Glossary entry

French term or phrase:

naevus...fibrosé

English translation:

mixed nevus with atypical lentiginous melanocytic hyperplasia and with mild fibrosis.

Added to glossary by Claudia Vale
Jan 20, 2013 12:03
11 yrs ago
3 viewers *
French term

naevus...fibrosé

French to English Medical Medical (general) Pathology - Dermatology
Examination report (Saint Louis Hospital, Paris) regarding excision of 1) a naevus on the flank area and 2) a naevus on the abdomen. The conclusion reads:

"L’aspect histologique est celui d’un naevus mixte avec hyperplasie mélanocytaire lentigineuse atypique légèrement fibrosé.
Les critères histologiques sont insuffisants pour une lésion plus évolutive. L’exérèse est complète.
2-L’aspect histologique est celui d’un naevus mixte comportant quelques atypies irrité et fibrosé.
L’exérèse est complète."

I have come across a number of terms:
dysplastic naevus, atypical mole and atypical naevus
In the context of a hospital report such as this, which term would be used?
References
see

Discussion

Claudia Vale (asker) Jan 20, 2013:
Oh my goodness!
Tony M Jan 20, 2013:
Thanks, Claudia! I was only 4, and it was quite traumatic for me, going into hospital and having a general anæsthetic; but it had to be removed, as it threatened to close up my eye if it had grown and bigger.
Claudia Vale (asker) Jan 20, 2013:
Poor you, Tom!
Tony M Jan 20, 2013:
Well... ...I had a nævus when I was a kid, and that was certainly referred to as a nævus by the doctors back then.

Proposed translations

+2
1 hr
French term (edited): naevus mixte avec hyperplasie mélanocytaire lentigineuse atypique légèrement fibrosé
Selected

mixed nevus with atypical lentiginous melanocytic hyperplasia and with mild fibrosis.

Each word of the pathology report is important in subclassifying a melanocytic proliferation. The clinical significance and interpretation is evolving and the information of the pathologist's description and diagnosis should be precisely translated.
This is a melanocytic proliferation in a mixed naevus (meaning both junctional and dermal presence) with a particular atypical character that has implications for possible evolution to more malignant forms and behaviour.

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Note added at 2 heures (2013-01-20 14:24:02 GMT)
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yes, "compound naevus" also refers to the same attribute, that is both dermal and epidermal involvement. With the atypical lentiginous component, I wrote "mixed naevus" to avoid the referring doctor grasping onto "compound naevus" and missing the atypical lentiginous descriptive bit.



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Note added at 2 heures (2013-01-20 14:38:00 GMT)
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In summary,
yes it is fine to use compound naevus and certainly as common.
Here is a reference:
http://www.dermpedia.org/dermpedia-textbook/compound-nevus-w...

Thus,
compound nevus with atypical lentiginous melanocytic hyperplasia and with mild fibrosis.

Note from asker:
Thanks Michael. Would it not be "compound naevus", by the way?
Peer comment(s):

agree Drmanu49
1 hr
thanks !
agree Anne Schulz : Definitely, fibrosé is not covered by the name of the naevus class, and should explicitly be translated.
3 hrs
thanks !
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4 KudoZ points awarded for this answer. Comment: "Thank you!"
35 mins

leather-like appearance

,,

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Note added at 35 mins (2013-01-20 12:38:41 GMT)
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http://books.google.co.uk/books?id=SapwxM_is0AC&pg=PA19&lpg=...
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6 hrs

fibrosed nevus

The phrase "Les critères histologiques sont insuffisants pour une lésion plus évolutive" is telling you the lesion is not malignant. You could add more and more to the description, but typically a physician who orders this study will read the report himself.
Example sentence:

From a MD's progress note "Path report has come back disclosing a "fibrotic nevus".

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Reference comments

24 mins
Reference:

see

http://www.proz.com/kudoz/english_to_french/medical_general/...
nevus, congenital melanocytic
www.drhull.com/EncyMaster/N/cong_melanocytic_nevus.html
These nevi are found anywhere on the body surface. They are brown to black in color, and vary in texture from flat to nodular or even leathery. They tend to ..



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Note added at 30 mins (2013-01-20 12:33:11 GMT)
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Pathology Skin - TMedWeb
tmedweb.tulane.edu/mu/owlclub/files/2009/03/path_skin.pdf
File Format: PDF/Adobe Acrobat - Quick View
o Autoimmune destruction of the melanocytes causing a lack of pigmentation ... o Hyperpigmentation and thickening of the skin (leather-like appearance) ... ↑Turnover of the epidermis, undergoing epidermal hyperplasia (Acanthosis) ...

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Note added at 34 mins (2013-01-20 12:37:50 GMT)
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Textbook Of Dermatology, Venerology, And Leprology - Page 19 - Google Books Result
books.google.co.uk/books?isbn=8131221989
Thappa - 2009
Lichenification: It is characterized by thickening ofthe skin (becomes leather ... Atrophy may be of epidermal, dermal, or subcutaneous fat (Fig. 3.10). 12. Sclerosis: Sclerosis means a circumscribed or diffuse hardening or induration in the skin.
Note from asker:
Thanks for your input, Liz. I think the skin can be leather-like but can't find any instances of "naevi of leather-like appearance".
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