Balloon cell nevus

Last updated
Balloon cell nevus
SkinTumors-288.jpg
Specialty Dermatology

Balloon cell nevus is a benign nevus. [1] It appears like a melanocytic nevus. [2]

Contents

Histologically it is characterized by swollen, pale, polyhedral melanocytes, with pale cytoplasm and a central nucleus. [2] It is different to balloon cell melanoma, [3] which has larger nuclei and is structured like a melanoma. [1]

It was first described by Judalaewitsch in 1901. [3]

Signs and symptoms

Balloon cell nevi can affect the skin, choroid, and conjunctiva. Usually, they appear as elevated, mobile, hyperpigmented masses in the ocular adnexa. [4]

Diagnosis

The characteristics of balloon cells include their relatively large sizes, small, round nuclei positioned in the center, and largely transparent cytoplasm. [3]

Examining under a microscope is particularly crucial when it comes to balloon cell nevi. Progressive vacuolization of melanocytes or nevus cells, caused by the enlargement as well as eventual destruction of melanosomes, results in the formation of balloon cells. [5]

See also

Related Research Articles

<span class="mw-page-title-main">Melanocytic nevus</span> Medical condition

A melanocytic nevus is usually a noncancerous condition of pigment-producing skin cells. It is a type of melanocytic tumor that contains nevus cells. Some sources equate the term mole with "melanocytic nevus", but there are also sources that equate the term mole with any nevus form.

<span class="mw-page-title-main">Nevus</span> Mole or birthmark; visible, circumscribed, chronic skin lesion

Nevus is a nonspecific medical term for a visible, circumscribed, chronic lesion of the skin or mucosa. The term originates from nævus, which is Latin for "birthmark"; however, a nevus can be either congenital or acquired. Common terms, including mole, birthmark, and beauty mark, are used to describe nevi, but these terms do not distinguish specific types of nevi from one another.

<span class="mw-page-title-main">Acral lentiginous melanoma</span> Medical condition

Acral lentiginous melanoma is an aggressive type of skin cancer. Melanoma is a group of serious skin cancers that arise from pigment cells (melanocytes); acral lentiginous melanoma is a kind of lentiginous skin melanoma. Acral lentiginous melanoma is the most common subtype in people with darker skins and is rare in people with lighter skin types. It is not caused by exposure to sunlight or UV radiation, and wearing sunscreen does not protect against it. Acral lentiginous melanoma is commonly found on the palms, soles, under the nails, and in the oral mucosa. It occurs on non-hair-bearing surfaces of the body, which have not necessarily been exposed to sunlight. It is also found on mucous membranes.

<span class="mw-page-title-main">Dysplastic nevus</span> Medical condition

A dysplastic nevus or atypical mole is a nevus (mole) whose appearance is different from that of common moles. In 1992, the NIH recommended that the term "dysplastic nevus" be avoided in favor of the term "atypical mole". An atypical mole may also be referred to as an atypical melanocytic nevus, atypical nevus, B-K mole, Clark's nevus, dysplastic melanocytic nevus, or nevus with architectural disorder.

<span class="mw-page-title-main">Dysplastic nevus syndrome</span> Medical condition

Dysplastic nevus syndrome, also known as familial atypical multiple mole–melanoma (FAMMM) syndrome, is an inherited cutaneous condition described in certain families, and characterized by unusual nevi and multiple inherited melanomas. First described in 1820, the condition is inherited in an autosomal dominant pattern, and caused by mutations in the CDKN2A gene. In addition to melanoma, individuals with the condition are at increased risk for pancreatic cancer.

<span class="mw-page-title-main">Lentigo maligna</span> Medical condition

Lentigo maligna is where melanocyte cells have become malignant and grow continuously along the stratum basale of the skin, but have not invaded below the epidermis. Lentigo maligna is not the same as lentigo maligna melanoma, as detailed below. It typically progresses very slowly and can remain in a non-invasive form for years.

<span class="mw-page-title-main">Congenital melanocytic nevus</span> Congenital mole caused by genetic mutations

The congenital melanocytic nevus is a type of melanocytic nevus found in infants at birth. This type of birthmark occurs in an estimated 1% of infants worldwide; it is located in the area of the head and neck 15% of the time.

<span class="mw-page-title-main">Lentigo</span> Medical condition

A lentigo is a small pigmented spot on the skin with a clearly defined edge, surrounded by normal-appearing skin. It is a harmless (benign) hyperplasia of melanocytes which is linear in its spread. This means the hyperplasia of melanocytes is restricted to the cell layer directly above the basement membrane of the epidermis where melanocytes normally reside. This is in contrast to the "nests" of multi-layer melanocytes found in moles. Because of this characteristic feature, the adjective "lentiginous" is used to describe other skin lesions that similarly proliferate linearly within the basal cell layer.

<span class="mw-page-title-main">Blue nevus</span> Type of melanocytic tumor

A blue nevus is a type of coloured mole, typically a single well-defined blue-black bump.

