Spitz
Nevus.
Spitz Nevus is a funny looking type of mole found in kids or younger people.
Spitz
What is Spitz Nevus ?
A Spitz Nevus is a rapidly growing growth that occurs in children and young adults. It is a type of mole (a proliferation of benign cells called melanocytes). The histology of Spitz Nevus can look quite alarming. It is, however, a benign mole.
Who gets them?
Spitz nevus is moderately rare, and most common in children and younger people. The average age of Spitz nevus is 22.
What does a Spitz Nevus look like?
Naked Eye
The colours vary enormously – from light pink through to brown or almost black. They are often raised in the shape of a nodule. They are more common on the face.
Gallery of Spitz Nevus
Please click on the images for details.
Dermoscopic Findings
structureless
starburst
Polymorphous vessels
Peripheral Globules
Peripheral lines
Periperal globules
Dotted vessels
Why do they matter?
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Why does Spitz Nevus matter?
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- Velit, phasellus iaculis etiam felis praesent ultricies egestas massa dui libero accumsan ad sem, orci porta sodales hendrerit. Lorem. Sit laoreet nostra lobortis placerat bibendum ridiculus cras duis porta duis cum. Accumsan
- Odio curabitur convallis mauris, ligula ac donec dictum phasellus aliquam scelerisque mi. Sodales sed, elit, erat donec bibendum pharetra cursus magnis
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Treatment for Spitz Nevus
What is the treatment of Spitz Nevus?
Theoretically, a Spitz Nevus does not removing because it is a benign grown (like other moles). However, it is often difficult for a clinician to be certain that the condition is a Spitz Nevus. What’s more, these Nevi are not always easily distinguished from melanoma even by expert dermatopathologists. There is evidence that a low grade of melanoma overlaps with a Spitz Nevus.
For these reasons, the decision for surgical excision of a Spitz will depend on a combined decision betwen the patient (most often the parent) and the treating Doctor.
In Australia, a Spitz Nevus is generally removed but again the decision is an individual one and depends on individual factors:
- Age
- Appearance of the lesion including dermoscopic findings
- Overall opinion of the doctor
- Consideration of risk with the parents
- And national Skin Cancer Professional opinion and/or guidelines
In practice most Spitz are removed to confirm the diagnosis and to avoid any future concerns.
Spitz Nevus Pathology Report
These are some of the key terms that may be used in the Spitz Nevus pathology report
Nests
Nests are growths of melanocytes (the benign cells that proliferate in nevi or moles in general).
In Spitz Nevus, the nests form along the junction between the epidermis and dermis.
As The spitz nevus grows larger, the nests extend down into the dermis.
Hyperplastic & Hyperkeratotic Epidermis
The epidermis (upper layer of the skin) is often hyperkeratotic (scaly) & hyperplastic (increased number of cells) – this is also the case with some other types of moles.
Accentuated Granular Layer
The mid layer of the epidermis (upper layer of the skin), called the granular layer, is normally quite a thin layer. In Spitz nevus, this layer is often prominent.
Kamino Bodies
Kamino Bodies are masses that are made up of Basement Membrane and other proteins.
Spitz Nevus
Think of a Spitz Nevus when you see a mole in a young person that demands your attention.
Dr Richard Beatty
Please Telephone us for any enquiries