Blue nevus is a type of melanocytic nevus. The blue colour is caused by the pigment being deeper in the skin than in ordinary nevi. In principle they are harmless but they can sometimes be mimicked by malignant lesions, i.e. some melanomas can look like a blue nevus.
Blue nevus 是指由于黑色素细胞过度增生而形成的一类皮肤增生性病变,常见于头部、手臂或臀部,表现为蓝色至黑色的斑块。它们通常为单发且后天获得,但也可能先天存在并呈多发。此类病变常被误认为黑色素瘤等深色素性肿瘤,常见部位包括头皮、手臂、下背部或臀部。 The term blue nevus describes a group of skin lesions characterized by dermal proliferation of melanocytes presenting as blue to black nodules on the head, extremities, or buttocks. In most cases, they are acquired and present as a solitary lesion but may also be congenital and appear at multiple sites. Blue nevi are melanotic dermal lesions that commonly presents as a blue nodule on the scalp, extremities, sacrococcygeal region, or buttocks. Its characteristic blue to black hue is frequently confused with other darker pigmented lesions, including malignant melanoma.
有时需要进行活检,或通过手术切除整个病变。临床预后一般良好,恶性转化的可能性很低。鉴别诊断包括皮肤纤维瘤和黑色素瘤。