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Case Example Atypical Spitz Nevus

last modified on: Mon, 09/11/2017 - 13:15

Case Example Atypical Spitz Nevus

return to:Spitz Nevus

see also: Full thickness skin graft  and Case Example Full Thickness Skin Graft

  1. July 2010: Evaluated by her dermatologist with a right auricular "pink, scaly nodule' with a 9 mm punch biopsy done and interpreted as
    1. "severely atypical spitzoid nonmelanocytic proliferation" (local pathologist)
      with UIHC review
    2. "atypical Spitz nevus but do not feel there is severe atypia" (UIHC dermatopath team)
  2. August 2010: 32-year-old woman presented to us with the history that 3 months previously a rapidly appearing dark mole appear (appearing over the space of a week or 2) developed in her right antihelical region.
  3. Management:
    1. “excision right auricular spitz lesion with porcine skin graft’ 1 ½ hour local anesthesia. Prescription for levaquin 500 mg tabs one po qd for 10 days, “begin the am of ear lesion resection” - preauricular lesion also removed -
      followed 7 days (+/- 2 days) later by
    2. “reconstruction of right ear defect with full thickness skin graft” 1 ½ H general anesthesia
  4. Pathology from resection:
    1. Skin, right ear, excision: Biopsy site with focal residual Spitz nevus, resection margins not
      involved. Cartilage, deep antihelical, excision: Cartilage with no diagnostic abnormality.
    2. Skin, preauricular, biopsy: Compound nevus.