PMID- 26968847 OWN - NLM STAT- MEDLINE DCOM- 20170310 LR - 20181113 IS - 1600-0560 (Electronic) IS - 0303-6987 (Print) IS - 0303-6987 (Linking) VI - 43 IP - 6 DP - 2016 Jun TI - The self-reported use of immunostains and cytogenetic testing in the diagnosis of melanoma by practicing U.S. pathologists of 10 selected states. PG - 492-7 LID - 10.1111/cup.12705 [doi] AB - BACKGROUNDS: The diagnosis of melanoma can be challenging, especially in lesions for which the histopathologic criteria bridge two or more taxonomic categories. Newer genomic analytical methods of fluorescence in situ hybridization (FISH) and comparative genomic hybridization (CGH) have been introduced as ancillary techniques to differentiate benign and malignant melanocytic proliferations. METHODS: We evaluated how pathologists perceive and are incorporating these new cytogenetic testing technologies into their practices. We conducted a study of 207 U.S. pathologists who interpret melanocytic lesions in clinical practice in 10 SEER states. Pathologists were surveyed regarding perceptions and utilization of FISH and/or CGH in their clinical practices. RESULTS: Results showed that 38% of pathologists use FISH and/or CGH in interpreting melanocytic lesions. Pathologists reporting FISH and/or CGH use were significantly younger (p < 0.05), were fellowship trained or board certified in dermatopathology (p < 0.001) and were affiliated with an academic institute (p < 0.001). Pathologists reporting that their colleagues consider them an expert in the assessment of melanocytic lesions were more likely to employ FISH and/or CGH in their practices than non-experts. CONCLUSIONS: Early users of cytogenetic testing technologies in cutaneous pathology are more likely to be younger, affiliated with an academic institution and fellowship trained or board certified in dermatopathology. CI - (c) 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Zhao, Ge AU - Zhao G AD - Division of Dermatology, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. FAU - Lee, Kachiu C AU - Lee KC AD - Department of Dermatology, Massachusetts General Hospital, Harvard University, Boston, MA, USA. FAU - Kwon, Gina AU - Kwon G AD - Division of Dermatology, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. FAU - Frederick, Paul D AU - Frederick PD AD - Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. FAU - Onega, Tracy L AU - Onega TL AD - Department of Biomedical Data Science, Norris Cotton Cancer Center, Lebanon, NH, USA. AD - Department of Epidemiology, Norris Cotton Cancer Center, Lebanon, NH, USA. AD - Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA. FAU - Piepkorn, Michael W AU - Piepkorn MW AD - Division of Dermatology, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. AD - Dermatopathology Northwest, Bellevue, WA, USA. FAU - Knezevich, Stevan AU - Knezevich S AD - Pathology Associates, Clovis, CA, USA. FAU - Barnhill, Raymond L AU - Barnhill RL AD - Department of Pathology, Faculty of Medicine, University of Paris Descartes, Paris, France. AD - Institut Curie, Paris, France. FAU - Elder, David E AU - Elder DE AD - Department of Pathology, University of Pennsylvania, Philadelphia, PA, USA. FAU - Elmore, Joann G AU - Elmore JG AD - Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. LA - eng GR - K05 CA104699/CA/NCI NIH HHS/United States GR - R01 CA151306/CA/NCI NIH HHS/United States GR - T32 AR056969/AR/NIAMS NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Multicenter Study DEP - 20160407 PL - United States TA - J Cutan Pathol JT - Journal of cutaneous pathology JID - 0425124 RN - 0 (Immunosuppressive Agents) SB - IM CIN - J Cutan Pathol. 2017 Jun;44(6):599-600. PMID: 28393383 MH - Adult MH - Aged MH - Female MH - Humans MH - Immunosuppressive Agents/*administration & dosage MH - *In Situ Hybridization, Fluorescence MH - Male MH - *Melanoma/diagnosis/drug therapy/pathology MH - Middle Aged MH - *Self Medication MH - *Self Report MH - United States PMC - PMC5592970 MID - NIHMS900859 OTO - NOTNLM OT - CGH OT - FISH OT - dermatopathology EDAT- 2016/03/13 06:00 MHDA- 2017/03/11 06:00 PMCR- 2017/09/11 CRDT- 2016/03/13 06:00 PHST- 2015/12/21 00:00 [received] PHST- 2016/02/25 00:00 [revised] PHST- 2016/03/05 00:00 [accepted] PHST- 2016/03/13 06:00 [entrez] PHST- 2016/03/13 06:00 [pubmed] PHST- 2017/03/11 06:00 [medline] PHST- 2017/09/11 00:00 [pmc-release] AID - 10.1111/cup.12705 [doi] PST - ppublish SO - J Cutan Pathol. 2016 Jun;43(6):492-7. doi: 10.1111/cup.12705. Epub 2016 Apr 7.