Melanocytic nevi are associated with neurofibromas in neurofibromatosis, type I, but not sporadic neurofibromas. A study of 226 cases

Background:  Neurofibromatosis, type 1, is associated with cutaneous melanin pigmentation, but an association with ordinary melanocytic nevi has not been described. Methods:  This retrospective case‐control study was designed to see if neurofibromas in patients with neurofibromatosis, type 1 (NF‐1)...

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Veröffentlicht in:Journal of cutaneous pathology 2005-09, Vol.32 (8), p.523-532
Hauptverfasser: Ball, Nigel J., Kho, Grace T.
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Kho, Grace T.
description Background:  Neurofibromatosis, type 1, is associated with cutaneous melanin pigmentation, but an association with ordinary melanocytic nevi has not been described. Methods:  This retrospective case‐control study was designed to see if neurofibromas in patients with neurofibromatosis, type 1 (NF‐1) differ from sporadic neurofibromas (SN) in their incidence of associated melanocytic nevi and other histologic features. Slides from 114 NF‐1 were compared with 112 SN and 300 intradermal melanocytic nevi (IDN). Results:  Small lentiginous melanocytic nevi were identified over 13 NF‐1 (11%) but no SN (P = 0.0002). Compared with other NF‐1, NF‐1 with nevi were more frequently associated with melanocytic hyperplasia, giant melanosomes and diffuse neurofibroma (P 
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A study of 226 cases</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Ball, Nigel J. ; Kho, Grace T.</creator><creatorcontrib>Ball, Nigel J. ; Kho, Grace T.</creatorcontrib><description>Background:  Neurofibromatosis, type 1, is associated with cutaneous melanin pigmentation, but an association with ordinary melanocytic nevi has not been described. Methods:  This retrospective case‐control study was designed to see if neurofibromas in patients with neurofibromatosis, type 1 (NF‐1) differ from sporadic neurofibromas (SN) in their incidence of associated melanocytic nevi and other histologic features. Slides from 114 NF‐1 were compared with 112 SN and 300 intradermal melanocytic nevi (IDN). Results:  Small lentiginous melanocytic nevi were identified over 13 NF‐1 (11%) but no SN (P = 0.0002). Compared with other NF‐1, NF‐1 with nevi were more frequently associated with melanocytic hyperplasia, giant melanosomes and diffuse neurofibroma (P &lt; 0.03). Compared with SN, NF‐1 were also more frequently associated with melanocytic hyperplasia, lentigo simplex‐like changes, diffuse neurofibroma and plexiform neurofibroma (P &lt; 0.001). Sebaceous hyperplasia (14%), dermal elastosis (9%), lipomatous change (8%), epithelial cysts (4%) and keratin granulomas or folliculitis (3%) were not significantly different in prevalence between NF‐1, SN and the control group of IDN. Conclusions:  This study suggests that there is a difference in the potential for melanocytic proliferation in NF‐1 compared with SN. NF‐1, SN and IDN are associated with a similar range of incidental histologic changes.</description><identifier>ISSN: 0303-6987</identifier><identifier>EISSN: 1600-0560</identifier><identifier>DOI: 10.1111/j.0303-6987.2005.00376.x</identifier><identifier>PMID: 16115049</identifier><identifier>CODEN: JCUPBN</identifier><language>eng</language><publisher>Oxford, UK; Malden, USA: Munksgaard International Publishers</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Biomarkers, Tumor - metabolism ; Case-Control Studies ; Cell Proliferation ; Dermatology ; Female ; Fluorescent Antibody Technique, Indirect ; Humans ; Male ; Medical sciences ; Melanocytes - metabolism ; Melanocytes - pathology ; Middle Aged ; Neoplasms, Multiple Primary - etiology ; Neoplasms, Multiple Primary - metabolism ; Neoplasms, Multiple Primary - pathology ; Neurofibroma - complications ; Neurofibroma - metabolism ; Neurofibroma - pathology ; Neurofibromatosis 1 - complications ; Neurofibromatosis 1 - metabolism ; Neurofibromatosis 1 - pathology ; Neurology ; Nevus, Pigmented - complications ; Nevus, Pigmented - metabolism ; Nevus, Pigmented - pathology ; Retrospective Studies ; Skin Neoplasms - complications ; Skin Neoplasms - metabolism ; Skin Neoplasms - pathology ; Tumors of the nervous system. Phacomatoses ; Tumors of the skin and soft tissue. 