08/03/2026
On International Women’s Day it is fitting to showcase a skin lesion bearing the name of a female pathologist - Sophie Spitz. Spitzoid lesions are fascinating. They are odd looking both to the naked eye and to the dermatoscope. And we absolutely need to enlist the pathologist’s help to arbitrate on benign versus malignant. Melanoma is a real possibility, and so all Spitzoid lesions (whether flat or raised) MUST be excised and submitted for histopathological diagnosis if the patient is aged 12 or older. Under the age of 12, all Spitzoid lesions with any degree of thickness/palpability must be excised.
Risk of a Spitzoid lesion being a melanoma increases sharply with age. At 30, the risk is 1 in 10. Over the age of 60, the risk is 4 in 5. This lady’s risk was 1 in 3, but luckily hers proved benign 🙌.
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