Balloon cell nevus explained

Balloon cell nevus
Field:dermatology

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

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

Further reading

Notes and References

  1. Book: James . William D. . Elston . Dirk . Treat . James R. . Rosenbach . Misha A. . Neuhaus . Isaac . Andrews' Diseases of the Skin: Clinical Dermatology . 2020 . Elsevier . Edinburgh. 978-0-323-54753-6 . 690–691. 13th . https://books.google.com/books?id=UEaEDwAAQBAJ&dq=balloon&pg=PA690 . en . 30. Melanocytic nevi and neoplasms: Balloon cell nevus.
  2. Book: Johnstone, Ronald B.. Weedon's Skin Pathology Essentials. 2017. Elsevier. 978-0-7020-6830-0. 2nd. 535. 33. Tumors of cutaneous appendages.
  3. Paul . Sharad P. . Inskip . Michael . Balloon Cell Nevi and Balloon Cell Melanomas: What Are They? . Clinical Cases in Skin Cancer Surgery and Treatment . 2016 . 101–113 . 10.1007/978-3-319-20937-1_10 . Springer International Publishing . 978-3-319-20936-4 . en . subscription .
  4. Thompson . Jordan M. . Bermudez-Magner . J. Antonio . Barker . Nigel H. . Payne . Darren . Meghpara . Beeran . Dubovy . Sander R. . Balloon cell nevi of the conjunctiva: Clinicopathologic correlation and literature review . Survey of Ophthalmology . Elsevier BV . 60 . 5 . 2015 . 0039-6257 . 10.1016/j.survophthal.2014.12.001 . 481–485.
  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 . 0008-543X . 4850558 . 10.1002/1097-0142(197409)34:3<615::aid-cncr2820340319>3.0.co;2-o . January 20, 2024 .