Keloid scar harbouring malignant blue naevus emphasises the need for excision biopsy and routine histology

Summary We report the finding of a malignant blue naevus of 14.3 mm Breslow thickness in association with a keloid scar on the earlobe of an Afrocaribbean gentleman. Malignant blue naevus is extremely rare and to date it has not been reported in association with keloid scars. We recommend routine hi...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2009-01, Vol.62 (1), p.93-95
Main Authors: Theopold, C, Pritchard, S, McGrouther, D.A, Bayat, A
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Dermatology
Diagnosis, Differential
Ear Neoplasms - complications
Ear Neoplasms - pathology
Ear Neoplasms - surgery
Ear, External - pathology
Excision biopsy
Histology
Humans
Keloid - complications
Keloid - pathology
Keloid - surgery
Keloid scar
Male
Malignant blue naevus
Malignant melanoma
Medical sciences
Melanoma - pathology
Nevus, Blue - complications
Nevus, Blue - pathology
Nevus, Blue - surgery
Plastic Surgery
Skin involvement in other diseases. Miscellaneous. General aspects
Skin Neoplasms - complications
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tumors of the skin and soft tissue. Premalignant lesions
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Summary:Summary We report the finding of a malignant blue naevus of 14.3 mm Breslow thickness in association with a keloid scar on the earlobe of an Afrocaribbean gentleman. Malignant blue naevus is extremely rare and to date it has not been reported in association with keloid scars. We recommend routine histopathological examination of all excised keloid scars. Where histopathological services are limited, examination should certainly be carried out for keloids with unusual characteristics. Excision should be complete, rather than intralesional, in order to avoid leaving behind areas of potential neoplasia.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2007.11.035