This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Neoplasms  • Alert me on articles by topic

Arch Dermatol. 2006;142:515-520.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Malignant melanoma, superficial spreading type (pink area), and lentiginous junctional dysplastic nevus with slight cytologic atypia (brown area).

MICROSCOPIC FINDINGS AND CLINICAL COURSE

The biopsy specimen from the pink area revealed an intraepidermal melanocytic proliferation with pagetoid spread and severe cytologic atypia. Melanocytes with similarly atypical cytologic features were present in the underlying papillary dermis. This superficial spreading melanoma, which was 0.4 mm deep and invasive to Clark level II, was present in the margins of the specimen. At one edge of the biopsy specimen, there was a lentiginous and nested intraepidermal and dermal melanocytic proliferation, indicating an associated dysplastic nevus (Figure 2). There was no evidence of ulceration or vertical growth.

Figure appears in full text version. Figure 2.

The biopsy specimen from the brown area revealed an intraepidermal nested and lentiginous melanocytic proliferation, which was consistent with a junctional dysplastic nevus with slight cytologic atypia (Figure 3). There was no evidence of a pagetoid epidermal melanocytic growth pattern, and no severely atypical melanocytes were observed. The biopsy specimen also demonstrated features of an . . . [Full Text of this Article]

DISCUSSION

RELATED ARTICLE

An Erythematous and Pigmented Lesion of the Abdomen—Quiz Case
Jean L. Lim, Benjamin A. Solky, Arthur J. Sober, and Lyn M. Duncan
Arch Dermatol. 2006;142(4):515-520.
EXTRACT | FULL TEXT