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Giant recurrence of a multiple agminated Spitz nevus
M Krasovec1, B Gianadda, D Hohl
1Service de Dermato-Vénéréologie, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Journal of the American Academy of Dermatology
|August 1, 1995
Summary
A rare case of giant recurrence of Spitz nevus occurred in an 11-year-old boy. This agminated pigmented lesion recurred as a keloid-like nodule three years after initial incomplete excision.
Area of Science:
- Dermatology
- Pediatric Oncology
- Pathology
Background:
- Agminated Spitz nevi are rare benign juvenile melanomas.
- Incomplete excision can lead to recurrence.
- Giant recurrence in this context is exceptionally uncommon.
Observation:
- An 11-year-old boy presented with multiple grouped pigmented lesions on his left scapula since age 2.
- Initial shave excision of lesions revealed Spitz nevi with incomplete basal excision.
- A significant keloid-like nodule developed at the site three years post-excision.
Findings:
- The recurrent nodule represented a giant recurrence within the agminated Spitz nevus.
- This represents the first reported instance of giant recurrence in an agminated Spitz nevus.
Implications:
- Highlights the potential for aggressive recurrence even in benign-appearing pediatric lesions.
- Emphasizes the importance of complete excision for Spitz nevi to prevent recurrence.
- Suggests careful long-term monitoring for patients with incompletely excised Spitz nevi.