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Published Online First: 17 October 2008. doi:10.1136/jcp.2008.060863
Journal of Clinical Pathology 2009;62:120-127
Copyright © 2009 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

MY APPROACH

Non-melanocytic mimics of melanoma: Part I: intraepidermal mimics

Z S Kamil, L C B Tong, A Al Habeeb, D Ghazarian

Department of Laboratory Medicine and Pathobiology, University of Toronto and University Health Network, Toronto, Ontario, Canada

Associate Professor D Ghazarian, Department of Laboratory Medicine and Pathobiology, University of Toronto, University Health Network, 200 Elizabeth Street, Department of Pathology, 11th Floor, Toronto, Ontario, Canada M5G 2C4; danny.ghazarian{at}uhn.on.ca

ABSTRACT

Melanoma comprises a wide range of cytological and architectural features histopathologically and hence can mimic many benign and malignant lesions of epithelial, mesenchymal and hematopoietic cell lines of differentiation.

Therefore, analysis and close clinical, histological, histochemical and immunohistochemical correlation is vital in distinguishing challenging melanoma cases from their mimics. In this review, the different features of the benign, pre-malignant and malignant intraepidermal non-melanocytic tumours and tumour-like lesions that can closely mimic intraepidermal melanoma (melanoma in situ) are emphasised.


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