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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:
- Managing patient anxiety while undergoing skin cancer excision
- Managing subungual melanoma in situ in general practice
- Diagnostic accuracy for skin cancer among non-doctors
- Dermoscopy in the diagnosis of melanoma in situ
- Can a course of fluorouracil cream reduce a person’s risk of BCC and SCC?
Interested in skin cancer medicine?
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