PMID- 21339450 OWN - NLM STAT- MEDLINE DCOM- 20110404 LR - 20110222 IS - 1538-3652 (Electronic) IS - 0003-987X (Linking) VI - 147 IP - 2 DP - 2011 Feb TI - Two cases of multiple spitz nevi: correlating clinical, histologic, and fluorescence in situ hybridization findings. PG - 227-31 LID - 10.1001/archdermatol.2010.439 [doi] AB - BACKGROUND: The occurrence of multiple Spitz nevi is rare, especially the disseminated variant. Multiple Spitz nevi may be confused with, and must be differentiated from, primary spitzoid melanoma and cutaneous melanoma metastases. Over the past decade, fluorescence in situ hybridization (FISH) has emerged as a tool for studying melanocytic neoplasms, helping to differentiate between melanoma and benign melanocytic nevi. We describe 2 cases of patients with multiple Spitz nevi and their FISH results. OBSERVATIONS: One case of disseminated Spitz nevi, in a 17-year-old female, showed balanced tetraploidy using FISH, while the other case, in a 51-year-old female with multiple Spitz nevi, showed normal diploid cells without significant gains or losses in chromosomes 6 or 11. CONCLUSIONS: Patients may present with multiple, even disseminated, Spitz nevi. This phenotype should not be confused with melanoma and/or cutaneous metastasis. The use of FISH studies in context with careful correlation of clinical features and dermoscopic and histologic findings can assist in the diagnostic workup. CI - (c)2011 American Medical Association. All rights reserved. FAU - Boone, Susan L AU - Boone SL AD - Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA. FAU - Busam, Klaus J AU - Busam KJ FAU - Marghoob, Ashfaq A AU - Marghoob AA FAU - Fang, Yuqiang AU - Fang Y FAU - Guitart, Joan AU - Guitart J FAU - Martini, Mary AU - Martini M FAU - Gerami, Pedram AU - Gerami P LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arch Dermatol JT - Archives of dermatology JID - 0372433 SB - IM CIN - Arch Dermatol. 2011 Feb;147(2):232-3. PMID: 21339451 MH - Adolescent MH - Chromosome Aberrations MH - Diagnosis, Differential MH - Diploidy MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Middle Aged MH - Nevus, Epithelioid and Spindle Cell/genetics/*pathology MH - Skin Neoplasms/genetics/*pathology MH - Tetraploidy EDAT- 2011/02/23 06:00 MHDA- 2011/04/05 06:00 CRDT- 2011/02/23 06:00 PHST- 2011/02/23 06:00 [entrez] PHST- 2011/02/23 06:00 [pubmed] PHST- 2011/04/05 06:00 [medline] AID - 147/2/227 [pii] AID - 10.1001/archdermatol.2010.439 [doi] PST - ppublish SO - Arch Dermatol. 2011 Feb;147(2):227-31. doi: 10.1001/archdermatol.2010.439.