6533b827fe1ef96bd1286eef

RESEARCH PRODUCT

Complete Regression of Melanocytic Nevi: Correlation Between Clinical, Dermoscopic, and Histopathologic Findings in 13 Patients

Esperanza JordáM. RubioR. BellaCarlos MonteagudoJosé Martín

subject

Pathologymedicine.medical_specialtyHistologybusiness.industryMelanomaBenignityHistologyDermatologyMelanocytic nevusmedicine.diseaseMalignancyDermatologyPathology and Forensic MedicineMetastasisReticular connective tissuemedicinebusinessHalo nevus

description

Background: The complete regression of melanocytic tumors, confirmed by histology, has rarely been reported in the literature. It is very difficult to determine the malignant or benign nature of a regressed tumor, and on occasions, the only indication of malignancy is the subsequent development of metastasis. Material and methods: We performed a descriptive study of melanocytic nevi that had undergone complete, histologically confirmed regression prior to excision in the dermatology department of our hospital over a period of 3 years. We included only lesions in which dermoscopy performed prior to regression showed features that suggested benignity. We assessed various clinical, dermoscopic, histologic, and immunohistochemical features. Results: The mean time to complete regression was 6.4 months. The main dermoscopic patterns observed were reticular and mixed reticular/globular. Unlike what is generally seen in melanomas, the main histologic finding was the presence of fine or lamellar fibrosis. In all

https://doi.org/10.1016/j.adengl.2012.06.017