Malignant melanoma associated with a blue naevus: a case report.
BACKGROUND
Combined malignant naevi are characterised pathologically by the association of a melanoma with one or more different types of benign melanocytic naevi in a single lesion.


METHODS
We show here a case of malignant combined naevus made up of a blue naevus and a melanoma, presenting as a slowly progressing and asymptomatic pigmented lesion on the trunk of a 35-year-old man. Dermoscopic examination was not conclusive for a malignant lesion, showing only an atypical brown pigment network. The definitive diagnosis was reached only at the hystopathological examination.


CONCLUSIONS
This finding suggests that combined naevi should be always excised and histologically examined to achieve a correct diagnosis and avoid risk of misclassification.
Mellone
Pasquale
P
Department of Biochemistry, Sect, Pathology, Second University of Naples, Naples, Italy. alfonsobaldi@tiscali.it.
Bianchi
Alexander
A
Dragonetti
Emanuele
E
Murace
Raffaele
R
Persichetti
Paolo
P
Baldi
Alfonso
A