VERRUCOUS SPITZ NEVUS – The Journal of Pediatrics

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A two-year-old boy presented with an asymptomatic lesion on his right auricular lobe
present for two months. On physical examination, a 10mm reddish, hyperkeratotic, and
verruciform nodule was observed (
Figure 1). High-frequency ultrasonography was performed, showing a well-defined hypoechoic
structure without fast flow. The lesion was surgically removed and histopathological
examination revealed a papillomatous, symmetrical, and well-circumscribed lesion with
a predominance of epithelioid melanocytic cells, cellular maturation in the deep dermis,
and absence of atypia or mitosis (
Figure 2). A diagnosis of verrucous Spitz nevus was made. Two months after the surgery 2 small
red papules grew over the scar (
Figure 3), thus a deep excision was carried out, showing similar histopathological findings.
During 9 months of follow-up, no subsequent local recurrences were observed.

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Figure 1
Hyperkeratotic and verruciform nodule on the auricular lobe.

Figure thumbnail gr2

Figure 2
Histopathological findings in Spitz nevus (Panoramic view. Hematoxylin&Eosin).

Figure thumbnail gr3

Figure 3
Typical red papules of a Spitz nevus.

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