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Archivos de Pediatría del Uruguay

Print version ISSN 0004-0584On-line version ISSN 1688-1249

Abstract

YORI, Fiorella et al. Spitz nevus in childhood: the great melanoma simulator. Arch. Pediatr. Urug. [online]. 2017, vol.88, n.2, pp.101-107. ISSN 0004-0584.

The incidence of pediatric melanoma has been increasing. The most frequent clinical presentation is amelanotic lesions, lacking pigmentation and usually elevated, sometimes bleeding. Differential diagnosis includes benign lesions and may also include melanocytic lesions such as Spitz/Reed nevi. Spitz nevus usually presents as a solitary, rounded or oval papule, skin coloured, mainly affecting the face or limbs. Reed nevus is characterized by a dark tumor plane or elevated, often affecting the lower limbs. The treatment of these nevi depends on the patient´s age. Children under 12 years old with a typical lesion may undergo clinical and dermoscopic follow-up. In older patients, excision is recommended due to the probability of melanoma.

Keywords : EPITHELIOID AND SPINDLE CELL NEVUS.

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