Faculty of Medicine, University of Maribor, Maribor, Slovenia.
Institute of Pathology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Acta Dermatovenerol Alp Pannonica Adriat. 2021 Sep;30(3):123-125.
Spitz nevi in adults should be closely monitored. Dermoscopy is the preferred method of in vivo imaging of melanocytic nevi and may provide clues for high-risk lesions. However, there is not a perfect match between the dermoscopic image of an individual nevus, the evolution of its change, and its histopathology. We present a case of a rapidly (over months) changing and growing nevus in an adult patient with dermoscopy suggesting a melanoma but eventually with a histology of a Spitz nevus with an accompanying immune reaction.
成人 Spitz 痣应密切监测。皮肤镜检查是黑素细胞痣活体成像的首选方法，可为高危病变提供线索。然而，个体痣的皮肤镜图像、其变化的演变及其组织病理学之间并不完全匹配。我们报告了一例成人患者的痣在数月内迅速（数周内）变化和生长，皮肤镜检查提示黑色素瘤，但最终组织学表现为 Spitz 痣伴免疫反应。
