Spitz Nevus: Follow-Up Study of 8 Cases of Childhood Starburst Type and Proposal for Management

Nino, Massimiliano; Brunetti, B; Delfino, Sergio; Brunetti, Beniamino; Panariello, Luigia; Russo, Daniela

doi:10.1159/000161120

Cited by 46 publications

(34 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The final phase is represented by the homogeneous pattern, although some Spitz and Reed nevi may even completely disappear. 62,63,[75][76][77] Conversely, homogeneous blue nevi seem to be highly stable lesions. …”

Section: Pregnancy-related Nevus Patternmentioning

confidence: 99%

“…These nevi begin with globules and later develop a starburst pattern, which represents an intermediate pattern of their evolution. 62,63,[75][76][77] They can be easily differentiated from globular nevi because the globules of evolving starburst nevi (Spitz and Reed nevi) are usually irregular in size and color. 28 Epidemiologic data indicate a high frequency of Spitz nevi in childhood that continues until the third decade of life but their number declines later in life.…”

Section: Commentmentioning

confidence: 99%

See 1 more Smart Citation

Using Dermoscopic Criteria and Patient-Related Factors for the Management of Pigmented Melanocytic Nevi

Zalaudek

Docimo

Argenziano³

2009

Arch Dermatol

101

View full text Add to dashboard Cite

Objective: To review recent dermoscopy studies that provide new insights into the evolution of nevi and their patterns of pigmentation as they contribute to the diagnosis of nevi and the management of pigmented melanocytic nevi. Data Sources: Data for this article were identified by searching the English and German literature by Medline and Journals@Ovid search for the period 1950 to January 2009. Study Selection: The following relevant terms were used: dermoscopy, dermatoscopy, epiluminescence microscopy (ELM), surface microscopy, digital dermoscopy, digital dermatoscopy, digital epiluminescence microscopy, digital surface microscopy, melanocytic skin lesion, nevi, and pigmented skin lesions. There were no exclusion criteria. Data Synthesis: The dermoscopic diagnosis of nevi relies on the following 4 criteria (each of which is characterized by 4 variables): (1) color (black, brown, gray, and blue); (2) pattern (globular, reticular, starburst, and homogeneous blue pattern); (3) pigment distribution (multifocal, central, eccentric, and uniform); and (4) special sites (face, acral areas, nail, and mucosa). In addition, the following 6 factors related to the patient might influence the pattern of pigmentation of the individual nevi: age, skin type, history of melanoma, UV exposure, pregnancy, and growth dynamics. Conclusions: The 4×4×6 “rule” may help clinicians remember the basic dermoscopic criteria of nevi and the patient-related factors influencing their patterns. Dermoscopy is a useful technique for diagnosing melanocytic nevi, but the clinician should take additional factors into consideration to optimize the management of cases of pigmented lesions.

show abstract

Section: Pregnancy-related Nevus Patternmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Using Dermoscopic Criteria and Patient-Related Factors for the Management of Pigmented Melanocytic Nevi

Zalaudek

Docimo

Argenziano³

2009

Arch Dermatol

101

View full text Add to dashboard Cite

show abstract

“…Preliminary data suggest that Spitz nevi in different stages of evolution are characterized by different dermoscopic patterns [3,8,9,10,11,12]. In the growing phase, Spitz nevi reveal regular streaks (finger-like or globule-like pigmented projections on the periphery) representing the hallmark of the typical starburst pattern seen in dermoscopy.…”

Section: Introductionmentioning

confidence: 99%

Natural Evolution of Spitz Nevi

et al. 2011

Self Cite

View full text Add to dashboard Cite

Background: The natural evolution of melanocytic nevi is a complex, multifactorial process that can be studied by monitoring nevi on a long-term basis. Methods: To assess the evolution pathway of Spitz nevi, lesions with clinical and dermoscopic features suggestive of Spitz nevi were monitored and baseline and follow-up images compared. Results: Sixty-four patients (mean age 10.4 years) with lesions suggestive of Spitz nevi were included. Lesions were monitored for a mean follow-up period of 25 months. Upon side-by-side evaluation of baseline and follow-up images, 51 (79.7%) lesions showed an involution pattern and 13 (20.3%) lesions showed a growing or stable pattern. No significant differences were found between growing and involving lesions in terms of patient age and sex and the location and palpability of lesions. The great majority of growing lesions were pigmented or partially pigmented (92.3%), whereas 47.1% of lesions in involution were amelanotic (p = 0.005). Conclusion: In this series of lesions clinically and dermoscopically diagnosed as Spitz nevi, spontaneous involution seems to be the most common biologic behavior.

show abstract

“…Follow-up studies of patients with Spitz nevus reveal different patterns at different times in the progression of the condition, evolving from a starburst pattern to a reticular pattern. 9,10 Dermoscopy may result in a more precise diagnosis; however, a consensus on the management of the Spitz nevus can only be reached following more prolonged clinical and dermoscopic follow-up.…”

Section: Discussionmentioning

confidence: 99%

Nevo de Spitz: relato de caso e dermatoscopia

Pinheiro

Pereira

Amorin

et al. 2010

An. Bras. Dermatol.

View full text Add to dashboard Cite

Resumo: O nevo de Spitz é uma lesão melanocítica benigna com características clínicas e histopatológicas semelhantes às do melanoma. Foi descrito em 1948, mas até hoje, ainda, existe grande controvérsia no seu diagnóstico e conduta. A utilização da dermatoscopia pode aumentar a sua acurácia diagnóstica. As características dermatoscópicas do nevo de Spitz incluem um padrão estelar (starburst), que é o mais frequente, seguido do padrão globular e do padrão atípico. O diagnóstico deve ser confirmado por exame histopatológico, principalmente, nos casos atípicos. Palavras-chave: Dermatoscopia; Melanoma; Nevo de células epitelioides e fusiformes Abstract: The Spitz nevus is a benign melanocytic lesion with clinical and histopathological features similar to those of melanoma. It was first described in 1948 but great controversy still remains today with respect to its diagnosis and management. The use of dermoscopy may increase diagnostic accuracy. In Spitz nevus, the most common dermoscopic finding is a starburst-like pattern, followed by globular and atypical patterns. Diagnosis must be confirmed by histopathology, particularly in atypical cases.

show abstract

Spitz Nevus: Follow-Up Study of 8 Cases of Childhood Starburst Type and Proposal for Management

Cited by 46 publications

References 29 publications

Using Dermoscopic Criteria and Patient-Related Factors for the Management of Pigmented Melanocytic Nevi

Using Dermoscopic Criteria and Patient-Related Factors for the Management of Pigmented Melanocytic Nevi

Natural Evolution of Spitz Nevi

Nevo de Spitz: relato de caso e dermatoscopia

Contact Info

Product

Resources

About