Petkova Lilyana, Pavlov Pavel, Chivchibashi-Pavlova Dariya L
Pathology, Complex Oncology Center, Shumen, BGR.
Clinical Pathology, Complex Oncology Center, Shumen, BGR.
Cureus. 2025 Jan 9;17(1):e77180. doi: 10.7759/cureus.77180. eCollection 2025 Jan.
Tattooing has a long history as a form of self-expression and often signifies social status and group belonging. It has become increasingly popular among young people recently and many young adults are choosing to get tattoos, while older generations tend to have fewer. However, data on tattoo-related complications are limited as this demographic group ages. Adverse reactions can occur during the tattooing process as well as in the aftercare phase, including allergic responses, infections, and neoplasms. There has been a surge in the reported cases of skin tumors associated with tattoos in recent years, suggesting a growing concern about potential health risks linked to tattooing. The most common tumors associated with tattoos include malignant melanoma, basal cell carcinoma, keratoacanthoma, and squamous cell carcinoma. The rarer types reported include dermatofibrosarcoma protuberans, non-Hodgkin lymphoma, and Spitz nevi arising in red ink tattoos. Spitz nevi hold particular significance as these melanocytic lesions can be misdiagnosed as malignant melanoma despite their benign biological behavior and favorable prognosis. We present a case of Spitz nevus that developed within a black ink tattoo. To our knowledge, this is the fourth recorded instance of a Spitz nevus developing in a tattoo, and the first case specifically associated with black ink.
纹身作为一种自我表达形式有着悠久的历史，并且常常象征着社会地位和群体归属。近年来，纹身在年轻人中越来越受欢迎，许多年轻人选择纹身，而老一辈人纹身的较少。然而，随着这一人群年龄的增长，关于纹身相关并发症的数据有限。纹身过程中以及术后护理阶段都可能出现不良反应，包括过敏反应、感染和肿瘤。近年来，与纹身相关的皮肤肿瘤报告病例激增，这表明人们越来越关注纹身潜在的健康风险。与纹身相关的最常见肿瘤包括恶性黑色素瘤、基底细胞癌、角化棘皮瘤和鳞状细胞癌。报告的较罕见类型包括隆突性皮肤纤维肉瘤、非霍奇金淋巴瘤以及红色墨水纹身中出现的斯皮茨痣。斯皮茨痣具有特殊意义，因为尽管这些黑素细胞性病变具有良性生物学行为和良好预后，但仍可能被误诊为恶性黑色素瘤。我们报告一例在黑色墨水纹身内发生的斯皮茨痣。据我们所知，这是第四例记录在案的纹身内发生斯皮茨痣的病例，也是首例与黑色墨水具体相关的病例。
