DIFFERENTIATION BETWEEN MALIGNANT MELANOMAS AND BENIGN MELANOCYTIC NEVI BY COMPUTERIZED DNA CYTOMETRY OF IMPRINT SPECIMENS

STOLZ, W and VOGT, T and LANDTHALER, M and HEMPFER, S and BINGLER, P and ABMAY, W (1994) DIFFERENTIATION BETWEEN MALIGNANT MELANOMAS AND BENIGN MELANOCYTIC NEVI BY COMPUTERIZED DNA CYTOMETRY OF IMPRINT SPECIMENS. JOURNAL OF CUTANEOUS PATHOLOGY, 21 (1). pp. 7-15. ISSN 0303-6987,

Full text not available from this repository.

Abstract

Recently image analysis (IA) and DNA-cytophotometry (CP) have proved to be useful for the differentiation between benign and malignant melanocytic lesions on paraffin sections. Since on sections, these procedures are very time-consuming, we tested in the present study whether IA of imprint specimens, which can be evaluated in less than 30 minutes, might also be sufficient. In 39 malignant melanomas (MM), 18 melanocytic nevi (MN), and 6 dysplastic nevi (DN), 12 different morphometric and DNA cytometric features were determined in 100 randomly selected nuclei. In univariate analysis, 5 features were found to be significantly different between the benign and malignant groups (p<0.0001): mean value (MAREA) and standard deviation (SAREA) of nuclear area and the 80th, 90th, and 95th percentiles of DNA distribution. Using SAREA, die best univariate feature, 82.5% of the cases could be correctly separated. In multivariate analysis with a combination of three features - standard deviation of nuclear area (SAREA), mean DNA value (MDNA), and 95th percentile of DNA distribution (PERC95) - a correct diagnosis was achieved in 89.5% of the cases. Results obtained in the cases of DN indicated an increased proliferation, but did not allow the separation of DN from MM and MN. Since our technique allows a rapid analysis without loss of tissue, which might be important for histological analysis, and the classification rates are equal or still higher than reported in studies on sections, imprints of melanocytic lesions seem to be most appropriate for the calculation of DNA cytometric features as helpful diagnostic criteria in equivocal melanocytic lesions.

Item Type: Article
Uncontrolled Keywords: IMAGE-ANALYSIS CYTOMETRY; DYSPLASTIC NEVI; FLOW-CYTOMETRY; SPITZ-NEVUS; TUMOR PROGRESSION; DIAGNOSIS; PLOIDY; SKIN; CYTOPHOTOMETRY; ABNORMALITIES;
Depositing User: Dr. Gernot Deinzer
Last Modified: 19 Oct 2022 08:41
URI: https://pred.uni-regensburg.de/id/eprint/53482

Actions (login required)

View Item View Item