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Nevus spilus.

Darshan C Vaidya¹, Robert A Schwartz, Camila K Janniger

¹UMDNJ-New Jersey Medical School, Newark, New Jersey 07103, USA.

|February 6, 2008

Summary

Nevus spilus (NS), a common skin lesion, presents as pigmented spots within a patch. While its cause is unknown, NS has a slight melanoma risk, suggesting targeted speckle removal if full excision is refused.

Area of Science:

Dermatology
Oncology
Pathology

Background:

Nevus spilus (NS), or speckled lentiginous nevus (SLN), is a common melanocytic nevus.
It is characterized by multiple pigmented macules/papules within a larger pigmented patch.
The etiology of Nevus spilus remains unknown, and it can be congenital or acquired.

Purpose of the Study:

To discuss the classification and clinical significance of Nevus spilus.
To highlight the potential risk of melanoma development in Nevus spilus.
To propose management strategies for Nevus spilus, considering patient preferences.

Main Methods:

Review of existing literature on Nevus spilus.
Analysis of clinical characteristics and potential malignant transformation.

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Evaluation of diagnostic and therapeutic approaches.

Main Results:

Nevus spilus is a distinct entity in the classification of melanocytic nevi.
It carries a slight potential for malignant transformation into melanoma.
Management should consider the risk-benefit ratio of complete versus partial excision.

Conclusions:

Nevus spilus warrants specific consideration within the spectrum of melanocytic nevi.
The slight melanoma risk necessitates awareness and appropriate monitoring.
Punch excision of speckles may be a viable option if complete Nevus spilus excision is declined.