PMID- 22882594 OWN - NLM STAT- MEDLINE DCOM- 20130418 LR - 20121030 IS - 1365-2559 (Electronic) IS - 0309-0167 (Linking) VI - 61 IP - 5 DP - 2012 Nov TI - Fluorescence in situ hybridization for the differential diagnosis between Spitz naevus and spitzoid melanoma. PG - 899-909 LID - 10.1111/j.1365-2559.2012.04293.x [doi] AB - AIMS: The differential diagnosis between Spitz naevus and spitzoid melanoma can be extremely difficult, or even impossible. In recent years, many attempts have been made to find specific histopathological or immunohistochemical markers, although none has proved successful. Because the prognosis and treatment of each are very different, it is important to distinguish between these entities. We evaluated the ability of the fluorescence in situ hybridization (FISH) assay-designed to detect the copy number of the RREB1 (6p25), MYB (6q23) and CCND1 (11q13) genes and of centromere 6 (Cep 6)-in order to distinguish between Spitz naevus and spitzoid melanoma. METHODS AND RESULTS: We evaluated 12 spitzoid melanomas and six Spitz naevi from our records. The diagnosis of both conditions was based on previously described histopathological criteria. We obtained valuable results for FISH in eight spitzoid melanomas and five Spitz naevi. Chromosomal aberrations were detected in seven of the eight spitzoid melanomas (FISH-positive) and in none of the five Spitz naevi. The FISH-negative spitzoid melanoma was the least typical in its group. CONCLUSIONS: FISH was able to distinguish between Spitz naevus and spitzoid melanoma, with a sensitivity of 87.5% and a specificity of 100%. Our findings suggest that FISH could prove a useful tool in the differential diagnosis between these entities. CI - (c) 2012 Blackwell Publishing Limited. FAU - Requena, Celia AU - Requena C AD - Department of Dermatology, Instituto Valenciano de Oncologia, Valencia, Spain. FAU - Rubio, Luis AU - Rubio L FAU - Traves, Victor AU - Traves V FAU - Sanmartin, Onofre AU - Sanmartin O FAU - Nagore, Eduardo AU - Nagore E FAU - Llombart, Beatriz AU - Llombart B FAU - Serra, Carlos AU - Serra C FAU - Fernandez-Serra, Antonio AU - Fernandez-Serra A FAU - Botella, Rafael AU - Botella R FAU - Guillen, Carlos AU - Guillen C LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120808 PL - England TA - Histopathology JT - Histopathology JID - 7704136 RN - 0 (CCND1 protein, human) RN - 0 (DNA-Binding Proteins) RN - 0 (RREB1 protein, human) RN - 0 (Transcription Factors) RN - 136601-57-5 (Cyclin D1) SB - IM MH - Adult MH - Child MH - Chromosome Aberrations MH - Cyclin D1/genetics MH - DNA-Binding Proteins/genetics MH - Diagnosis, Differential MH - Female MH - Gene Dosage MH - Genes, myb MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Melanoma/*diagnosis/*genetics/pathology MH - Middle Aged MH - Nevus, Epithelioid and Spindle Cell/*diagnosis/*genetics/pathology MH - Skin Neoplasms/*diagnosis/*genetics/pathology MH - Transcription Factors/genetics MH - Young Adult EDAT- 2012/08/14 06:00 MHDA- 2013/04/20 06:00 CRDT- 2012/08/14 06:00 PHST- 2012/08/14 06:00 [entrez] PHST- 2012/08/14 06:00 [pubmed] PHST- 2013/04/20 06:00 [medline] AID - 10.1111/j.1365-2559.2012.04293.x [doi] PST - ppublish SO - Histopathology. 2012 Nov;61(5):899-909. doi: 10.1111/j.1365-2559.2012.04293.x. Epub 2012 Aug 8.