ALK‐positive compound Spitz nevus with extensive perineural and intraneural neurotropism

Historically recognized by their characteristic histopathologic features, Spitz neoplasms are now known to be molecularly defined by mutually exclusive recurrent abnormalities that cause activation of the MAPK pathway. Spitz neoplasms with ALK rearrangements frequently demonstrate polypoid growth wi...

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Veröffentlicht in:Journal of cutaneous pathology 2021-01, Vol.48 (1), p.154-159
Hauptverfasser: Brown, Ryanne A., Wang, Jennifer Y., Raghavan, Shyam S., Zhang, Jingjing, Wan, Derrick C., Born, Donald, Koo, Matthew, Hazard, Florette K., Novoa, Roberto A., Rieger, Kerri E.
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container_issue 1
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container_title Journal of cutaneous pathology
container_volume 48
creator Brown, Ryanne A.
Wang, Jennifer Y.
Raghavan, Shyam S.
Zhang, Jingjing
Wan, Derrick C.
Born, Donald
Koo, Matthew
Hazard, Florette K.
Novoa, Roberto A.
Rieger, Kerri E.
description Historically recognized by their characteristic histopathologic features, Spitz neoplasms are now known to be molecularly defined by mutually exclusive recurrent abnormalities that cause activation of the MAPK pathway. Spitz neoplasms with ALK rearrangements frequently demonstrate polypoid growth with a plexiform arrangement of nested, fusiform melanocytes in intersecting fascicles. Although neurotropism has been described in indolent Spitz neoplasms, this feature is not frequently mentioned in publications on histopathologic assessment of this group of melanocytic tumors. Here, we present an unusual case of a 3‐year‐old female with an ALK‐positive compound Spitz nevus with extensive perineural and intraneural neurotropism occurring on the vermilion border of the lower lip.
doi_str_mv 10.1111/cup.13890
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subjects ALK
MAP kinase
Melanocytes
Neoplasia
neurotropism
Nevus
Spitz nevus
Tumors
title ALK‐positive compound Spitz nevus with extensive perineural and intraneural neurotropism
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