Management of Spitz nevus and atypical Spitz nevus or tumor in children

Because patients with Spitz tumors may have an increased risk of developing a melanoma, regular total body skin examinations are recommended for children and adolescents following a diagnosis of Spitz nevus or tumor. Details are provided in related UpToDate content.

SLNB: sentinel lymph node biopsy.
* Concerning clinical features include asymmetric growth, unexplained bleeding, or symptoms of itching or pain. Concerning dermoscopic features include focal pattern changes and asymmetric changes.
¶ Lesions that remain asymptomatic and without the development of concerning clinical and dermoscopic features after 3 years can be followed annually.
Δ For spitzoid tumors/proliferations that are ambiguous on histopathology, seek tertiary care pathology consultation.

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Management of Spitz nevus and atypical Spitz nevus or tumor in children