Spitz/Reed nevi: a review of clinical-dermatoscopic and histological correlation

Background: Spitz/Reed nevi are melanocytic lesions that may mimic melanoma at clinical, dermatoscopic and histopathological levels. Management strategies of these lesions remain controversial. Objectives: We aim a correlation among clinical-dermatoscopic and histological features of a series of...

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Autores principales:	Ana F. Pedrosa, Jose M. Lopes, Filomena Azevedo, Alberto Mota
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2016
Materias:	dermatoscopy Reed nevus spindle and/ or epithelioid cell nevus Spitz nevus Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/8d667c7af88542d28b7e7968c4af1a0f
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spelling	oai:doaj.org-article:8d667c7af88542d28b7e7968c4af1a0f2021-11-17T08:31:15ZSpitz/Reed nevi: a review of clinical-dermatoscopic and histological correlation10.5826/dpc.0602a072160-9381https://doaj.org/article/8d667c7af88542d28b7e7968c4af1a0f2016-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/102https://doaj.org/toc/2160-9381 Background: Spitz/Reed nevi are melanocytic lesions that may mimic melanoma at clinical, dermatoscopic and histopathological levels. Management strategies of these lesions remain controversial. Objectives: We aim a correlation among clinical-dermatoscopic and histological features of a series of Spitz/Reed nevi diagnosed during 7 years at the Department of Dermatology. Methods: Clinical, dermatoscopic and histological features of Spitz/Reed nevi diagnosed at our tertiary hospital from 2008 to 2014 were reviewed in order to seek correlation. Results: All described dermatoscopic patterns for Spitz/Reed nevi were found among the 47 enrolled patients; starburst and atypical/multicomponent patterns prevailed (57.4%). Reticular pattern predominated among children younger than 12 years, whereas homogeneous pattern was more frequent in patients older than 12 years, although these differences were not statistically significant (P=0.785). Among histological atypical lesions, all dermatoscopic patterns were represented, but the atypical/multicomponent predominated (56.3%). Two out of 11 dermatoscopically atypical lesions did not show histopathological counterpart. Conclusions: The excision of Spitz/Reed nevi in adults is supported, given the inability to accurately predict those with histopathological atypia, based on clinical and dermatoscopic features, which may raise concern about malignancy. Ana F. PedrosaJose M. LopesFilomena AzevedoAlberto MotaMattioli1885articledermatoscopyReed nevusspindle and/ or epithelioid cell nevusSpitz nevusDermatologyRL1-803ENDermatology Practical & Conceptual (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	dermatoscopy Reed nevus spindle and/ or epithelioid cell nevus Spitz nevus Dermatology RL1-803
spellingShingle	dermatoscopy Reed nevus spindle and/ or epithelioid cell nevus Spitz nevus Dermatology RL1-803 Ana F. Pedrosa Jose M. Lopes Filomena Azevedo Alberto Mota Spitz/Reed nevi: a review of clinical-dermatoscopic and histological correlation
description	Background: Spitz/Reed nevi are melanocytic lesions that may mimic melanoma at clinical, dermatoscopic and histopathological levels. Management strategies of these lesions remain controversial. Objectives: We aim a correlation among clinical-dermatoscopic and histological features of a series of Spitz/Reed nevi diagnosed during 7 years at the Department of Dermatology. Methods: Clinical, dermatoscopic and histological features of Spitz/Reed nevi diagnosed at our tertiary hospital from 2008 to 2014 were reviewed in order to seek correlation. Results: All described dermatoscopic patterns for Spitz/Reed nevi were found among the 47 enrolled patients; starburst and atypical/multicomponent patterns prevailed (57.4%). Reticular pattern predominated among children younger than 12 years, whereas homogeneous pattern was more frequent in patients older than 12 years, although these differences were not statistically significant (P=0.785). Among histological atypical lesions, all dermatoscopic patterns were represented, but the atypical/multicomponent predominated (56.3%). Two out of 11 dermatoscopically atypical lesions did not show histopathological counterpart. Conclusions: The excision of Spitz/Reed nevi in adults is supported, given the inability to accurately predict those with histopathological atypia, based on clinical and dermatoscopic features, which may raise concern about malignancy.
format	article
author	Ana F. Pedrosa Jose M. Lopes Filomena Azevedo Alberto Mota
author_facet	Ana F. Pedrosa Jose M. Lopes Filomena Azevedo Alberto Mota
author_sort	Ana F. Pedrosa
title	Spitz/Reed nevi: a review of clinical-dermatoscopic and histological correlation
title_short	Spitz/Reed nevi: a review of clinical-dermatoscopic and histological correlation
title_full	Spitz/Reed nevi: a review of clinical-dermatoscopic and histological correlation
title_fullStr	Spitz/Reed nevi: a review of clinical-dermatoscopic and histological correlation
title_full_unstemmed	Spitz/Reed nevi: a review of clinical-dermatoscopic and histological correlation
title_sort	spitz/reed nevi: a review of clinical-dermatoscopic and histological correlation
publisher	Mattioli1885
publishDate	2016
url	https://doaj.org/article/8d667c7af88542d28b7e7968c4af1a0f
work_keys_str_mv	AT anafpedrosa spitzreedneviareviewofclinicaldermatoscopicandhistologicalcorrelation AT josemlopes spitzreedneviareviewofclinicaldermatoscopicandhistologicalcorrelation AT filomenaazevedo spitzreedneviareviewofclinicaldermatoscopicandhistologicalcorrelation AT albertomota spitzreedneviareviewofclinicaldermatoscopicandhistologicalcorrelation
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Spitz/Reed nevi: a review of clinical-dermatoscopic and histological correlation

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