PMID- 21645037 OWN - NLM STAT- MEDLINE DCOM- 20111115 LR - 20110727 IS - 1600-0560 (Electronic) IS - 0303-6987 (Linking) VI - 38 IP - 9 DP - 2011 Sep TI - Polypoid Spitz nevus: two cases evaluated with genetic technique, prolonged follow up, and sentinel lymph node biopsy. PG - 747-52 LID - 10.1111/j.1600-0560.2011.01729.x [doi] AB - Polypoid Spitz nevus represents a spitzoid melanocytic neoplasm that frequently has worrying and challenging histopathological details. Distinction from polypoid melanoma may not be straightforward. Two cases of polypoid Spitz nevus with striking histopathological features were studied. One case had prolonged follow up (Case 1) and one patient had undergone sentinel lymph node biopsy (Case 2), and fluorescence in situ hybridization (FISH) analysis was also completed (both cases). Follow up and genetic analysis of three control cases of polypoid melanoma is also presented. Our clinical and genetic results suggest that both the polypoid Spitz nevi were benign. The patients are alive with no evidence of disease. FISH analysis did not show abnormalities with probes tested. This is in sharp contrast with the control cases of polypoid melanoma, wherein genomic alterations were detectable. Our data indicate that the two polypoid lesions presented here are most probably benign, despite their worrying histopathological features. More cases with long-term follow up and greater numbers of DNA probes are necessary to extend this conclusion to other ambiguous melanocytic tumors. CI - 2011 John Wiley & Sons A/S. FAU - Pennacchia, Ilaria AU - Pennacchia I AD - Department of Pathology, Catholic University of Sacred Heart, Rome, Italy Department of Pathology, Forlanini Hospital, Rome, Italy. FAU - Gasbarra, Rita AU - Gasbarra R FAU - Manente, Liborio AU - Manente L FAU - Pisa, Roberto AU - Pisa R FAU - Garcovich, Simone AU - Garcovich S FAU - Ricci, Roberto AU - Ricci R FAU - Ruggeri, Corrado AU - Ruggeri C FAU - Massi, Guido AU - Massi G LA - eng PT - Case Reports PT - Journal Article PT - Review DEP - 20110607 PL - United States TA - J Cutan Pathol JT - Journal of cutaneous pathology JID - 0425124 RN - 0 (DNA, Neoplasm) RN - 0 (Oligonucleotide Probes) SB - IM MH - Adult MH - DNA, Neoplasm/genetics/*metabolism MH - Follow-Up Studies MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Male MH - Melanocytes/metabolism/pathology MH - Melanoma/genetics/metabolism/pathology MH - Middle Aged MH - Nevus, Epithelioid and Spindle Cell/genetics/*metabolism/*pathology MH - Oligonucleotide Probes/chemistry/genetics MH - Sentinel Lymph Node Biopsy MH - Skin Neoplasms/genetics/*metabolism/*pathology EDAT- 2011/06/08 06:00 MHDA- 2011/11/16 06:00 CRDT- 2011/06/08 06:00 PHST- 2011/06/08 06:00 [entrez] PHST- 2011/06/08 06:00 [pubmed] PHST- 2011/11/16 06:00 [medline] AID - 10.1111/j.1600-0560.2011.01729.x [doi] PST - ppublish SO - J Cutan Pathol. 2011 Sep;38(9):747-52. doi: 10.1111/j.1600-0560.2011.01729.x. Epub 2011 Jun 7.