PMID- 23069951 OWN - NLM STAT- MEDLINE DCOM- 20130104 LR - 20121016 IS - 1538-3652 (Electronic) IS - 0003-987X (Linking) VI - 148 IP - 10 DP - 2012 Oct TI - Chromosomal aberrations by 4-color fluorescence in situ hybridization not detected in Spitz nevi of older individuals. PG - 1152-6 LID - 10.1001/archdermatol.2012.2267 [doi] AB - OBJECTIVE: To investigate whether Spitz nevi with typical histopathological features in older patients demonstrate chromosomal aberrations by 4-color fluorescence in situ hybridization (FISH). DESIGN: Retrospective medical record review, with prospective masked histopathological and cytogenetic analyses. SETTING: University-affiliated dermatology and dermatopathology setting. PATIENTS: Twenty-five patients 50 years or older with melanocytic nevi showing histopathological features typical of Spitz nevi. MAIN OUTCOME MEASURES: Three dermatopathologists masked to the patients' ages reviewed histopathological sections of melanocytic lesions for features typical of Spitz nevi. FISH was performed on samples with typical histopathological features by a 4-color FISH probe set used for the evaluation of malignant melanocytic neoplasms. RESULTS: None of the study cases showing histopathological features typical of Spitz nevi had detectable chromosomal abnormalities by FISH. CONCLUSIONS: Spitz nevi in older patients demonstrate molecular features similar to those of Spitz nevi in younger age groups. The findings of normal karyotypes in combination with typical histopathological features are reassuring of Spitz nevus diagnoses in older patients and suggest no correlation of increased malignant potential with advanced age per se. FAU - Horst, Basil A AU - Horst BA AD - Department of Dermatology, Columbia University Medical Center, Vanderbilt Clinic, Room 15-207, 630W168th St, New York, NY 10032, USA. bh2179@columbia.edu FAU - Fang, Yuqiang AU - Fang Y FAU - Silvers, David N AU - Silvers DN FAU - Busam, Klaus J AU - Busam KJ LA - eng PT - Journal Article PL - United States TA - Arch Dermatol JT - Archives of dermatology JID - 0372433 SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Child MH - *Chromosome Aberrations MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotype MH - Male MH - Middle Aged MH - Nevus, Epithelioid and Spindle Cell/*genetics/*pathology MH - Prospective Studies MH - Retrospective Studies MH - Single-Blind Method MH - Skin Neoplasms/*genetics/*pathology EDAT- 2012/10/17 06:00 MHDA- 2013/01/05 06:00 CRDT- 2012/10/17 06:00 PHST- 2012/10/17 06:00 [entrez] PHST- 2012/10/17 06:00 [pubmed] PHST- 2013/01/05 06:00 [medline] AID - 1379299 [pii] AID - 10.1001/archdermatol.2012.2267 [doi] PST - ppublish SO - Arch Dermatol. 2012 Oct;148(10):1152-6. doi: 10.1001/archdermatol.2012.2267.