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2.
Am J Dermatopathol ; 26(4): 310-33, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15249862

RESUMO

Our purpose in undertaking this Arbeit was to review all articles published about "atypical" Spitz's nevus, "malignant" Spitz's nevus, and "metastasizing" Spitz's nevus, to criticize them in a fashion that illuminates, and to come to conclusions compellingly about those subjects. We found that an overwhelming majority of neoplasms that claimed to be "atypical Spitz's nevus," "metastasizing Spitz's nevus," and "malignant Spitz's nevus" were, in fact, melanomas ( Table 1). Moreover, in our estimation, those designations, and variants of them, like "atypical Spitz's lesion," "atypical dermal melanocytic lesion with features of Spitz's nevus," "atypical Spitzoid melanocytic neoplasm," and "problematic Spitzoid melanocytic lesion," are mere evasions from a diagnosis, straightforwardly, of either Spitz's nevus or melanoma. Diagnoses in pathology equally bogus are "minimal deviation melanoma," "borderline melanoma," "nevoid melanoma," "potentially low-grade melanocytic neoplasm," and "melanocytic lesion of uncertain biologic potential." Rather than admit uncertainty forthrightly, those who employ circumlocutions like those just mentioned resort to linguistic maneuvers that, at first blush, seem to be "academic" and constructed in such a way as to appear to convey confidence, rather than tentativeness, on the part of a histopathologist. On further scrutiny, however, each of those cliches is revealed to be devoid of content. For example, "malignant" Spitz's nevus and "metastasizing" Spitz's nevus not only are contradictions in terms, but they are outrageous violations of fundamental principles of classic Virchowian pathology, and "atypical" Spitz's nevus not only is a redundancy because the neoplasm was so atypical to Spitz, herself, she insisted (from the time she spawned the idea in 194 through 1951 it was a "malignant melanoma," but is abject intellectually, those who invoke it never setting forth, in clear-cut fashion, criteria for what constitutes a "typical" Spitz's nevus in contradistinction to an "atypical" one.


Assuntos
Nevo de Células Epitelioides e Fusiformes/patologia , Neoplasias Cutâneas/patologia , Terminologia como Assunto , Diagnóstico Diferencial , História do Século XX , Humanos , Melanoma/diagnóstico , Melanoma/secundário , Metástase Neoplásica , Nevo de Células Epitelioides e Fusiformes/história , Neoplasias Cutâneas/história
3.
Actas dermo-sifiliogr. (Ed. impr.) ; 92(6): 305-307, jun. 2001.
Artigo em Es | IBECS | ID: ibc-1183

RESUMO

Un varón de 23 años presentó una lesión pigmentada, sésil, dura al tacto de 3 años de evolución, en región deltoidea derecha. La biopsia mostró en toda la dermis una neoformación de células névicas fusiformes y epitelioides agrupadas en tecas, las cuales estaban rodeadas por un estroma intensamente fibroso y cuyo diagnóstico final fue el de nevo de Spitz desmoplásico. Para algunos autores se trata de una variante del tumor descrito por Spitz en 1948, aunque para otros es una entidad histológica peculiar, con rasgos propios, aunque compartiendo casi todos los criterios histopatológicos de dicho tumor (AU)


Assuntos
Melanoma , Biópsia/métodos , Nevo de Células Epitelioides e Fusiformes/diagnóstico , Nevo de Células Epitelioides e Fusiformes/história , Nevo de Células Epitelioides e Fusiformes/terapia
4.
Actas dermo-sifiliogr. (Ed. impr.) ; 92(1/2): 41-43, ene. 2001.
Artigo em Es | IBECS | ID: ibc-942

RESUMO

El nevo de Spitz es habitualmente una lesión solitaria benigna. La aparición de múltiples lesiones agrupadas (nevos de Spitz agminados) es muy rara. Describimos un ejemplo de una niña de 2 años con múltiples nevus de Spitz agrupados en la mitad izquierda de la cara (AU)


Assuntos
Bochecha , Biópsia/métodos , Hiperpigmentação/etiologia , Hiperpigmentação/história , Síndrome do Nevo Displásico/etiologia , Nevo de Células Epitelioides e Fusiformes/história , Nevo de Células Epitelioides e Fusiformes/diagnóstico
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