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J Clin Pathol 57:1121-1131 doi:10.1136/jcp.2003.008516
  • Review

My approach to atypical melanocytic lesions

Table 3

 Non-melanocytic causes of pagetoid spread in the epidermis

Paget’s disease
Extramammary Paget’s disease
Squamous cell carcinoma in situ (Bowen’s disease, bowenoid papulosis)
Pagetoid actinic keratosis33
Langerhans cell histiocytosis34
Eccrine porocarcinoma35
Sebaceous carcinoma
Cutaneous T cell lymphoma/pagetoid reticulosis
Intraepidermal Merkel cell carcinoma/Merkel cell carcinoma36,37
Intraepidermal mononuclear cells/Langerhans cell microabscess
Metastatic carcinoma from a distant primary
Clear cell papulosis38

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