PMID- 21323721 OWN - NLM STAT- MEDLINE DCOM- 20110705 LR - 20220318 IS - 1600-0560 (Electronic) IS - 0303-6987 (Linking) VI - 38 IP - 4 DP - 2011 Apr TI - Fluorescence in situ hybridization as an ancillary method for the distinction of desmoplastic melanomas from sclerosing melanocytic nevi. PG - 329-34 LID - 10.1111/j.1600-0560.2010.01666.x [doi] AB - The histopathologic distinction of desmoplastic melanomas from sclerosing (desmoplastic) melanocytic nevi can be difficult, especially when evaluating a partial or superficial biopsy. In the study reported herein, we applied and explored the use of a novel ancillary method, a four-probe fluorescence in situ hybridization (FISH) assay targeting RREB1, MYB, Cep6 and CCND1, to this diagnostic problem. Fifteen sclerosing melanocytic nevi, including desmoplastic Spitz nevi, conventional nevi with prominent stromal sclerosis and sclerotic blue nevi, as well as 15 examples of desmoplastic melanoma, were examined. None of the sclerosing melanocytic nevi showed a level of chromosomal aberrations that met FISH criteria for melanoma. Seven of the 15 desmoplastic melanomas were 'positive' (had documented chromosomal aberrations) by FISH. Thus, a positive FISH test strongly supports the diagnosis of melanoma in this context. However, in this setting a negative FISH test is of limited diagnostic value. Our findings suggest that prior reports about the high sensitivity of the FISH test for melanoma diagnosis need to be adjusted according to melanoma subtype. CI - Copyright (c) 2011 John Wiley & Sons A/S. FAU - Gerami, Pedram AU - Gerami P AD - Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, USA. FAU - Beilfuss, Beth AU - Beilfuss B FAU - Haghighat, Zahra AU - Haghighat Z FAU - Fang, Yuaquin AU - Fang Y FAU - Jhanwar, Suresh AU - Jhanwar S FAU - Busam, Klaus J AU - Busam KJ LA - eng PT - Journal Article PL - United States TA - J Cutan Pathol JT - Journal of cutaneous pathology JID - 0425124 SB - IM CIN - J Cutan Pathol. 2011 Apr;38(4):327-8. PMID: 21323720 MH - Adult MH - Aged MH - Aged, 80 and over MH - Chromosome Aberrations MH - Diagnosis, Differential MH - Female MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Male MH - Melanoma/*diagnosis/genetics MH - Middle Aged MH - Nevus, Pigmented/*diagnosis/genetics MH - Skin Neoplasms/*diagnosis/genetics EDAT- 2011/02/18 06:00 MHDA- 2011/07/06 06:00 CRDT- 2011/02/18 06:00 PHST- 2011/02/18 06:00 [entrez] PHST- 2011/02/18 06:00 [pubmed] PHST- 2011/07/06 06:00 [medline] AID - 10.1111/j.1600-0560.2010.01666.x [doi] PST - ppublish SO - J Cutan Pathol. 2011 Apr;38(4):329-34. doi: 10.1111/j.1600-0560.2010.01666.x.