Articole semnate de acelasi autor in Revista Romana de Pediatrie:

The diagnosis of the Spitz nevus remains a challenge

Revista Romana de PEDIATRIE | Volumul LXI, Nr. 3, An 2012

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Promoting Global Health

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Virginia Chiţu, Călin Giurcăneanu, Sabina Zurac and Dorina Giurcăneanu

REZUMAT

Introduction. Spitz nevus is a benign melanocytic lesion, most frequently met in children and in the young adult, at the level of the head and of the extremities, with a rapid evolution (months), that worries both the family and the doctor. Aim. To highlight the difficulties in diagnosing clinically, dermoscopically and histopathologically a lesion that may resemble to a melanoma.

Material and methods. We present two cases of Spitz nevus, appeared at the age of 10 and 16, respectively, as a blackish pigmented lesion and a pink, non-pigmented one, for which a consultation at the clinic was demanded, for the suspicion of malignity. Both lesions were clinically, dermoscopically and histopathologically evaluated.

Results. The suspicion of malignity being totally eliminated for the non pigmented one, classified as a classical non pigmented Spitz nevus; on the other hand, the pigmented lesion could only be classified as an atypical Spitz nevus (spitzoid tumor with uncertain malignant potential).

Conclusions: Diagnosing Spitz nevus continues to be a clinical, dermoscopic and, last but not least, histopathological challenge, and the surgical excision is recommended in most cases.

Key words: Spitz nevus, spitzoid melanoma, spitzoid tumor, starburst pattern, nevus

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Virginia Chiţu

DIAGNOSTICUL NEVULUI SPITZ RAMANE O PROVOCARE

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Virginia Chiţu, Călin Giurcăneanu, Sabina Zurac and Dorina Giurcăneanu

REZUMAT

Introducere. Nevul Spitz este o leziune melanocitară benignă, cel mai frecvent întâlnită la copil şi adultul tânăr, la nivelul capului şi extremităţilor, cu o evoluţie rapidă de ordinul lunilor, ce îngrijorează familia şi medicul. Scop. Evidenţierea dificultăţilor de diagnosticare clinică, dermoscopică şi histopatologică într-o leziune ce poate simula melanomul.

Material şi metodă. Prezentăm două cazuri de nev Spitz apărute la vârsta de 10 şi respectiv 16 ani, o leziune hiperpigmentată, neagră şi o alta nepigmentată, roză, trimise în consult cu suspiciunea de malignitate. Ambele leziuni au fost evaluate dermoscopic şi histopatologic.

Rezultate. Diagnosticul final a fost de nev Spitz clasic pentru leziunea nepigmentată şi de nev Spitz atipic (tumoră spitzoidă cu potenţial malign incert) pentru leziunea pigmentată.

Concluzii. Diagnosticarea nevului Spitz continuă să fie o provocare clinică, dermoscopică şi, nu în ultimul rând, histopatologică, iar excizia chirurgicală este recomandată în majoritatea cazurilor.

Cuvinte cheie: nev Spitz, melanom spitzoid, tumoră spitzoidă, starburst pattern, nev

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Virginia Chiţu