Image in medicine
Blue papule on a nevus spilus
Pápula azulada sobre nevus spilus
Nicolás Silvestre Torner
, Adrián Imbernón Moya, Marta Martínez García, Sergio Tabbara Carrascosa
Corresponding author
Servicio de Dermatología, Hospital Universitario Severo Ochoa, Leganés, Madrid, Spain
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The skin examination revealed a 4 mm diameter papule with a homogeneous blue dermoscopic pattern located on a 5 × 3 cm <span class="elsevierStyleItalic">nevus spilus o</span>n the left breast (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The histopathological study showed the presence of a well-defined benign vascular lesion located in the mid-deep dermis, with blood content and lined by endothelial cells without atypia or proliferative signs (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), confirming the diagnosis of capillary aneurysm.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The clinical differential diagnosis of this lesion includes vascular lesions, blue nevus, nodular melanoma, or pigmented basal cell carcinoma. Although there are few reported cases of melanoma developed on <span class="elsevierStyleItalic">nevus spilus,</span> the potential malignancy of this entity is still unknown. Therefore, surgical removal is recommended in the presence of a doubtful clinical lesion developed on a <span class="elsevierStyleItalic">nevus spilus</span> so as to rule out malignancy.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have not received funding to carry out this study.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Silvestre Torner N, Imbernón Moya A, Martínez García M, Tabbara Carrascosa S. Pápula azulada sobre <span class="elsevierStyleItalic">nevus spilus</span>. 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