Spitz 1
<p>A 26 year old lady was referred with multiple lesions. The lesion on the upper back marked with an arrow had a different dermoscopic appearance to the rest.&nbsp;</p>
Spitz 1 De


Dermoscopy - Introduction, Terminology and Structures

A document to help you understand the dermoscopic descriptions used in this blog.



Dermoscopy Algorithm

To help you work through dermoscopic cases.

<p>The lesion had a peripheral rim of brown clods with significant variation in size and shape, suggestive of a Spitz naevus. The lesion was excised and histology confirmed the diagnosis, no atypical features were seen.</p> <p>Spitz naevi take on numerous clinical and dermoscopic appearances. <strong>With this pattern the globules are more irregular in shape and size when compared to those seen in a growing benign melanocytic naevus.</strong></p> <p>Lesions suspected as Spitz naevi are <strong>usually referred urgently</strong>, and then excised as they can have a similar appearance to melanoma, both clinically and dermoscopically. Although the younger the patient, and the more symmetrical the lesion, the more likely the lesion is to be benign.&nbsp;</p>
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