An 11-year-old boy had multiple agminated pigmented lesions distribute
d over the left scapula since the age of 2 years. Shave excision of fo
ur grouped lesions showed Spitz nevi (benign juvenile melanoma, spindl
e or epithelioid cell nevi) that were not totally excised basally. Thr
ee years later, a tumorous, keloidlike nodule developed on that site.
To the best of our knowledge, giant recurrence within an agminated Spi
tz nevus has not previously been reported.