Pediatric pigmented Spitz nevus: A natural course toward involution assessed with dermoscopy

Colucci, Roberta; Berruti, Vittorio; Moretti, Silvia

doi:10.1016/j.jaad.2016.01.044

Cited by 7 publications

(3 citation statements)

References 2 publications

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“…Just like other authors, 12 , 13 we conclude that typical lesions may be followed up, even though the characteristics found in this case suggest a typical lesion because of its regular borders, size well below 10 mm, non-malignant aspect, and the possibility of regression with aging. The protocol of surgical excision with safety margins, histological analysis and recurrence monitoring was the therapeutic choice to decrease expectations of sudden growth and minimize the risk of trauma in the area, thus improving aesthetics by removing the visible lesion.…”

Section: Discussionsupporting

confidence: 85%

A Rápida Evolução Clínica De Um Nevo De Spitz: Acompanhamento De Três Anos Em Criança

Pedrazini

Montalli

Souza

2017

Rev. paul. pediatr.

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Objective: To report the clinical evolution and handling of a Spitz nevus, from its initial flat feature to becoming an irregular, nodular, reddish lesion.Case description: Female child, phototype II, with a small congenital nevus on the left lower limb and other sustained small nevi. The patient went through annual clinical and dermoscopic evaluations between the ages of three and seven, period during which the nevi located on the left thigh grew rapidly. The clinical hypothesis was Spitz nevus, with indication of surgical removal with a safety margin and anatomopathological study. Considering patient’s age and clinical/histological aspects, the diagnosis of Spitz nevus was confirmed. Comments: Initial globular pattern and size under 5 mm upon dermoscopy allowed clinical follow-up. However, onset of hyperchromia and rapid growing of the lesion, along with aesthetic concerns, possibility of trauma in the region, and risk of malignancy at puberty guided the decision of total resection and follow-up for recurrence.

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Section: Discussionsupporting

confidence: 85%

A Rápida Evolução Clínica De Um Nevo De Spitz: Acompanhamento De Três Anos Em Criança

Pedrazini

Montalli

Souza

2017

Rev. paul. pediatr.

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show abstract

“…Colucci et al described an alternative evolution of a pigmented Spitz nevus toward a lesion with the typical dermoscopic features of a common melanocytic nevus (pigment network), with the Spitzoid features no longer detectable. This patient was followed for 8 years, which suggests that changes will be seen if these patients are followed for longer periods.…”

Section: Discussionmentioning

confidence: 99%

“…This patient was followed for 8 years, which suggests that changes will be seen if these patients are followed for longer periods. They pointed out the rare occurrence of Spitz nevi in elderly adults, because they disappear with age, and suggested paying special attention to the onset of Spitzoid lesions in elderly adults since it is likely that they are melanoma .…”

Section: Discussionmentioning

confidence: 99%