<span class="mw-page-title-main">Skin biopsy</span> Removal of skin cells for medical examination

Skin biopsy is a biopsy technique in which a skin lesion is removed to be sent to a pathologist to render a microscopic diagnosis. It is usually done under local anesthetic in a physician's office, and results are often available in 4 to 10 days. It is commonly performed by dermatologists. Skin biopsies are also done by family physicians, internists, surgeons, and other specialties. However, performed incorrectly, and without appropriate clinical information, a pathologist's interpretation of a skin biopsy can be severely limited, and therefore doctors and patients may forgo traditional biopsy techniques and instead choose Mohs surgery.

<span class="mw-page-title-main">Amelanotic melanoma</span> Medical condition

Amelanotic melanoma is a type of skin cancer in which the cells do not make any melanin. They can be pink, red, purple or of normal skin color, and are therefore difficult to diagnose correctly. They can occur anywhere on the body, just as a typical melanoma can.

<span class="mw-page-title-main">Halo nevus</span> Medical condition

Halo nevus is a mole that is surrounded by a depigmented ring or 'halo'.

<span class="mw-page-title-main">Spitz nevus</span> Medical condition

A Spitz nevus is a benign skin lesion. A type of melanocytic nevus, it affects the epidermis and dermis.

<span class="mw-page-title-main">Nevus spilus</span> Medical condition

Nevus spilus, also known as speckled lentiginous nevus, is a light brown or tan birth mark, speckled with small, dark spots or small bumps. If it occurs in a segmental pattern then it is sometimes referred to as a Zosteriform speckled lentiginous nevus.

Nevus cells are a variant of melanocytes. They are larger than typical melanocytes, do not have dendrites, and have more abundant cytoplasm with coarse granules. They are usually located at the dermoepidermal junction or in the dermis of the skin. Dermal nevus cells can be further classified: type A (epithelioid) dermal nevus cells mature into type B (lymphocytoid) dermal nevus cells which mature further into type C (neuroid) dermal nevus cells, through a process involving downwards migration.

<span class="mw-page-title-main">Benign melanocytic nevus</span> Medical condition

A benign melanocytic nevus is a cutaneous condition characterised by well-circumscribed, pigmented, round or ovoid lesions, generally measuring from 2 to 6 mm in diameter. A benign melanocytic nevus may feature hair or pigmentation as well.

Pseudomelanoma is a cutaneous condition in which melanotic skin lesions clinically resemble a superficial spreading melanoma at the site of a recent shave removal of a melanocytic nevus.

Oral pigmentation is asymptomatic and does not usually cause any alteration to the texture or thickness of the affected area. The colour can be uniform or speckled and can appear solitary or as multiple lesions. Depending on the site, depth, and quantity of pigment, the appearance can vary considerably.

<span class="mw-page-title-main">Nevoid melanoma</span> Type of skin cancer

A nevoid melanoma is a malignant neoplastic lesion of the skin. It is a type of melanoma, the most dangerous form of skin cancer. Nevoid melanomas are clinically significant because they are difficult to distinguish from a benign nevus of the skin, which requires no treatment and is common on most individuals. Nevoid morphologies represent up to 3% of all cases of melanoma.

Animal-type melanoma is a rare subtype of melanoma that is characterized by heavily pigmented dermal epithelioid and spindled melanocytes. Animal-type melanoma is also known to be called equine-type melanoma, pigment synthesizing melanoma, and pigmented epithelioid melanocytoma (PEM). While melanoma is known as the most aggressive skin cancer, the mortality for PEM is lower than in other melanoma types. Animal-type melanoma earned its name due to the resemblance of melanocytic tumors in grey horses.

References

  1. 1 2 James, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020). "30. Melanocytic nevi and neoplasms: Balloon cell nevus". Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Edinburgh: Elsevier. pp. 690–691. ISBN   978-0-323-54753-6.
  2. 1 2 Johnstone, Ronald B. (2017). "33. Tumors of cutaneous appendages". Weedon's Skin Pathology Essentials (2nd ed.). Elsevier. p. 535. ISBN   978-0-7020-6830-0.
  3. 1 2 3 Paul, Sharad P.; Inskip, Michael (2016). "Balloon Cell Nevi and Balloon Cell Melanomas: What Are They?" . Clinical Cases in Skin Cancer Surgery and Treatment. Springer International Publishing: 101–113. doi:10.1007/978-3-319-20937-1_10. ISBN   978-3-319-20936-4.
  4. Thompson, Jordan M.; Bermudez-Magner, J. Antonio; Barker, Nigel H.; Payne, Darren; Meghpara, Beeran; Dubovy, Sander R. (2015). "Balloon cell nevi of the conjunctiva: Clinicopathologic correlation and literature review". Survey of Ophthalmology. Elsevier BV. 60 (5): 481–485. doi:10.1016/j.survophthal.2014.12.001. ISSN   0039-6257.
  5. MR, Okun; B, Donnellan; L, Edelstein. "An ultrastructural study of balloon cell nevus. Relationship of mast cells to nevus cells". Cancer. Cancer. 34 (3). doi:10.1002/1097-0142(197409)34:3&lt;615::aid-cncr2820340319&gt;3.0.co;2-o. ISSN   0008-543X. PMID   4850558 . Retrieved January 20, 2024.

Further reading