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Updated: May 22, 2026

08:49
A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Malignant melanoma arising within nevus spilus.
Susan L Karam1, Scott M Jackson
1Department of Dermatology, Louisiana State University Health Science Center, New Orleans, LA 70112, USA.
Skinmed
|May 2, 2012
Summary
A long-standing nevus spilus on a 68-year-old man was diagnosed as malignant melanoma. Early detection and treatment prevented metastatic disease, highlighting the importance of monitoring atypical moles.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Nevus spilus, a congenital pigmented lesion, can rarely develop into melanoma.
- Early detection of melanoma is crucial for patient survival and prognosis.
Observation:
- A 68-year-old man presented with a decades-old nevus spilus that had recently become raised.
- Physical examination revealed a suspicious 0.9-cm irregularly pigmented black papule within the lesion.
- Biopsy confirmed malignant melanoma with a Breslow depth of 1.13 mm.
Findings:
- Histopathological examination confirmed malignant melanoma.
- The patient underwent wide local excision and sentinel lymph node biopsy.
- No evidence of metastatic disease was found on oncologic evaluation.
Implications:
- This case underscores the importance of vigilance for changes in congenital nevi.
- Prompt diagnosis and treatment of melanoma arising in nevus spilus can lead to favorable outcomes.
- Regular skin examinations are vital for identifying suspicious lesions early.
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