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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2010-3-1
pubmed:abstractText
Several reports demonstrated the difficulties and lack of agreement in the histopathologic diagnosis of particular melanocytic tumors (atypical Spitz tumors, atypical blue nevi, deep penetrating nevi). These lesions are often referred to as "melanocytic tumors of uncertain malignant potential" (MELTUMP). We studied a large number of such tumors to find out whether repeatable histopathologic criteria for distinction of benign from malignant cases exist. Fifty-seven cases of MELTUMP were classified within 3 groups according to behavior as follows: (a) favorable (no evidence of metastatic disease after a follow-up of > or = 5 y), (b) unfavorable (tumor-related death and/or large metastatic deposits in the lymph nodes and/or visceral metastases), (c) borderline (small nodal deposits of tumor cells < or = 0.2 mm). There were no significant differences in tumor thickness and presence or absence of ulceration between the different groups. The only 3 histopathologic criteria that were statistically different between the groups of favorable and unfavorable cases were presence of mitoses, mitoses near the base, and an inflammatory reaction, all of them found more frequently in cases with unfavorable behavior. The major outcome of this study of a series of "MELTUMPs" suggests as a preliminary observation that these lesions as a group exist and that they may be biologically different from conventional melanoma and benign melanocytic nevi. The terminology remains highly controversial, reflecting the uncertainty in classification and interpretation of these atypical melanocytic tumors.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1532-0979
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
314-26
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:20118771-Adolescent, pubmed-meshheading:20118771-Adult, pubmed-meshheading:20118771-Aged, pubmed-meshheading:20118771-Child, pubmed-meshheading:20118771-Child, Preschool, pubmed-meshheading:20118771-Female, pubmed-meshheading:20118771-Humans, pubmed-meshheading:20118771-Infant, pubmed-meshheading:20118771-Inflammation, pubmed-meshheading:20118771-Kaplan-Meier Estimate, pubmed-meshheading:20118771-Lymphatic Metastasis, pubmed-meshheading:20118771-Male, pubmed-meshheading:20118771-Melanocytes, pubmed-meshheading:20118771-Middle Aged, pubmed-meshheading:20118771-Mitosis, pubmed-meshheading:20118771-Neoplasm Invasiveness, pubmed-meshheading:20118771-Neoplasm Staging, pubmed-meshheading:20118771-Nevus, Blue, pubmed-meshheading:20118771-Nevus, Epithelioid and Spindle Cell, pubmed-meshheading:20118771-Skin Neoplasms, pubmed-meshheading:20118771-Terminology as Topic, pubmed-meshheading:20118771-Time Factors, pubmed-meshheading:20118771-Treatment Outcome, pubmed-meshheading:20118771-Young Adult
pubmed:year
2010
pubmed:articleTitle
Melanocytic tumors of uncertain malignant potential: results of a tutorial held at the XXIX Symposium of the International Society of Dermatopathology in Graz, October 2008.
pubmed:affiliation
Department of Dermatology, Medical University of Graz, A-8036 Graz, Austria. lorenzo.cerroni@medunigraz.at
pubmed:publicationType
Congresses