TY - JOUR
T1 - Spindle and Epithelioid Cell Nevus (Spitz Nevus)
T2 - Natural History Following Biopsy
AU - Kaye, Valda N.
AU - Dehner, Louis P.
PY - 1990/12
Y1 - 1990/12
N2 - A clinical follow-up study of 49 cases of spindle and epithelioid cell nevus is presented to address the question about the potential for local recurrence. Only 19 (39%) of the 49 lesions were initially excised en toto, and the remainder (30 cases) had positive margins; six of the latter spindle and epithelioid cell nevi were reexcised, and no evidence of a residual nevus was found in five of the six cases. There were no recurrences in the 49 patients during an average follow-up period of 5.0 years (range, 1 to 10 years). The rarity of recurrent spindle and epithelioid cell nevus would justify a conservative approach to management, with clinical follow-up alone recommended after a subtotal excision, when the pathologic diagnosis is unequivocal.
AB - A clinical follow-up study of 49 cases of spindle and epithelioid cell nevus is presented to address the question about the potential for local recurrence. Only 19 (39%) of the 49 lesions were initially excised en toto, and the remainder (30 cases) had positive margins; six of the latter spindle and epithelioid cell nevi were reexcised, and no evidence of a residual nevus was found in five of the six cases. There were no recurrences in the 49 patients during an average follow-up period of 5.0 years (range, 1 to 10 years). The rarity of recurrent spindle and epithelioid cell nevus would justify a conservative approach to management, with clinical follow-up alone recommended after a subtotal excision, when the pathologic diagnosis is unequivocal.
UR - http://www.scopus.com/inward/record.url?scp=0025572220&partnerID=8YFLogxK
U2 - 10.1001/archderm.1990.01670360045005
DO - 10.1001/archderm.1990.01670360045005
M3 - Article
C2 - 2256684
AN - SCOPUS:0025572220
SN - 0003-987X
VL - 126
SP - 1581
EP - 1583
JO - Archives of dermatology
JF - Archives of dermatology
IS - 12
ER -