Spitz nevi and other Spitzoid lesions : Part II. Natural history and management - 12/11/11
Abstract |
For dermatologists, evidence-based management guidelines for Spitz tumors have not been established. Despite the lack of a standardized approach, most dermatologists recommend the excision of Spitz tumors occurring in adults and adopt more conservative measures towards pediatric cases. The histopathologic attributes and the clinical scenario are factored into management in each case. While the metastatic behavior of certain Spitz tumors is well known, the malignant potential of these lesions remains unclear because they only rarely result in negative outcomes. The risks and benefits of adjunctive measures, such as sentinel lymph node biopsy and interferon use, remain untested and are subjects of ongoing controversy. (In part II of this continuing medical education article, we will continue to use the terminology defined in part I for purposes of continuity. “Spitz tumor” is used as the umbrella term for the entire category of lesions, “common Spitz nevi” refers to only the most typical lesions seen in pediatric cases, and “atypical Spitz tumors” encompass the “all other” category, which continues to cause debate.)
Le texte complet de cet article est disponible en PDF.Key words : atypical Spitz tumor management, natural history, Spitz nevus
Plan
Supported by a grant from the American Medical Association (Dr Luo), the National Institutes of Health (K24 CA149202-01 and to Dr Tsao), the American Cancer Society (RSG MGO-112970 to Dr Tsao) and generous donors to the MGH Millennium Melanoma Fund. |
Vol 65 - N° 6
P. 1087-1092 - décembre 2011 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?