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Limitations of Histopathologic Analysis in the Recognition of Melanoma

Limitations of Histopathologic Analysis in the Recognition of Melanoma EDITORIAL Limitations of Histopathologic Analysis in the Recognition of Melanoma A Plea for a Combined Diagnostic Approach of Histopathologic and Dermoscopic Evaluation tion prevails among those clinicians who believe that the pa- HE ARTICLE PUBLISHED BY SKVARA ET AL IN thologist, given only a piece of the patient’s tissue, has all the this issue of the ARCHIVES focuses on the other ingredients necessary to produce a statement of abso- limitations of dermoscopy in the diagno- lute truth at the end of his report. More dangerous to man- sis of very early and mainly featureless kind is a pathologist with the same concept. T melanomas. The authors report that base- line dermoscopic patterns of 262 melanocytic nevi did Remarkably, subsequent literature has not dealt ad- not differ from those of 63 melanomas observed by digi- equately with this important issue. It is difficult to find tal dermoscopy and finally excised because of changes admissions that expert pathologists sometimes have great overtime. The authors wisely foresee that this basically difficulties in recognizing, for example, the threshold sepa- featureless or “feature-poor” group of melanomas will be rating carcinoma in situ or melanoma in situ from atypia used by both sides in the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Dermatology American Medical Association

Limitations of Histopathologic Analysis in the Recognition of Melanoma

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Publisher
American Medical Association
Copyright
Copyright 2005 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6068
eISSN
2168-6084
DOI
10.1001/archderm.141.2.209
pmid
15724017
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL Limitations of Histopathologic Analysis in the Recognition of Melanoma A Plea for a Combined Diagnostic Approach of Histopathologic and Dermoscopic Evaluation tion prevails among those clinicians who believe that the pa- HE ARTICLE PUBLISHED BY SKVARA ET AL IN thologist, given only a piece of the patient’s tissue, has all the this issue of the ARCHIVES focuses on the other ingredients necessary to produce a statement of abso- limitations of dermoscopy in the diagno- lute truth at the end of his report. More dangerous to man- sis of very early and mainly featureless kind is a pathologist with the same concept. T melanomas. The authors report that base- line dermoscopic patterns of 262 melanocytic nevi did Remarkably, subsequent literature has not dealt ad- not differ from those of 63 melanomas observed by digi- equately with this important issue. It is difficult to find tal dermoscopy and finally excised because of changes admissions that expert pathologists sometimes have great overtime. The authors wisely foresee that this basically difficulties in recognizing, for example, the threshold sepa- featureless or “feature-poor” group of melanomas will be rating carcinoma in situ or melanoma in situ from atypia used by both sides in the

Journal

JAMA DermatologyAmerican Medical Association

Published: Feb 1, 2005

References