PMID- 22845683 OWN - NLM STAT- MEDLINE DCOM- 20130410 LR - 20220318 IS - 1600-0560 (Electronic) IS - 0303-6987 (Linking) VI - 39 IP - 10 DP - 2012 Oct TI - Desmoplastic melanocytic nevi with lymphocytic aggregates. PG - 940-4 LID - 10.1111/j.1600-0560.2012.01962.x [doi] AB - Desmoplastic melanocytic nevi can be difficult to distinguish from desmoplastic melanoma. The presence of lymphocytic aggregates in association with a sclerosing melanocytic proliferation is commonly regarded as a feature in support of a diagnosis of desmoplastic melanoma. However, the finding is not specific for melanoma. Herein we report six cases of sclerosing melanocytic nevi with associated lymphocytic aggregates. They occurred in five women and one man, ranging in age from 11 to 61 years. Three lesions were sclerosing Spitz nevi; one was an amelanotic sclerosing blue nevus, one an acquired intradermal sclerosing nevus, and one was a congenital compound melanocytic nevus with sclerosis of its dermal component. The lesions were interpreted as benign, i.e. melanocytic nevi, because of their histopathologic attributes (symmetric silhouette, benign cytologic features) and results from immunohistochemical studies (all lesions strongly expressed Melan-A and p16) and fluorescence in situ hybridization (FISH). Three lesions tested by FISH lacked copy number changes of 11p, 6q or 6p. None of the lesions recurred. The cases highlight that contextual information is essential for the diagnosis of desmoplastic melanoma and sclerosing nevus. The presence of lymphocytic aggregates per se does not prove that a sclerosing melanocytic proliferation is malignant. CI - Copyright (c) 2012 John Wiley & Sons A/S. FAU - Kiuru, Maija AU - Kiuru M AD - Department of Dermatology, Weill Medical College of Cornell University, New York, NY, USA. FAU - Patel, Rajiv M AU - Patel RM FAU - Busam, Klaus J AU - Busam KJ LA - eng PT - Journal Article DEP - 20120728 PL - United States TA - J Cutan Pathol JT - Journal of cutaneous pathology JID - 0425124 SB - IM MH - Adolescent MH - Adult MH - Child MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lymphocytes/immunology/*pathology MH - Male MH - Melanoma/immunology/*pathology MH - Middle Aged MH - Nevus, Pigmented/immunology/*pathology MH - Skin Neoplasms/immunology/*pathology MH - Young Adult EDAT- 2012/08/01 06:00 MHDA- 2013/04/11 06:00 CRDT- 2012/08/01 06:00 PHST- 2012/03/13 00:00 [received] PHST- 2012/05/25 00:00 [revised] PHST- 2012/06/26 00:00 [accepted] PHST- 2012/08/01 06:00 [entrez] PHST- 2012/08/01 06:00 [pubmed] PHST- 2013/04/11 06:00 [medline] AID - 10.1111/j.1600-0560.2012.01962.x [doi] PST - ppublish SO - J Cutan Pathol. 2012 Oct;39(10):940-4. doi: 10.1111/j.1600-0560.2012.01962.x. Epub 2012 Jul 28.