Interactive Case Study - February 2014








Bevona C, Tannous Z, Tsao H. Dermal melanocytic proliferation with features of a plaque-type blue nevus and neurocristic hamartoma. J Am Acad Dermatol 2003;49:924-9.
Karamitopoulou-Diamantis E, Paredes B, Vajtai I. Cutaneous neurocristic hamartoma with blue naevus-like features and plexiform dermal hyperneury. 2006;49(3):325-8.
Lentigines, Nevi and Melanomas. In: Weedon D, Strutton G, Rubin A, editors. Weedon’s Skin Pathology. Elsevier Limited; 2010. p. 731.
Linskey KR, Dias-Santagata D, Nazarian RM, Le LP, Lam Q, Belluci KS, Robinson-Bostom L, Mihm MC Jr, Hoang MP. Malignant neurocristic hamartoma: a tumor distinct from conventional melanoma and malignant blue nevus. Am J Surg Pathol 2001;35(10):1570-7.
Misago N. The relationship between melanocytes and peripheral nerve sheath cells (part II): blue nevus with peripheral nerve sheath differentiation. Am J Dermatopathol 2000;22(3):230-6.
Mezebish D, Smith K, Williams J, Menon P, et al. Neurocristic cutaneous hamartoma: a distinctive dermal melanocytosis with an unknown malignant potential. Ann Diagn Pathol 1998:11(6):573-8.
Smith KJ, Mezebish D, Williams J, Elgart ML, Skelton HG. The Spectrum of Cutaneous Hamartoma: Clinicopathologic and Immunohistochemical Study of Three Cases. Ann Diagn Pathol 1998;2(4):213-23.
Tuthill RJ, Clark WH Jr, Levene A. Pilar neurocristic hamartoma: its relationship to the blue nevus and equine melanotic disease. Arch Dermatol 1982;118(8):592.
Acknowledgements
Author Profiles

Lindsay Eminger
Geisinger Medical Center
Dr. Eminger is a dermatopathology fellow at Geisinger Medical Center in Danville, Pennsylvania, for the academic year 2013-2014. She graduated summa cum laude from Georgetown Medical School in Washington, DC, and completed her dermatology residency at Cooper University Hospital in Camden, NJ where she served as chief resident.

Tammie Ferringer
Geisinger Medical Center
Dr. Ferringer is the section head of dermatopathology and the director of the Dermatopathology Fellowship Program at Geisinger Medical Center in Pennsylvania. She earned her medical degree at Medical College of Pennsylvania and completed her residency in dermatology at Geisinger Medical Center. Dr. Ferringer finished her fellowship in dermatopathology at the Medical University of South Carolina in Charleston. In addition to her routine service in the hospital, Dr. Ferringer is also on the editorial board for Cutis, an assistant editor for the Journal of the American Academy of Dermatology, and an ex-officio member of the ASDP MOC Committee. Moreover, Dr. Ferringer is co-author and editor with Dr. Dirk Elston for the book: Dermatopathology: Expert Consult, 2e.
Question:
Speckled pigmented patch
Category
Tumors > Melanocytic Lesions
Description