Plexiform spitz nevus.

In 1999, Spatz et al. reported the first 2 cases of a plexiform variant Spitz nevus. We describe another case of this variant on the upper thigh of a 10-year-old boy and discuss the differential diagnosis. Histologically, it comprised nodules of epithelioid cells with a plexiform arrangement distrib...

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Main Authors: Clarke, B, Essa, A, Chetty, R
Format: Journal article
Language:English
Published: 2002
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author Clarke, B
Essa, A
Chetty, R
author_facet Clarke, B
Essa, A
Chetty, R
author_sort Clarke, B
collection OXFORD
description In 1999, Spatz et al. reported the first 2 cases of a plexiform variant Spitz nevus. We describe another case of this variant on the upper thigh of a 10-year-old boy and discuss the differential diagnosis. Histologically, it comprised nodules of epithelioid cells with a plexiform arrangement distributed throughout the superficial and deep dermis. The cells had moderate eosinophilic cytoplasm with vesicular nuclei and prominent nucleoli. Intranuclear inclusions were present focally. The tumor nodules were embedded in a myxoid stroma with intratumoral and peritumoral inflammatory cells including both lymphocytes and eosinophils. There were occasional melanin-containing spindle-shaped cells. An intraepidermal component could not be assessed, since the lesion was ulcerated. The differential diagnosis includes both melanocytic and nonmelanocytic lesions exhibiting a plexiform pattern of growth as well as myxoid lesions.
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spelling oxford-uuid:858a0871-5999-4231-8a27-211e7e9142d92022-03-26T21:58:11ZPlexiform spitz nevus.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:858a0871-5999-4231-8a27-211e7e9142d9EnglishSymplectic Elements at Oxford2002Clarke, BEssa, AChetty, RIn 1999, Spatz et al. reported the first 2 cases of a plexiform variant Spitz nevus. We describe another case of this variant on the upper thigh of a 10-year-old boy and discuss the differential diagnosis. Histologically, it comprised nodules of epithelioid cells with a plexiform arrangement distributed throughout the superficial and deep dermis. The cells had moderate eosinophilic cytoplasm with vesicular nuclei and prominent nucleoli. Intranuclear inclusions were present focally. The tumor nodules were embedded in a myxoid stroma with intratumoral and peritumoral inflammatory cells including both lymphocytes and eosinophils. There were occasional melanin-containing spindle-shaped cells. An intraepidermal component could not be assessed, since the lesion was ulcerated. The differential diagnosis includes both melanocytic and nonmelanocytic lesions exhibiting a plexiform pattern of growth as well as myxoid lesions.
spellingShingle Clarke, B
Essa, A
Chetty, R
Plexiform spitz nevus.
title Plexiform spitz nevus.
title_full Plexiform spitz nevus.
title_fullStr Plexiform spitz nevus.
title_full_unstemmed Plexiform spitz nevus.
title_short Plexiform spitz nevus.
title_sort plexiform spitz nevus
work_keys_str_mv AT clarkeb plexiformspitznevus
AT essaa plexiformspitznevus
AT chettyr plexiformspitznevus