12,045 results match your criteria: "Halo Nevus"

With regard to excision of pigmented lesions for detection of malignant melanoma (MM), the number needed to treat (NNT) describes the number of melanocytic nevi that need to be biopsied/excised to detect one MM. The aim should be a low NNT. : Single-center data analysis, including dermatohistopathological records of all nevi and MM cases during 2004-2013 at the Department of Dermatology, University Hospital Regensburg (UKR), was performed.

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BACKGROUND Optic disc melanocytoma (magnocellular nevus of the optic disc) is a benign congenital pigmented tumor, usually unilateral, asymptomatic, and mostly discovered in routine examinations in adult patients; however, it is associated with choroidal neovascularization. It can be difficult to differentiate it from juxta-papillary choroidal melanoma. Aflibercept is a monoclonal antibody targeting vascular endothelial growth factor A (anti-VEGF-A).

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Article Synopsis
  • A total of 15 patients (5 men, 10 women) underwent the procedure, which involved excising the nevus while placing a silicone tube to support the area; surgeries lasted about 22 minutes on average.
  • Post-surgery results showed no recurrence of nevi, healthy healing with normal eyelid appearance, and no significant complications observed during follow-up periods ranging from 6 months to 2 years.
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Therapeutic Strategies in Neurocutaneous Melanocytosis.

Anticancer Res

December 2024

Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, U.S.A.

Article Synopsis
  • * The condition is usually fatal if symptoms appear, with a high chance of the brain lesions becoming malignant, especially in those with larger skin nevi.
  • * Current treatments focus on palliative care and aim to manage symptoms, as there is no cure, highlighting the need for ongoing research to develop effective therapies and address this critical medical gap.
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Optic disk melanocytoma (ODM) is a rare ophthalmic tumor that can present with local compressive effects such as retinal vascular occlusion (RVO) that results in neovascularization of the disk (NVD) and is reportedly challenging to treat. We report the case of a 37-year-old Black African male with a two-year history of painless nonprogressive blur in his right eye vision. Findings on ocular examination include best corrected visual acuity right eye 6/18 and left eye 6/6, right eye relative afferent pupillary defect, and a large dark brown pigmented mass covering the optic disc measuring 4.

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Article Synopsis
  • * Misdiagnosis (both under and over) of melanomas occurs frequently because benign lesions can mimic melanoma characteristics.
  • * Accurate diagnosis relies on strong clinico-pathological correlation, detailed cytological analysis, and appropriate use of immunohistochemistry to prevent harmful misdiagnoses.
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Article Synopsis
  • Eruptive disseminated Spitz nevi (EDSNs) are rare skin growths that typically do not become cancerous and most often maintain their appearance, leading to psychological stress for those affected.
  • An 18-year-old male experienced a sudden increase in pigmented nevi over a period of 20 days.
  • After a two-year observation period, most of these nevi disappeared on their own without any medical intervention.
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Article Synopsis
  • - Choroidal nevi are benign eye lesions often found during eye exams, and while they rarely become malignant, they are frequently referred to specialists, leading to a backlog in care for patients with more serious conditions.
  • - The MOLES score was developed to help non-specialists distinguish between choroidal nevi and melanoma, demonstrating high specificity (96%) and sensitivity (100%) in a study involving nearly 700 patients.
  • - Combining the MOLES score for initial screenings with the TFSOM-DIM score for assessing tumor progression can improve patient management and referrals, guiding both non-experts and specialists in monitoring these eye conditions.
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Melanoma arising in association with a blue nevus (BN) is rare but has molecular similarities to uveal melanoma (UM), including GNAQ/11 mutations. Tebentafusp was recently approved for UM based on improved overall survival in a phase 3 study. We hypothesized that tebentafusp may be active in BN-associated melanoma.

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Purpose: To clarify the clinical and pathologic findings of 7 patients with inflamed juvenile conjunctival nevus (IJCN) treated with tacrolimus.

Study Design: Retrospective study.

Subjects And Methods: The medical records of 7 male patients diagnosed with IJCN between February 2007 and October 2022 at the Kansai Medical University Hospital and Ideta Eye Hospital were retrospectively reviewed.

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[Significance of the preferentially expressed antigen in melanoma in discriminating the conjunctival malignant melanoma and pigmented nevus].

Zhonghua Yan Ke Za Zhi

November 2024

Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou 510060, China.

Article Synopsis
  • - The study examined the role of preferentially expressed antigen in melanoma (PRAME) for distinguishing between conjunctival malignant melanoma and pigmented nevus using samples from 172 patients collected from 2017 to 2024.
  • - Results showed that 89.53% of malignant melanoma cases tested positive for PRAME, compared to only 1.16% in pigmented nevus cases, indicating a significant difference (p<0.05).
  • - PRAME demonstrated high sensitivity (89.53%) and specificity (98.84%) as a diagnostic biomarker for conjunctival malignant melanoma, although expression did not vary significantly across different clinical stages of the disease.
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Giant congenital pigmented nevi constitute an extremely diverse group of skin lesions with varying morphologies. These nevi are often associated with many clinical implications, such as increased risk of melanoma and the presence of neurocutaneous melanosis, with melanoma being the primary concern. We present a rare case of a 62-year-old patient with a giant congenital birthmark who reported to the oncology department due to a tumor in the lower abdomen detected during an ultrasound examination.

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Dermatoscopic Radial Rippling of Pigment: A Potential Indicator of Pigmented Bowen's Disease.

Skinmed

October 2024

Empire Dermatology (Private Practice), Syracuse, NY.

