Spitz Nevus: Symptoms, Causes, and Treatments

Written by Medicover Team and Medically Reviewed by Dr Koppisetti Satya Naga Ravi Teja , Dermatologist

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Spitz nevus is a non-cancerous skin growth that mainly affects the skin of children and young adults. It often appears as a pink, red, or brown bump and can closely resemble melanoma, a type of skin cancer. Early diagnosis and expert evaluation are essential to ensure proper treatment and to prevent unnecessary anxiety or procedures.

What are the Symptoms and Warning Signs of Spitz Nevus?

Spitz nevi usually appear suddenly and grow quickly at first. They are often discovered during routine check-ups or skin self-exams.

Common Symptoms

• Pink, red, or brown dome-shaped bump
• Smooth, raised surface
• Symmetrical shape
• Most often found on the face, arms, or legs

Severe or Concerning Symptoms

• Rapid growth beyond the initial phase
• Changes in color or shape
• Bleeding, crusting, or ulceration
• Asymmetry or irregular borders (needs medical evaluation)

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What Are the Different Types of Spitz Nevus?

Spitz nevi can be categorized based on their appearance and histological features:

• Classic Spitz Nevus: Most common type, benign and symmetrical.
• Atypical Spitz Tumor: Shows features between a benign nevus and melanoma; requires closer monitoring or removal.
• Spitzoid Melanoma: A rare and malignant form that mimics Spitz nevus but has cancerous characteristics.

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What Are the Common Causes and Risk Factors of Spitz Nevus?

Genetic changes in skin cells generally cause Spitz nevus and are not typically linked to sun exposure like other moles.

Causes

• Genetic mutations (e.g., HRAS gene changes)
• Abnormal melanocyte development

Risk Factors

• Age: Common in children and teens
• Fair skin type
• Family history of Spitz nevi or unusual moles

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How is Spitz Nevus Diagnosed?

Spitz nevi require careful evaluation to rule out melanoma. At Medicover, we use advanced diagnostic tools for accurate and timely diagnosis.

Common Diagnostic Tests:

• Clinical Examination: Assesses symmetry, size, and color
• Dermoscopy: Identifies patterns like starburst or uniform pigmentation
• Biopsy and Histopathology: Confirms diagnosis by analyzing skin tissue under a microscope
• Molecular Testing: Helps distinguish atypical lesions from melanoma

Expert care from dermatology and pathology specialists, on-site biopsy services, and advanced imaging and diagnostics for accurate and timely treatment.

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What Are the Treatment Options for Spitz Nevus?

Treatment depends on the lesion's appearance, size, and the patient's age. At Medicover, we provide individual care based on the latest guidelines.

Treatment Options

• Observation: Safe monitoring if the lesion is typical and in a child
• Surgical Excision: Removal with a margin of healthy skin to confirm diagnosis and prevent complications
• Laser Therapy: Used occasionally for cosmetic reasons (not recommended if biopsy is needed)

Recovery Timeline

• Surgical healing: 7 to 14 days
• Regular follow-up may be scheduled every 6 to 12 months

Expert Insight

Our dermatologists carefully evaluate every lesion to avoid over-treatment and reduce scarring while ensuring safety.

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When to See a Doctor?

It's important to consult a dermatologist if:

• A mole or bump appears suddenly and grows quickly
• The lesion changes in color, size, or shape
• You or your child has a personal or family history of atypical moles

High-Risk Groups: Adults with new or changing skin growths, and also Individuals with fair skin and multiple moles

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What Is the Recovery Process After Spitz Nevus Treatment?

Recovery depends on the treatment approach.

Post-Treatment Expectations

• Wound care if excised
• Regular check-ups to monitor for new or changing lesions
• Low chance of recurrence with complete removal

Lifestyle and Diet Tips

• Avoid sunburns; use SPF 30+
• Keep skin moisturized and avoid picking at the healing site

We provide dermatology consultations, surgical follow-up care, and cosmetic support for scar management to ensure complete and confident recovery.

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What Precautions Can Help Prevent Spitz Nevus?

Though Spitz nevi cannot always be prevented, healthy habits and regular monitoring can help in early detection and reduce complications.

Prevention Tips

• Perform monthly skin self-checks
• Limit sun exposure; use sunscreen daily
• Visit a dermatologist annually

Complications if Untreated

• Anxiety due to resemblance to melanoma
• Rare chance of misdiagnosis or progression in atypical cases

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Our Experience Treating Spitz Nevus

At Medicover, we understand how worrying an unusual skin growth can be. Our experienced dermatology team offers thorough evaluations, accurate diagnostics, and caring support for both children and adults with Spitz nevi. We are committed to accurate diagnosis and safe, prepared treatments that prioritize your health and peace of mind.

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