<p>A 17 year old lady was referred with a new lesion on her thigh. There was no other relevant personal or family history. How would you manage the patient and what is the differential? </p>
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>This lesion certainly required a 2-week wait referral, given the clinical and asymmetrical dermoscopic pattern urgent histology was clearly required.</p>
<p>The young age of the patient along with layered peripheral clods points to a pigmented Spitz naevus. There are many C shaped clods, a feature I have seen in some Spitz naevi. Given the significant variation in shape, size and distribution of clods then an atypical spitz / melanoma could not be excluded on clinical grounds alone.</p>
<p>The diagnosis was a pigmented Spitz naevus. </p><p>The term Spitz naevus was first introduced in 1948 by Sophie Spitz, at that time such lesions were considered melanomas of childhood. </p>
<p>Images copied with kind permission from South Tees Hospitals NHS Foundation Trust.<br></p>