Article Synopsis
  • - Pigmented Bowen's disease (pBD) is a rare form of Bowen's disease, making up only 1.67%-5.5% of lesions, and it can be mistaken for various skin conditions like actinic keratosis and melanoma.
  • - This skin condition usually appears as a flat or slightly raised, scaly, and well-defined plaque, mainly affecting individuals in their sixties and is generally asymptomatic.
  • - Key risk factors for developing pBD include HPV infection, exposure to arsenic and sunlight, ionizing radiation, and skin trauma.
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Over the past decade, advancements in molecular biology have contributed to changes in the diagnostic classification of Spitz neoplasms, including Spitz nevi, atypical Spitz tumors, and Spitz melanomas. The recent World Health Organization classification of skin tumors identifies fusion kinases, including NTRK1, NTRK2, and NTRK3, as critical drivers of these lesions. New fusion genes have continued to expand the spectrum of known molecular alterations, particularly within the category of Spitz NTRK-rearranged lesions.

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Pediatric melanomas are rare and some of them may arise on giant congenital melanocytic nevi. The risk of developing melanoma on a medium-sized nevus is not clear but is thought to be very rare. Proliferative cellular nodules which mimic malignant melanoma may pose significant diagnostic challenges.

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Congenital melanocytic nevus syndrome: An association between congenital melanocytic nevi and neurological abnormalities.

Semin Pediatr Neurol

October 2024

Department of Pediatrics, Division of Pediatric Dermatology, Dell Medical School, University of Texas, 1301 Barbara Jordan Blvd, Suite 200A, Austin, TX 78723, United States. Electronic address:

Article Synopsis
  • Congenital melanocytic nevus syndrome is characterized by the presence of congenital melanocytic nevi (CMN) along with various neurosystem abnormalities, primarily due to mutations in the NRAS gene.
  • CMN appears as collections of melanocytes on the skin and can be classified by size and various clinical features like location and color, while neurological issues might include seizures and developmental delays.
  • Early MRI screening of the central nervous system in infants is essential for assessing potential neurological risks, and while some outcomes are favorable with normal MRI results, severe complications can arise if melanoma develops.
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Article Synopsis
  • This study examines how combining total body photography (TBP), digital dermoscopy (DD), and reflectance confocal microscopy (RCM) improves early detection of melanoma in high-risk patients compared to using only dermoscopy.
  • In the intervention group (IG), patients received regular 3D-TBP, DD, and RCM monitoring, resulting in more diagnoses of second primary melanomas and excised nevi than the control group (CG), which only used dermoscopy.
  • The results suggest that this combination of monitoring techniques not only detected more melanomas but also reduced the number needed to treat (NNT), demonstrating the effectiveness of advanced technologies in melanoma detection.
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Overlapping large facial nevus spilus and nevus of Ota: A case report diagnosed with dermoscopy and reflectance confocal microscopy.

Photodiagnosis Photodyn Ther

October 2024

Department of Dermatology, Air Force Medical Center, PLA, No.30 Fucheng Road, Beijing 100142, PR China. Electronic address:

Article Synopsis
  • A 25-year-old woman presented with a large facial hyperpigmentation that began as a blue-brown patch at one month old and progressively enlarged, covering the entire right side of her face.
  • Diagnosis involved dermoscopic and confocal microscopy exams, revealing overlapping conditions of nevus spilus and nevus of Ota, with no signs of cancer.
  • Successful treatment was achieved with a Q-switched alexandrite laser, demonstrating the importance of advanced imaging techniques in diagnosing and managing rare facial pigmentation disorders.
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Spitz melanoma with MAP3K8::ABLIM1 rearrangement: a case report with review of the literature.

Diagn Pathol

October 2024

Department of Laboratory Medicine and Pathology, University of Minnesota, Mayo Memorial Building 420 Delaware Street SE, Minneapolis, MN, 55455, USA.

Article Synopsis
  • - Spitz tumors are rare melanocytic lesions mostly found in younger individuals but can occur at any age. They usually show distinct cellular features and often have mutations or fusions driving their development.
  • - A case study details a 43-year-old woman with a malignant Spitz tumor, identified through histological and immunohistochemical analysis showing various protein expressions. Genetic testing revealed a specific fusion gene (MAP3K8::ABLIM1) and additional mutations linked to a poorer prognosis.
  • - This case highlights a new variant of MAP3K8 fusion associated with Spitz melanoma, contributing to our understanding of its diverse cellular and genetic characteristics and potential implications for patient outcomes.
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Article Synopsis
  • * A case study highlights a 36-year-old first-time mother with BRBNS who had a cesarean section using spinal anesthesia due to breech presentation, with careful pre-operation imaging done to avoid complications.
  • * Managing pregnant women with BRBNS requires thorough evaluation of VMs to predict potential complications and determine the safest delivery and anesthesia options.
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Although melanocytic nevi have a relatively uneventful course throughout their existence, some may develop an inflammatory reaction known as the Meyerson phenomenon. Initially, the Meyerson phenomenon has been exclusively described in melanocytic nevi. However, it has since been observed in both pigmented and non-pigmented lesions, thus expanding the description from Meyerson nevus to the phenomenon.

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Halo angiokeratoma.

JAAD Case Rep

September 2024

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; and Division of Dermatology, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

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Article Synopsis
  • The study discusses a case of a 21-year-old woman with rare, grouped lesions known as acquired agminated nevi located in her axillae.
  • Using a picosecond 532 nm Nd:YAG laser, significant cosmetic improvement was achieved after multiple treatments, outperforming other laser types.
  • The research highlights the uniqueness of the case due to the bilateral occurrence of the nevi and emphasizes the importance of monitoring post-treatment since potential risks like atypia and melanoma can arise.
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