镜结构往往呈对称和有组织的分布方式。本文重点介绍了 Spitz 痣中常见的具有黑色素瘤特异性的结构和模式。了解 Spitz 痣的皮肤镜结构和模式（特别是经典的对称星爆模式），以及对其生长动力学的理解，可以帮助医生决定是否进行活检或监测。
