0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Practice Gaps |

Underuse of Dermoscopy in Assessing Spitz Nevi in Children  Comment on “Spitz Nevi: Beliefs, Behaviors, and Experiences of Pediatric Dermatologists”

Ashfaq A. Marghoob, MD
JAMA Dermatol. 2013;149(3):291-292. doi:10.1001/jamadermatol.2013.1954.
Text Size: A A A
Published online

Extract

Few benign melanocytic lesions encountered in clinical practice elicit the levels of angst, confusion, and controversy caused by Spitz nevi. This is partly because their clinical, dermoscopic, and histopathologic features can overlap with those of melanoma and partly because their biology and natural history are not fully elucidated. Although the term benign juvenile melanoma has been dropped in favor of Spitz nevus or epitheloid and spindle cell nevus, the original name for this lesion does, in fact, convey the conundrum physicians face when confronted with a spitzoid lesion. Is it truly benign? Does it represent a malignant tumor masquerading as a benign one? Can it transform into a melanoma?

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. This pigmented Spitz nevus has a classic starburst pattern seen with dermoscopy. This pattern is considered benign when encountered in children. Bar = 1 mm.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2. In this pink Spitz nevus, dotted and serpentine vessels are seen with dermoscopy. This polymorphic vascular pattern is indistinguishable from the vascular pattern encountered in melanoma. Bar = 1 mm.

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

812 Views
1 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
Jobs
brightcove.createExperiences();