New insights into naevoid melanomas: a clinicopathological reassessment

Autor: Martin G. Cook, Vincenzo De Giorgi, Caroline Gaudy, Megan E. Grant, Senada Koljenović, Eleanor Kissin, Amaya Viros, Kiarash Khosrotehrani, A. Mandal, Gabriela Gremel, Richard Marais, Daniela Massi, Martin C. Mihm, Willeke A. M. Blokx, Nathalie Dhomen, Joost van den Oord, Adèle C. Green
Přispěvatelé: Pathology
Rok vydání: 2017
Předmět:
Zdroj: Histopathology, 71(6), 943-950. Wiley-Blackwell Publishing Ltd
Histopathology, 71, 943-950
Histopathology, 71, 6, pp. 943-950
Cook, M, Massi, D, Blokx, W A M, van den Oord, J, Koljenovic, S, De Giorgi, V, Kissin, E, Grant, M, Mandal, A, Gremel, G, Gaudy, C, Viros Usandizaga, A, Dhomen, N, Khosrotehrani, K, Marais, R, Green, A & Mihm Jr, M C 2017, ' New insights into naevoid melanomas: a clinicopathological reassessment ', Histopathology . https://doi.org/10.1111/his.13317
ISSN: 1365-2559
0309-0167
DOI: 10.1111/his.13317
Popis: Aims Because the term ‘naevoid melanoma’ has variable clinical and pathologic interpretations, we aimed to clarify the features of melanomas referred to as naevoid. Methods and Results A review was undertaken of 102 melanomas diagnosed histopathologically as naevoid melanomas and ascertained by European Organisation for Research and Treatment of Cancer Melanoma Group Subcommittee pathologists from their records. We found these could be classified morphologically into 3 groups. Thirteen melanomas were overlying genuine naevi and were therefore excluded. Of the 89 melanomas considered to be naevoid, 11 presented clinically as exophytic papillomatous nodules with little junctional component and composed of small atypical cells showing numerous mitoses and no change with depth; we termed these “papillomatous naevoid” melanomas. The other 78 were flat or only slightly raised and had a superficial spreading melanoma (SSM)-like component with maturation to a small cell, but still atypical, dermal component; we termed these “maturing naevoid” melanomas. We showed that papillomatous and maturing naevoid melanomas also have differing immunochemical profiles. Preliminary clinical follow-up suggested different outcomes for these two naevoid melanoma types. Conclusions Melanomas that have been classified as naevoid melanomas comprise two types with distinct clinical, histopathologic and immunohistochemical features that may also be prognostically significant. This article is protected by copyright. All rights reserved.
Databáze: OpenAIRE