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Cantisani C, Paolino G, Di Guardo A, Gomes V, Carugno A, Greco ME, Musolff N, Azzella G, Rossi G, Soda G, Longo C, Pellacani G. Diagnostic Imaging of Agminated Blue Lesions and Blue Lesions with Satellitosis: Case Series with a Concise Review of the Current Literature. J Clin Med 2024; 13:894. [PMID: 38337588 PMCID: PMC10856709 DOI: 10.3390/jcm13030894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Revised: 01/22/2024] [Accepted: 01/31/2024] [Indexed: 02/12/2024] Open
Abstract
Background: Agmination and/or satellitosis in pigmented blue lesions is a phenomenon rarely mentioned in the literature and not well known. This phenomenon can be expressed by several benign and malignant pigmented blue lesions, such as blue nevi, Spitz nevi, melanocytoma and melanoma. On this spectrum, dermoscopy, reflectance confocal microscopy (RCM) and dynamic Optical coherence tomography (D-OCT) represent non-invasive imaging technologies, which may help clinicians in the diagnosis of melanoma and non-melanoma skin cancers in daily clinical practice. Methods: Currently, in the literature there is a lack of new data about agminated blue lesions and blues lesions with satellitosis, as well as the lack of a recent and updated review of the literature about this topic. Therefore, considering that clinicians must be confident with the diagnosis of these rare skin lesions, we decided to carry out this work. Results: In this paper, four new cases of agminated pigmented cutaneous lesions were described. Moreover, a review of the current literature on this topic was performed. Conclusions: A clinical-pathological correlation is often needed to reach a correct diagnosis; currently, dermoscopy and non-invasive diagnostic techniques, such as reflectance confocal microscopy and optical coherence tomography, due to the depth of these skin lesions in the dermis, can only make a partial and limited contribution.
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Affiliation(s)
- Carmen Cantisani
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| | - Giovanni Paolino
- Unit of Dermatology, IRCCS Ospedale San Raffaele, 20132 Milan, Italy
| | - Antonio Di Guardo
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| | - Vito Gomes
- Department of Anatomy and Pathology, Ospedale San Filippo Neri, 00135 Rome, Italy
| | - Andrea Carugno
- Dermatology Unit, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy
- Ph.D. Program in Molecular and Translational Medicine (DIMET), University of Milan-Bicocca, 20126 Milan, Italy
| | | | - Noah Musolff
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| | - Giulia Azzella
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| | - Giovanni Rossi
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| | - Giuseppe Soda
- Department of Molecular Medicine, Policlinico Umberto I, Sapienza University of Rome, 00185 Rome, Italy
| | - Caterina Longo
- Dermatology Department, University of Modena and Reggio Emilia, 41121 Modena, Italy
- Azienda Unità Sanitaria Locale–IRCCS di Reggio Emilia, Skin Cancer Center, 42122 Reggio Emilia, Italy
| | - Giovanni Pellacani
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
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Alojail HY. Eruptive Disseminated Spitz Nevi: A Case Report and Review of the Literature. Cureus 2023; 15:e47097. [PMID: 38021933 PMCID: PMC10646499 DOI: 10.7759/cureus.47097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2023] [Indexed: 12/01/2023] Open
Abstract
Spitz naevus (SN) are benign melanocytic lesions, which are classified into solitary, agminated, or disseminated forms. The most common form is solitary SN, typically occurring on the face and extremities of children. However, the disseminated SN is a rare presentation that can be either rapid eruptive or non-eruptive. The eruptive disseminated Spitz naevus (EDSN) often develops between the ages of 10 and 20 and affects nearly the whole-body surface, beginning in the trunk and/or extremities. Without prior reports from the population of Saudi Arabia, this eruptive SN has reportedly impacted native Alaskans (Americans), Koreans, Pakistanis, African Americans, and Hispanics. Eruptive disseminated SNs are rare, with only 27 cases having been reported in the literature. This article presents another case of EDSN.
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Affiliation(s)
- Heba Y Alojail
- Dermatology, College of Medicine, King Faisal University, Al-Ahsa, SAU
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Cheng TW, Ahern MC, Giubellino A. The Spectrum of Spitz Melanocytic Lesions: From Morphologic Diagnosis to Molecular Classification. Front Oncol 2022; 12:889223. [PMID: 35747831 PMCID: PMC9209745 DOI: 10.3389/fonc.2022.889223] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 04/26/2022] [Indexed: 11/17/2022] Open
Abstract
Spitz tumors represent a distinct subtype of melanocytic lesions with characteristic histopathologic features, some of which are overlapping with melanoma. More common in the pediatric and younger population, they can be clinically suspected by recognizing specific patterns on dermatoscopic examination, and several subtypes have been described. We now classify these lesions into benign Spitz nevi, intermediate lesions identified as “atypical Spitz tumors” (or Spitz melanocytoma) and malignant Spitz melanoma. More recently a large body of work has uncovered the molecular underpinning of Spitz tumors, including mutations in the HRAS gene and several gene fusions involving several protein kinases. Here we present an overarching view of our current knowledge and understanding of Spitz tumors, detailing clinical, histopathological and molecular features characteristic of these lesions.
