Managing Spitz lesions in children

[2 min read] This month we share a fascinating research letter from our friend Dr Aimilios Lallas and his colleagues. In this paper published in JAMA Dermatology, they reviewed the outcome of flat, pigmented Spitz lesions in children.

In essence, they found that all such lesions reviewed in their clinic were found to be benign Spitz lesions if they were excised due to, for example, asymmetric growth.

The latest guidelines for managing Spitz lesions instruct that any spitzoid-looking lesion after the age of 12 years and any asymmetric and nodular lesion at any age should be excised, whereas lesions with a typical starburst pattern before puberty should be monitored until stabilisation.

Lallas et al make the point that asymmetry before age 12 does not actually mandate excision as all such lesions have been found to be benign. The authors also make the point, however, that family anxiety is typically so high that monitoring or excision will usually follow anyway!

Professor David Wilkinson

Read more from Professor David Wilkinson on recent research:

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One comment on “Managing Spitz lesions in children

  1. i encountered a starburst lesion on a 8 year old midback which i decided to leave alone and just reassured her parents. i advised a yearly dermoscopic check to keep an eye