Abramovits W, Gonzalez-Serva A
Valley International Dermatology Associates, McAllen, Texas.
Int J Dermatol. 1993 Apr;32(4):280-5. doi: 10.1111/j.1365-4362.1993.tb04268.x.
Reed's nevi are distinguished from Sptiz tumors by their significant melanogenesis and growth pattern. They may be confused with melanoma on clinical and histologic grounds.
An unusual case in which multiple agminated Reed's nevi mimicked acral lentiginous malignant melanoma in an African-American girl is presented. A critical review of the literature is presented to assist in the diagnosis.
Awareness of this entity and of its possible clinical presentations and judicious application of conventional hematoxylin-eosin microscopic criteria remain the most useful methods to bring the correct diagnosis in most instances. Mutilating or excessive surgery may be avoided for most cases of pigmented spindle and epithelioid cell nevus.
里德痣与斯皮茨瘤的区别在于其显著的黑素生成和生长模式。它们在临床和组织学上可能与黑色素瘤相混淆。
本文介绍了一名非裔美国女孩的罕见病例，其中多个聚集性里德痣酷似肢端雀斑样恶性黑色素瘤。对文献进行了批判性综述以协助诊断。
认识到这一实体及其可能的临床表现，并明智地应用传统苏木精-伊红显微镜标准，在大多数情况下仍然是做出正确诊断的最有用方法。对于大多数色素性梭形和上皮样细胞痣病例，可避免进行致残性或过度的手术。
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