Abstract

A Spitz nevus is a benign melanocytic lesion with many histologic similarities to malignant melanoma. A 10-year-old girl visited our outpatient clinic with a non-pigmented and elevated hypertrophic scar about 1.5×1.0 cm over her right ear helix. Approximately 3 months earlier, she had received an auricular tumor excision and two subsequent local steroids by another surgeon. A scar biopsy was done because of the progressive elevation of the lesion, and pathology showed a Spitz nevus. Wide excision of the lesion and then a full-thickness skin graft were done. The cosmetic result was satisfactory without any evidence of recurrence at a six-month follow-up.

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