MANAGEMENT OF NEVUS-SPILUS

Nevus spilus is clinically defined as a pigmented skin lesion composed of a light brown macule on which darker, circumscribed macular or pap ular lesions appear at a later stage, Histologically, nevus cells have been found both in pigmented spots and in the background stain. Cases of transformation into melanoma have been reported in the literature and the excision of these lesions is therefore justified. We discuss s urgical techniques used in seven patients with nevus spilus and define their indications with respect to the characteristics of the lesion.