Korean J Dermatol.  2004 Apr;42(4):482-484.

A Case of Pigmented Spindle Cell Nevus

Affiliations
  • 1Department of Dermatology Pochon Chung-Mun University College of Medicine, Bundang CHA Hospital, Bundang, Korea. dabin0508@hanmail.net

Abstract

Pigmented spindle cell nevus (PSCN) is often interpreted as a Spitz nevus or misdiagnosed as a malignant melanoma. Some authors consider PSCN as a pigmented variant of Spitz nevus, but many dermatologists classify it as a separate disease. We report a case of pigmented spindle cell nevus which occurred in a 4-year-old boy. The lesion was a well-demarcated, 3x3mm sized, black macule on the dorswn part of the 4th finger, left hand. The histopathologic findings of the excisional biopsy specimen revealed the proliferation of uniform, spindle shaped, pigmented melanocytes at the dermoepidermal junction and sharply defined lateral margins. The pathologic features were consistent with PSCN.

Keyword

PSCN; Malignant melanoma; Spitz nevus

MeSH Terms

Biopsy
Child, Preschool
Fingers
Hand
Humans
Male
Melanocytes
Melanoma
Nevus, Epithelioid and Spindle Cell
Nevus, Spindle Cell*
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