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MULTIPLE AGMINATED PIGMENTED SPITZ NEVI (MIMICKING ACRAL LENTIGINOUS MALIGNANT MELANOMA AND DYSPLASTIC NEVUS) IN AN AFRICAN‐AMERICAN GIRL
Author(s) -
ABRAMOVITS WILLIAM,
GONZALEZSERVA ALDO
Publication year - 1993
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/j.1365-4362.1993.tb04268.x
Subject(s) - medicine , acral lentiginous melanoma , melanoma , dermatology , spitz nevus , girl , nevus , pathology , psychology , developmental psychology , cancer research
Background. Reed's nevi are distinguished from Spitz tumors by their significant melanogenesis and growth pattern. They may be confused with melanoma on clinical and histologic grounds. Case Report. An unsual 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. Conclusions. 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.