Mucosal melanotic macule, reactive type: A simulation of melanoma

Two patients with spontaneously resolving hyperpigmented patches of the oral mucosa are reported. Histologically, lesions in both cases showed large pigment-laden dendritic cells singly dispersed at all levels of the epidermis, which simulated in situ melanoma. The absence of such cells in the basal...

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Veröffentlicht in:Journal of the American Academy of Dermatology 1988-11, Vol.19 (5), p.786-791
Hauptverfasser: Horlick, Howard P., Walther, Robert R., Zegarelli, David J., Silvers, David N., Eliezri, Yehuda D.
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container_issue 5
container_start_page 786
container_title Journal of the American Academy of Dermatology
container_volume 19
creator Horlick, Howard P.
Walther, Robert R.
Zegarelli, David J.
Silvers, David N.
Eliezri, Yehuda D.
description Two patients with spontaneously resolving hyperpigmented patches of the oral mucosa are reported. Histologically, lesions in both cases showed large pigment-laden dendritic cells singly dispersed at all levels of the epidermis, which simulated in situ melanoma. The absence of such cells in the basal layer of the epidermis served to histologically distinguish these lesions from a biologically malignant melanocyte tumor. Spontaneous resolution in both patients suggests that the condition is reactive. We propose the term mucosal melanotic macule, reactive type, for this lesion, which has been described previously under the misnomer oral melanoacanthoma.
doi_str_mv 10.1016/S0190-9622(88)70235-2
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Histologically, lesions in both cases showed large pigment-laden dendritic cells singly dispersed at all levels of the epidermis, which simulated in situ melanoma. The absence of such cells in the basal layer of the epidermis served to histologically distinguish these lesions from a biologically malignant melanocyte tumor. Spontaneous resolution in both patients suggests that the condition is reactive. 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subjects Adolescent
Adult
Biological and medical sciences
Diagnosis, Differential
Epidermis - pathology
Female
Humans
Male
Medical sciences
Melanocytes - pathology
Melanoma - pathology
Mouth Mucosa - pathology
Non tumoral diseases
Otorhinolaryngology. Stomatology
Pigmentation Disorders - pathology
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
title Mucosal melanotic macule, reactive type: A simulation of melanoma
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