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Authors

 

Anđelija Živković Stanojević¹, Darko Simonović¹, Jordan Radojičić^2
1 Dom zdravlja Bela Palanka
² Vojna Bolnica Niš

 

• The paper was received on 26.11.2015. / Accepted on 30.11.2015.

 

Abstract

 

Nevus are benign lesions of skin made of nevus cells. Significance of Spitz nevus (and its variations) is emphasized because they could show great clinical and also histological similarity to malignant melanoma. In following presentation female patient 37-year-old reports changes of skin on the interior side of the right upper arm in the form of nevus which is present from childhood and itching in its surroundings. One year backwards lesions form, edges and colorations become irregular. After clinical examination, change of skin on the interior side of the right upper arm, dimensions 5x4 mm, irregular form, inhomogeneous without changes in surroundings is observed. Patient gets order for dermatologist regarding to risk factors from anamnesis and clinical examination. After dermoscopy and overview of Spitz nevus, treatment is completed with excision of nevus and final pathohystological diagnosis of composite naevocellular nevus. Because of high frequency of pigment lesions in population,  recognition, supervision and if necessary treatment is needed. For family doctor it is important to recognize risk factors for occurrence of this lesions, clinical signs for suspiciousness of lesions that require further dermatological examinations. Foundation of dermatological supervision is dermoscopy as non-invasive, in vivo method for skin changes examination and their eventual differentiation.
Conclusion: All suspicious pigment lesions of skin should always be examined dermoscopicaly, especially for patients with verified risk factors. Continuous prevention in developing healthy life habits and education of patients for self-examination is necessary.

 

 

References

 

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PDF Živković Stanojević A. et al. • MD-Medical Data 2015;7(4): 323-326