Hiscott P, Seitz B, Naumann G O
Department of Ophthalmology, University of Erlangen-Nurnberg, Erlangen, Germany.
Am J Ophthalmol. 1998 Nov;126(5):735-7. doi: 10.1016/s0002-9394(98)00141-x.
To report a 20-month-old child with a rapidly growing dome-shaped red nodule on the left lower eyelid. The lesion was diagnosed clinically as an hemangioma, but microscopy disclosed an epithelioid Spitz nevus.
Case report.
Histopathologic examination of the excised lesion disclosed a Spitz nevus (benign juvenile melanoma) of a chiefly epithelioid cell type.
The differential diagnosis of eyelid skin nodules in children should include Spitz nevus. This uncommon nevus has many cytologic features in common with nodular malignant melanoma. Histologically, it may be difficult to distinguish between nodular malignant melanoma and Spitz nevus.
报告一名20个月大儿童，其左下眼睑有一个迅速生长的圆顶状红色结节。该病变临床诊断为血管瘤，但显微镜检查显示为上皮样斯皮茨痣。
病例报告。
切除病变的组织病理学检查显示为主要是上皮样细胞类型的斯皮茨痣（良性幼年黑素瘤）。
儿童眼睑皮肤结节的鉴别诊断应包括斯皮茨痣。这种不常见的痣与结节状恶性黑素瘤有许多细胞学特征相同。在组织学上，可能难以区分结节状恶性黑素瘤和斯皮茨痣。
