Okun M R
Arch Dermatol. 1979 Dec;115(12):1416-20.
Three cases of malignant melanoma resembling spindle and epithelioid cell nevus histologically are presented. Lesions having histologic features of spindle and epithelioid cell nevus (Spitz nevus or juvenile melanoma) at or after puberty should be regarded with caution, particularly when they are heavily melanized. Such lesions are in a histologic "gray zone" and may be malignant.
本文报告了三例组织学上类似梭形和上皮样细胞痣的恶性黑色素瘤病例。青春期或青春期后出现具有梭形和上皮样细胞痣（斯皮茨痣或幼年黑素瘤）组织学特征的病变应谨慎对待，尤其是当它们黑色素沉着明显时。此类病变处于组织学“灰色地带”，可能为恶性。
