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Malignant transformation in a cellular blue nevus of long duration


European Journal of Dermatology. Volume 11, Number 3, 265-7, May - June 2001, Votre diagnostic !

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Author(s) : S. Sönmez Ergün, N. Büyükbabany, S. Kurul, M. Ulay, Y. Balsever Kural

Summary : A 77-year-old female patient was admitted to the dermatology clinic of another hospital with a lesion on her left buttock, which had been present for 60 years (Fig. 1). She noticed itching and bleeding of the lesion during the last six months. A punch biopsy was performed. Dermatological examination revealed a 1.6 x 1.1 cm greyish-blue firm plaque with well-defined borders, located on the lateral side of left buttock. There was no regional nodal involvement. Epiluminescence microscopy was suggestive of a dermal melanocytic proliferation. Typical topographic location, clinical and dermatoscopic examination data suggested a blue nevus.

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