Baird David S, Ioffreda Michael D, Helm Klaus, Chung Catherine G, Ferguson Sara
Departments of *Dermatology, and †Dermatopathology, Penn State Milton S. Hershey Medical Center, Hershey, PA.
Am J Dermatopathol. 2015 Oct;37(10):e126-8. doi: 10.1097/DAD.0000000000000292.
Melanoma or melanoma metastases can rarely mimic blue nevi clinically and/or histologically, presenting a diagnostic pitfall for both the clinician and the dermatopathologist. We report a case of an invasive lentigo maligna melanoma with subsequent development of multiple, cutaneous blue nevus-like localized metastases followed by a distant metastasis, heralding widespread systemic metastases.
黑色素瘤或黑色素瘤转移灶在临床和（或）组织学上很少能模仿蓝痣，这给临床医生和皮肤病理学家都带来了诊断上的陷阱。我们报告了一例侵袭性恶性雀斑样黑色素瘤病例，随后出现了多个皮肤蓝痣样局限性转移灶，接着发生远处转移，预示着广泛的全身转移。
