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Spindle Nevus with Plaque

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Pigmented nevi of the iris are often seen clinically.  These are characterized by discretely pigmented, elevated lesions found on the surface of the iris (#22266).  On occasion, thses lesions may give rise to a malignant melanoma of the iris and should be followed regularly for signs of growth which may lead to suspicion for malignant melanoma.  Histopathologically, the nevus is characterized by a proliferation of benign melanocytes arising from the neural crest-derived melanocytes of the anterior iris stroma.  Previously, many lesions which were called malignant melanomas of the iris have been reclassified as nevi.  Iris nevi may be composed predominantly of spindle cells with varying degrees of atypia, as well as spindle cells which form a surface plaque (#22267, #22269).  In addition, the nevi may be composaed of epithelioid cells, or may be a mixture of both.

 

Views of choroidal nevus can be seen on the following slides: (#22680, #22683, #22713, #22719, #22722)

 

 

Clinical Photo #22266 Medium Power #22267
22267.jpg (111548 bytes)
High Power #22269
22269.jpg (113709 bytes)
 
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