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A study of 226 cases</title><title>Journal of cutaneous pathology</title><addtitle>J Cutan Pathol</addtitle><description>Background:  Neurofibromatosis, type 1, is associated with cutaneous melanin pigmentation, but an association with ordinary melanocytic nevi has not been described. Methods:  This retrospective case‐control study was designed to see if neurofibromas in patients with neurofibromatosis, type 1 (NF‐1) differ from sporadic neurofibromas (SN) in their incidence of associated melanocytic nevi and other histologic features. Slides from 114 NF‐1 were compared with 112 SN and 300 intradermal melanocytic nevi (IDN). Results:  Small lentiginous melanocytic nevi were identified over 13 NF‐1 (11%) but no SN (P = 0.0002). Compared with other NF‐1, NF‐1 with nevi were more frequently associated with melanocytic hyperplasia, giant melanosomes and diffuse neurofibroma (P &lt; 0.03). Compared with SN, NF‐1 were also more frequently associated with melanocytic hyperplasia, lentigo simplex‐like changes, diffuse neurofibroma and plexiform neurofibroma (P &lt; 0.001). Sebaceous hyperplasia (14%), dermal elastosis (9%), lipomatous change (8%), epithelial cysts (4%) and keratin granulomas or folliculitis (3%) were not significantly different in prevalence between NF‐1, SN and the control group of IDN. Conclusions:  This study suggests that there is a difference in the potential for melanocytic proliferation in NF‐1 compared with SN. NF‐1, SN and IDN are associated with a similar range of incidental histologic changes.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>Case-Control Studies</subject><subject>Cell Proliferation</subject><subject>Dermatology</subject><subject>Female</subject><subject>Fluorescent Antibody Technique, Indirect</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Melanocytes - metabolism</subject><subject>Melanocytes - pathology</subject><subject>Middle Aged</subject><subject>Neoplasms, Multiple Primary - etiology</subject><subject>Neoplasms, Multiple Primary - metabolism</subject><subject>Neoplasms, Multiple Primary - pathology</subject><subject>Neurofibroma - complications</subject><subject>Neurofibroma - metabolism</subject><subject>Neurofibroma - pathology</subject><subject>Neurofibromatosis 1 - complications</subject><subject>Neurofibromatosis 1 - metabolism</subject><subject>Neurofibromatosis 1 - pathology</subject><subject>Neurology</subject><subject>Nevus, Pigmented - complications</subject><subject>Nevus, Pigmented - metabolism</subject><subject>Nevus, Pigmented - pathology</subject><subject>Retrospective Studies</subject><subject>Skin Neoplasms - complications</subject><subject>Skin Neoplasms - metabolism</subject><subject>Skin Neoplasms - pathology</subject><subject>Tumors of the nervous system. Phacomatoses</subject><subject>Tumors of the skin and soft tissue. 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A study of 226 cases</title><author>Ball, Nigel J. ; Kho, Grace T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4346-aaf619475423133fc999777485348184b5295bd7430db8386950e89b980780ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Case-Control Studies</topic><topic>Cell Proliferation</topic><topic>Dermatology</topic><topic>Female</topic><topic>Fluorescent Antibody Technique, Indirect</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melanocytes - metabolism</topic><topic>Melanocytes - pathology</topic><topic>Middle Aged</topic><topic>Neoplasms, Multiple Primary - etiology</topic><topic>Neoplasms, Multiple Primary - metabolism</topic><topic>Neoplasms, Multiple Primary - pathology</topic><topic>Neurofibroma - complications</topic><topic>Neurofibroma - metabolism</topic><topic>Neurofibroma - pathology</topic><topic>Neurofibromatosis 1 - complications</topic><topic>Neurofibromatosis 1 - metabolism</topic><topic>Neurofibromatosis 1 - pathology</topic><topic>Neurology</topic><topic>Nevus, Pigmented - complications</topic><topic>Nevus, Pigmented - metabolism</topic><topic>Nevus, Pigmented - pathology</topic><topic>Retrospective Studies</topic><topic>Skin Neoplasms - complications</topic><topic>Skin Neoplasms - metabolism</topic><topic>Skin Neoplasms - pathology</topic><topic>Tumors of the nervous system. Phacomatoses</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ball, Nigel J.</creatorcontrib><creatorcontrib>Kho, Grace T.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cutaneous pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ball, Nigel J.</au><au>Kho, Grace T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Melanocytic nevi are associated with neurofibromas in neurofibromatosis, type I, but not sporadic neurofibromas. A study of 226 cases</atitle><jtitle>Journal of cutaneous pathology</jtitle><addtitle>J Cutan Pathol</addtitle><date>2005-09</date><risdate>2005</risdate><volume>32</volume><issue>8</issue><spage>523</spage><epage>532</epage><pages>523-532</pages><issn>0303-6987</issn><eissn>1600-0560</eissn><coden>JCUPBN</coden><abstract>Background:  Neurofibromatosis, type 1, is associated with cutaneous melanin pigmentation, but an association with ordinary melanocytic nevi has not been described. Methods:  This retrospective case‐control study was designed to see if neurofibromas in patients with neurofibromatosis, type 1 (NF‐1) differ from sporadic neurofibromas (SN) in their incidence of associated melanocytic nevi and other histologic features. Slides from 114 NF‐1 were compared with 112 SN and 300 intradermal melanocytic nevi (IDN). Results:  Small lentiginous melanocytic nevi were identified over 13 NF‐1 (11%) but no SN (P = 0.0002). Compared with other NF‐1, NF‐1 with nevi were more frequently associated with melanocytic hyperplasia, giant melanosomes and diffuse neurofibroma (P &lt; 0.03). Compared with SN, NF‐1 were also more frequently associated with melanocytic hyperplasia, lentigo simplex‐like changes, diffuse neurofibroma and plexiform neurofibroma (P &lt; 0.001). Sebaceous hyperplasia (14%), dermal elastosis (9%), lipomatous change (8%), epithelial cysts (4%) and keratin granulomas or folliculitis (3%) were not significantly different in prevalence between NF‐1, SN and the control group of IDN. Conclusions:  This study suggests that there is a difference in the potential for melanocytic proliferation in NF‐1 compared with SN. NF‐1, SN and IDN are associated with a similar range of incidental histologic changes.</abstract><cop>Oxford, UK; Malden, USA</cop><pub>Munksgaard International Publishers</pub><pmid>16115049</pmid><doi>10.1111/j.0303-6987.2005.00376.x</doi><tpages>10</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Aged
Biological and medical sciences
Biomarkers, Tumor - metabolism
Case-Control Studies
Cell Proliferation
Dermatology
Female
Fluorescent Antibody Technique, Indirect
Humans
Male
Medical sciences
Melanocytes - metabolism
Melanocytes - pathology
Middle Aged
Neoplasms, Multiple Primary - etiology
Neoplasms, Multiple Primary - metabolism
Neoplasms, Multiple Primary - pathology
Neurofibroma - complications
Neurofibroma - metabolism
Neurofibroma - pathology
Neurofibromatosis 1 - complications
Neurofibromatosis 1 - metabolism
Neurofibromatosis 1 - pathology
Neurology
Nevus, Pigmented - complications
Nevus, Pigmented - metabolism
Nevus, Pigmented - pathology
Retrospective Studies
Skin Neoplasms - complications
Skin Neoplasms - metabolism
Skin Neoplasms - pathology
Tumors of the nervous system. Phacomatoses
Tumors of the skin and soft tissue. Premalignant lesions
title Melanocytic nevi are associated with neurofibromas in neurofibromatosis, type I, but not sporadic neurofibromas. A study of 226 cases
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