Kordeva S, Tchernev G
Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, BulgariaOnkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Georgian Med News. 2023 Jul-Aug(340-341):53-55.
Nevus spilus is a term in the literature used for a benign pigmented cutaneous lesion, occurring shortly after birth or in the early stages of infancy. The lesion itself is very distinguishable in most cases with numerous small papules or macules on a "café au lait" background pigmentation. It can be seen on different parts of the body with predominance in the areas of the extremities. Although benign, in some cases malignant transformation can occur. Malignant melanoma arising within a nevus spilus lesion is not so unlikely anymore. We report a 36-year-old female patient with a thin cutaneous melanoma developing within a congenital nevus spilus lesion successfully treated with surgery. The complete surgical removal of melanoma and nevus spilus ensures the absence of recurrences as well as the need for follow-up of patients. This surgical approach should be discussed with patients, and clinicians' recommendations depend on 1) the morphology of the lesion, 2) the size of the lesion, 3) the localization of the lesion, and last but not least : the presence or absence of stigmatization in the patients themselves. Our main focus in this article will be on the importance of an early diagnosis and eradication of such lesions while reviewing the existing literature.
斑痣是文献中用于描述一种良性皮肤色素沉着病变的术语，它在出生后不久或婴儿早期出现。在大多数情况下，病变本身非常容易辨认，在“咖啡牛奶斑”样背景色素沉着上有许多小丘疹或斑疹。它可见于身体的不同部位，以四肢部位最为常见。虽然是良性的，但在某些情况下可能会发生恶性转化。在斑痣病变内发生恶性黑色素瘤的情况已不再罕见。我们报告了一名36岁女性患者，其先天性斑痣病变内发生了薄型皮肤黑色素瘤，通过手术成功治疗。黑色素瘤和斑痣的完整手术切除可确保无复发以及无需对患者进行随访。这种手术方法应与患者讨论，临床医生的建议取决于：1）病变的形态；2）病变的大小；3）病变的位置，最后但同样重要的是：患者自身是否存在耻辱感。在回顾现有文献时，我们在本文中的主要重点将是早期诊断和根除此类病变的重要性。
