A Case of Blue Nevus Mimicking Malignant Melanoma Within a Keloid Scar

Blue nevus is a type of melanocytic nevus which clinically presents itself as blue/gray plaque or nodule. It most commonly develops upon distal extremities especially dorsal hands and feet, trunk and scalp. Histopathologically, heavy melanocyte aggregations in the deep dermis result in blue nevus formation. Different types of blue nevus include common blue nevus, cellular blue nevus, plaque-type blue nevus, combined blue nevus, desmoplastic blue nevus and subungal blue nevus. Although clinical findings may be sufficient to diagnose blue nevus, dermoscopy could be used as a helpful tool to aid in reaching the correct diagnosis. Dermoscopy usually shows diffuse bluegray structureless area but since atypical clinical and dermoscopical features may be observed, histopathological diagnosis is the definitive step to differentiate blue nevus from its mimickers such as malignant melanoma. We want to present an interesting case of blue nevus mimicking malignant melanoma developing in a scar.

___

[1] Di Cesare A, Sera F, Gulia Aet al. The spectrum of dermatoscopic patterns in blue nevi. J Am Acad Dermatol 2012; 67: 199-205.

[2] Sardoy A, Bidabehere MB, Gubiani ML et al. Blue Nevus with Satellite Lesions Mimicking Malignant Melanoma. Actas Dermosifiliogr 2018; 109; 377-378.

[3] Theopold C, Pritchard S, McGrouther DA et al. Keloid scar harbouring malignant blue naevus emphasises the need for excision biopsy and routine histology. J Plast Reconstr Aesthet Surg 2009; 62:93-95.

[4] Yonei N, Kimura A, Furukawa F et al. Common blue nevus with satellite lesions needs a differential diagnosis from malignant melanoma. Case Rep Dermatol 2013; 5; 244- 247.

[5] Ciudad-Blanco C, Avilés-Izquierdo JA, Lázaro-Ochaita P et al. Dermoscopic findings for the early detection of melanoma: an analysis of 200 cases. Actas Dermosifiliogr 2014; 105; 683-693.
Acta Medica-Cover
  • ISSN: 2147-9488
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: HACETTEPE ÜNİVERSİTESİ