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Affiliation(s)
- Tiffany W. Cheng
- Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, United States
| | - Madeline C. Ahern
- Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, United States
| | - Alessio Giubellino
- Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, United States
- Masonic Cancer Center, University of Minnesota, Minneapolis, MN, United States
- *Correspondence: Alessio Giubellino,
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Wang Y, Liu C, Wong H, Tang X, He D, Han J, Zhou H. Successful treatment of adult-onset auricular agminated Spitz nevi with cryotherapy: A case report with an 11-year follow-up and literature review. JAAD Case Rep 2022; 23:49-51. [PMID: 35402676 PMCID: PMC8987297 DOI: 10.1016/j.jdcr.2022.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Uzuncakmak TK, Kavala M, Zindancı İ, Can B, Simsek BC. Agminated melanocytic nevi as a rare variant of melanocytic nevus: Report of two cases. Dermatol Ther 2020; 34:e14593. [PMID: 33244852 DOI: 10.1111/dth.14593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 11/23/2020] [Indexed: 10/22/2022]
Affiliation(s)
- Tugba Kevser Uzuncakmak
- Istanbul University Cerrahpasa Medical Faculty, Department of Dermatology, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkey
| | - Mukaddes Kavala
- Istanbul University Cerrahpasa Medical Faculty, Department of Dermatology, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkey
| | - İlkin Zindancı
- Istanbul University Cerrahpasa Medical Faculty, Department of Dermatology, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkey
| | - Burce Can
- Istanbul University Cerrahpasa Medical Faculty, Department of Dermatology, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkey
| | - Bengu Cobanoglu Simsek
- Department of Pathology, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkey
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Nevares-pomales OW, Carrasquillo OY, Santiago-vazquez M, Colon-fontanez F. Rare Variant of Agminated Spitz Nevi on a Hypopigmented Background and Segmental Distribution: Case Report and Review of Literature. Am J Dermatopathol 2018; 40:686-9. [DOI: 10.1097/dad.0000000000001135] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Affiliation(s)
| | - Celine Eggen
- Department of Dermatology, Erasmus Medical Center, Rotterdam, The Netherlands
| | - Auke Beishuizen
- Department of Paediatric Oncology and Haematology, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands
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Abstract
Spitz tumors are melanocytic neoplasms hallmarked by large cell size, lack of high-grade atypia, and a regular architecture. Most are nonpigmented or poorly pigmented. Malignant potential ranges from absent (Spitz nevus), to fully present (spitzoid melanoma), with a further, ill-defined group of Spitz tumors with limited metastatic potential. Microscopic evaluation may prove inconclusive in some instances, resulting in a verdict of Spitz tumor of uncertain malignant potential (STUMP). STUMP is, therefore, not an entity, and should not be equated with Spitz tumors with limited metastatic potential. Novel diagnostic techniques are yielding promising results, and further evaluation is ongoing.
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Affiliation(s)
- F D Menezes
- Department of Pathology, Instituto Portugues de Oncologia do Porto FG, Rua Dr Antonio Bernardino de Almeida, Porto 4200-072, Portugal
| | - W J Mooi
- Department of Pathology, VU University Medical Center, PO Box 7057, Amsterdam 1007 MB, The Netherlands.
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Mandel VD, Persechino F, Berardi A, Ponti G, Ciardo S, Rossi C, Pellacani G, Farnetani F. Congenital Glioblastoma multiforme and eruptive disseminated Spitz nevi. Ital J Pediatr 2016; 42:47. [PMID: 27180150 PMCID: PMC4868014 DOI: 10.1186/s13052-016-0260-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Accepted: 05/05/2016] [Indexed: 11/10/2022] Open
Abstract
Background Glioblastoma multiforme (GBM) is the deadliest malignant primary brain tumor in adults. GBM develops primarily in the cerebral hemispheres but can develop in other parts of the central nervous system. Its congenital variant is a very rare disease with few cases described in literature. Case presentation We describe the case of a patient with congenital GBM who developed eruptive disseminated Spitz nevi (EDSN) after chemotherapy. Few cases of EDSN have been described in literature and this rare clinical variant, which occurs predominantly in adults, is characterized by multiple Spitz nevi in the trunk, buttocks, elbows and knees. There is no satisfactory treatment for EDSN and the best therapeutic choice is considered the clinical observation of melanocytic lesions. Conclusion We recommend a close follow-up of these patients with clinical observation, dermoscopy and reflectance confocal microscopy (RCM). However, we suggest a surgical excision of the lesions suspected of being malignant.
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Affiliation(s)
- Victor Desmond Mandel
- Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, Dermatology Unit, University of Modena and Reggio Emilia, via del Pozzo 71, Modena, 41124, Italy
| | - Flavia Persechino
- Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, Dermatology Unit, University of Modena and Reggio Emilia, via del Pozzo 71, Modena, 41124, Italy
| | - Alberto Berardi
- Unità Operativa di Terapia Intensiva Neonatale, Dipartimento Integrato Materno-Infantile, Azienda Ospedaliero-Universitaria Policlinico, via del Pozzo 71, Modena, 41124, Italy
| | - Giovanni Ponti
- Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, Clinical Pathology Unit, University of Modena and Reggio Emilia, via del Pozzo 71, Modena, 41124, Italy
| | - Silvana Ciardo
- Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, Dermatology Unit, University of Modena and Reggio Emilia, via del Pozzo 71, Modena, 41124, Italy
| | - Cecilia Rossi
- Terapia Intensiva Neonatale, Arcispedale Santa Maria Nuova, Istituto di Ricovero e Cura a Carattere Scientifico-IRCCS, viale Risorgimento 80, Reggio Emilia, 42123, Italy.
| | - Giovanni Pellacani
- Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, Dermatology Unit, University of Modena and Reggio Emilia, via del Pozzo 71, Modena, 41124, Italy
| | - Francesca Farnetani
- Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, Dermatology Unit, University of Modena and Reggio Emilia, via del Pozzo 71, Modena, 41124, Italy
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