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Dermatopathology: Practical & Conceptual January - March 2001
>
Evolution In Thinking: Criteria for Histopathologic Diagnosis of Melanoma, 1947–2000: A Critique in Historical Perspective
Mary Aldrene L. Tan, M.D.
A. Bernard Ackerman, M.D.
Introduction
Becker and Obermayer
Ormsby and Montgomery
Lever
Allen
Percival, Montgomery, and Dodds
Montgomery
Pinkus and Mehregan
Wayte
Clark and Mihm
Milne
Smith
Sanderson
Smith
Price, Rywlin, and Ackerman
Pinkus and Mehregan
Ackerman and Su
Kamino and Ackerman
Domonkos, Arnold, and Odom
Roses, Harris, and Ackerman
MacKie
Okun, Edelstein, and Fisher
McCarthy
et al.
Clark
Kirkham
Weedon and Strutton
Fitzpatrick
et al.
Murphy
Mehregan
et al.
Weedon
Elder and Elenitsas
Barnhill
Langley, Fitzpatrick, and Sober
Langley
et al.
Maize
et al.
Dewan and Ackerman
Farmer and Hood
Conclusion
SEE ALSO
-
melanoma
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Weedon and Strutton
"In this type (superficial spreading melanoma), there is proliferation of melanocytes singly and in nests at all levels within the epidermis and often the adnexal epithelium. This pagetoid growth pattern is sometimes referred to as "buckshot scatter" of melanocytes."
Weedon D, Strutton G. In: Emmett AJJ, O'Rourke MGE.
Malignant skin tumours.
2nd Edition. Edinburgh: Churchill Livingstone, 1991:72.
Brief Critique
The same changes are found in some Spitz's nevi and are not distinguishing of those nevi from melanoma.
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