Cellular blue nevus (CBN) lymph node metastases of the neck with no primary skin lesion: A case report and review of literature

Summary A case of cervical lymph node infiltration by a benign cellular blue nevus (CBN) and a 27-year disease history is presented. Dermal dendritic melanocytes and pigmented spindle cells presented no histological evidence of malignancy (CD34−, desmin−, PanCy−, HMB-45+, anti-S-100+, Bcl-2+, MART-1...

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Veröffentlicht in:Journal of cranio-maxillo-facial surgery 2010-12, Vol.38 (8), p.601-604
Hauptverfasser: Scheller, Konstanze, MD, DMD, Scheller, Christian, MD, Becker, Susann, MD, Holzhausen, Hans-Jürgen, MD, PhD, Schubert, Johannes, MD, DMD, PhD
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container_end_page 604
container_issue 8
container_start_page 601
container_title Journal of cranio-maxillo-facial surgery
container_volume 38
creator Scheller, Konstanze, MD, DMD
Scheller, Christian, MD
Becker, Susann, MD
Holzhausen, Hans-Jürgen, MD, PhD
Schubert, Johannes, MD, DMD, PhD
description Summary A case of cervical lymph node infiltration by a benign cellular blue nevus (CBN) and a 27-year disease history is presented. Dermal dendritic melanocytes and pigmented spindle cells presented no histological evidence of malignancy (CD34−, desmin−, PanCy−, HMB-45+, anti-S-100+, Bcl-2+, MART-1+, focally expression of melan A, 1% Ki-67+ of the tumour cell nucleoli). The differentiation of the benign blue nevus (BN) from a malignant blue nevus (MBN) and a malignant melanoma (MM) is still a challenge. Because of the malignant transformation potential of 5.2–6.3% a histological examination and a conservative surgical approach with close follow up are mandatory.
doi_str_mv 10.1016/j.jcms.2010.01.008
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Dermal dendritic melanocytes and pigmented spindle cells presented no histological evidence of malignancy (CD34−, desmin−, PanCy−, HMB-45+, anti-S-100+, Bcl-2+, MART-1+, focally expression of melan A, 1% Ki-67+ of the tumour cell nucleoli). The differentiation of the benign blue nevus (BN) from a malignant blue nevus (MBN) and a malignant melanoma (MM) is still a challenge. Because of the malignant transformation potential of 5.2–6.3% a histological examination and a conservative surgical approach with close follow up are mandatory.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2010.01.008</identifier><identifier>PMID: 20223677</identifier><identifier>CODEN: JCMSET</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Biological and medical sciences ; cellular blue nevus (CBN) lymph node metastases ; Dentistry ; Dermatology ; Diagnosis, Differential ; Hematologic and hematopoietic diseases ; Humans ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Lymph Nodes - pathology ; Lymph Nodes - surgery ; Lymphatic Metastasis ; Male ; Medical sciences ; Melanoma - pathology ; Middle Aged ; Neck ; Nevus, Blue - pathology ; Nevus, Blue - surgery ; no malignant transformation ; no primary skin-lesion ; Otorhinolaryngology. 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Dermal dendritic melanocytes and pigmented spindle cells presented no histological evidence of malignancy (CD34−, desmin−, PanCy−, HMB-45+, anti-S-100+, Bcl-2+, MART-1+, focally expression of melan A, 1% Ki-67+ of the tumour cell nucleoli). The differentiation of the benign blue nevus (BN) from a malignant blue nevus (MBN) and a malignant melanoma (MM) is still a challenge. Because of the malignant transformation potential of 5.2–6.3% a histological examination and a conservative surgical approach with close follow up are mandatory.</description><subject>Biological and medical sciences</subject><subject>cellular blue nevus (CBN) lymph node metastases</subject><subject>Dentistry</subject><subject>Dermatology</subject><subject>Diagnosis, Differential</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Lymph Nodes - pathology</subject><subject>Lymph Nodes - surgery</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Melanoma - pathology</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>Nevus, Blue - pathology</subject><subject>Nevus, Blue - surgery</subject><subject>no malignant transformation</subject><subject>no primary skin-lesion</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - surgery</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Tumors of the skin and soft tissue. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Lymph Nodes - pathology</topic><topic>Lymph Nodes - surgery</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melanoma - pathology</topic><topic>Middle Aged</topic><topic>Neck</topic><topic>Nevus, Blue - pathology</topic><topic>Nevus, Blue - surgery</topic><topic>no malignant transformation</topic><topic>no primary skin-lesion</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Skin Neoplasms - pathology</topic><topic>Skin Neoplasms - surgery</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scheller, Konstanze, MD, DMD</creatorcontrib><creatorcontrib>Scheller, Christian, MD</creatorcontrib><creatorcontrib>Becker, Susann, MD</creatorcontrib><creatorcontrib>Holzhausen, Hans-Jürgen, MD, PhD</creatorcontrib><creatorcontrib>Schubert, Johannes, MD, DMD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cranio-maxillo-facial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scheller, Konstanze, MD, DMD</au><au>Scheller, Christian, MD</au><au>Becker, Susann, MD</au><au>Holzhausen, Hans-Jürgen, MD, PhD</au><au>Schubert, Johannes, MD, DMD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cellular blue nevus (CBN) lymph node metastases of the neck with no primary skin lesion: A case report and review of literature</atitle><jtitle>Journal of cranio-maxillo-facial surgery</jtitle><addtitle>J Craniomaxillofac Surg</addtitle><date>2010-12-01</date><risdate>2010</risdate><volume>38</volume><issue>8</issue><spage>601</spage><epage>604</epage><pages>601-604</pages><issn>1010-5182</issn><eissn>1878-4119</eissn><coden>JCMSET</coden><abstract>Summary A case of cervical lymph node infiltration by a benign cellular blue nevus (CBN) and a 27-year disease history is presented. Dermal dendritic melanocytes and pigmented spindle cells presented no histological evidence of malignancy (CD34−, desmin−, PanCy−, HMB-45+, anti-S-100+, Bcl-2+, MART-1+, focally expression of melan A, 1% Ki-67+ of the tumour cell nucleoli). The differentiation of the benign blue nevus (BN) from a malignant blue nevus (MBN) and a malignant melanoma (MM) is still a challenge. Because of the malignant transformation potential of 5.2–6.3% a histological examination and a conservative surgical approach with close follow up are mandatory.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>20223677</pmid><doi>10.1016/j.jcms.2010.01.008</doi><tpages>4</tpages></addata></record>
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subjects Biological and medical sciences
cellular blue nevus (CBN) lymph node metastases
Dentistry
Dermatology
Diagnosis, Differential
Hematologic and hematopoietic diseases
Humans
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymph Nodes - pathology
Lymph Nodes - surgery
Lymphatic Metastasis
Male
Medical sciences
Melanoma - pathology
Middle Aged
Neck
Nevus, Blue - pathology
Nevus, Blue - surgery
no malignant transformation
no primary skin-lesion
Otorhinolaryngology. Stomatology
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Surgery
Treatment Outcome
Tumors of the skin and soft tissue. Premalignant lesions
title Cellular blue nevus (CBN) lymph node metastases of the neck with no primary skin lesion: A case report and review of literature
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