Spindle and Epithelioid Cell Nevus (Spitz Nevus): Natural History Following Biopsy

Valda N. Kaye, Louis P. Dehner

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39 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)1581-1583
Number of pages3
JournalArchives of dermatology
Volume126
Issue number12
DOIs
StatePublished - Dec 1990

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