Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Rossiello, L; Zalaudek, I; Ferrara, G; Docimo, G; Giorgio, CM; Argenziano, G.
Melanoacanthoma simulating pigmented spitz nevus: an unusual dermoscopy pitfall.
DERMATOL SURG 2006 32: 735-737.
Doi: 10.1111/j.1524-4725.2006.32148.x
(- Case Report)
Web of Science
PubMed
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FullText_MUG
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- Zalaudek Iris
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- Abstract:
- BACKGROUND: The starburst pattern is the dermoscopic hallmark of pigmented Spitz nevus, although it has been rarely observed in melanoma as well. OBJECTIVE: To describe a case of melanoacanthoma simulating pigmented Spitz nevus. MATERIAL AND METHODS: Clinical, dermoscopic, and histopathologic examinations were performed for the occurrence of a 4-mm pigmented skin lesion on the hip of a 38-year-old Caucasian woman. RESULTS: Dermoscopy examination of the lesion disclosed a stereotypical starburst pattern characterized by pigmented streaks symmetrically distributed at the periphery. A preoperative diagnosis of pigmented Spitz nevus was made, and the lesion was excised. However, subsequent histopathologic examination revealed a melanoacanthoma. CONCLUSION: The starburst pattern, although diagnostic for pigmented Spitz nevus, can be rarely observed in other benign or malignant pigmented skin lesions. Accordingly, all lesions in adults exhibiting a starburst pattern or other spitzoid features should be excised for histopathologic evaluation.
- Find related publications in this database (using NLM MeSH Indexing)
- Acanthoma - diagnosis
- Adult - diagnosis
- Dermoscopy - diagnosis
- Female - diagnosis
- Humans - diagnosis
- Nevus, Pigmented - diagnosis
- Skin Neoplasms - diagnosis