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J Clin Pathol 56:459-464 doi:10.1136/jcp.56.6.459
  • Original article

Histopathological characteristics of small diameter melanocytic naevi

Table 3

Frequency and percentage (in parenthesis) of histopathological features in small melanocytic naevi

Atypical naevi
Feature Benign naevi Mild Moderate Severe p Value
kn, size of melanocyte nucleus compared with the size of basal keratinocyte nucleus.
Total number 73 (100) 103 (100) 73 (100) 12 (100)
Fibrosis
    No 65 (89) 59 (57) 43 (59) 9 (75)
    Concentric eosinophilic 7 (10) 41 (40) 26 (36) 2 (17) 0.0055
    Lamellar 1 (1) 2 (2) 0 0
    Both 0 1 (1) 4 (5) 1 (8) 0.0019
Neovascularisation
    No 69 (95) 91 (88) 61 (84) 6 (50)
    Yes 4 (5) 12 (12) 12 (16) 6 (50) 0.003
Inflammation
    No 24 (33) 3 (3) 2 (3) 1 (8)
    Only melanophages 22 (30) 27 (26) 7 (9) 1 (8) 0.0107
    Scant 24 (33) 65 (63) 43 (59) 6 (50) 0.0003
    Patchy 3 (4) 8 (8) 21 (29) 4 (34) 0.0009
Distortion of rete ridges
    No 67 (92) 4 (4) 1 (1) 1 (8)
    Yes 6 (8) 99 (96) 72 (99) 11 (92) 0.0001
Effacement
    No 73 (100) 99 (96) 66 (90) 6 (50)
    Yes 0 4 (4) 7 (10) 6 (50) 0.0001
Pagetoid spread
    No 73 (100) 101 (98) 69 (95) 4 (33)
    Yes 0 2 (2) 4 (5) 8 (67) 0.0001
Nuclear size
    <kn 53 (72) 53 (51) 7 (10) 0
    ≤ kn <2 kn 18 (25) 42 (41) 29 (40) 1 (8) 0.0001
    ≤2×kn 2 (3) 8 (8) 37 (50) 11 (92) 0.0001
Nuclear contour
    Regular oval 61 (84) 58 (56) 25 (34) 3 (25)
    Spindle shape 12 (16) 45 (44) 48 (66) 9 (75) 0.0001
    Thickened membrane 6 (8) 11 (11) 34 (47) 8 (67) 0.0001
    Indented 0 5 (5) 22 (30) 8 (67) 0.0001
Chromatin
    Hyperchromatic 14 (20) 43 (42) 49 (67) 9 (75) 0.0001
    Clumped 1 (1) 3 (3) 19 (26) 8 (67) 0.0001
Variability
    Minimal 73 (100) 92 (89) 24 (33) 0
    Moderate 0 11 (11) 44 (60) 6 (50) 0.0001
    Severe 0 0 5 (7) 6 (50) 0.147
Nucleolus
    Not prominent 70 (96) 76 (74) 20 (27) 1 (8)
    Visible 3 (4) 27 (26) 39 (54) 8 (67) 0.0001
    Prominent 0 0 14 (19) 3 (25) 0.0068
Cytoplasm
    Scant 71 (97) 85 (83) 31 (42) 0
    Abundant 2 (3) 18 (17) 42 (58) 12 (100) 0.0001

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