Difference between revisions of "Melanocytic lesions"

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====Intradermal melanocytic nevus====
====Intradermal melanocytic nevus====
<pre>
{{Main|Intradermal nevus}}
SKIN LESION, BACK, PUNCH BIOPSY:
- BENIGN INTRADERMAL NEVUS.
</pre>
 
=====Adipocytes present=====
<pre>
SKIN LESION, BACK, PUNCH BIOPSY:
- BENIGN INTRADERMAL NEVUS WITH MATURE ADIPOCYTES.
</pre>
 
=====Clinically suspicious=====
<pre>
SKIN LESION, LEFT UPPER ARM, PUNCH BIOPSY:
- BENIGN INTRADERMAL NEVUS, INCOMPLETELY EXCISED.
 
COMMENT:
HMB-45 marks very rare superficial cells. Ki-67 staining does not show apparent melanocyte
staining. MITF marks the melanocytes and demonstrates maturation of the melanocytes with depth.
</pre>
 
=====Micro=====
The sections show melanocytes in the dermis separated from the epidermis by a Grenz zone.  The lesion is symmetrical in its architecture and pigment distribution.  Superficially, melanocytes are in nests.  Melanocytes mature with depth. No mitotic activity is appreciated.
 
The lesion is completely excised in the plane of section.
 
======IDN with congenital features======
The sections show melanocytes in the dermis separated from the epidermis by a Grenz
zone. The lesion is symmetrical in its architecture. Superficially, melanocytes are in
nests. Melanocytes mature with depth and track along adnexal structures.  No mitotic
activity is appreciated. The lesion is incompletely excised in the plane of section.


==Congenital-pattern nevus==
==Congenital-pattern nevus==
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