Seborrheic keratosis with basal clear cells: A distinctive microscopic mimic of melanoma in situ - 09/08/11
San Francisco, California
Abstract |
Background |
We observed seborrheic keratoses with many basilar clear cells, creating a microscopic pattern that mimicked a seborrheic keratosis involved by melanoma in situ.
Objective |
We sought to report a series of these seborrheic keratoses and the immunohistochemical stains used to reach a proper diagnosis.
Methods |
We reviewed 9 cases of seborrheic keratosis that had a distinctive pattern of basal clear cells with ample cytoplasm. All cases were evaluated by conventional microscopy, and Melan-A, S-100, and high molecular weight keratin 903 immunostains.
Results |
The basal clear cells failed to react with Melan-A and S-100 protein antisera. In contrast, these cells labeled with an antikeratin antibody in all cases. In all, 7/9 (78%) showed immunopositivity only at the peripheries of cells, creating a pattern that could be mistaken for a negative stain if not examined at high magnification.
Limitations |
This is a retrospective review of cases limited to a large referral dermatopathology service.
Conclusions |
We describe a previously uncharacterized pattern of seborrheic keratosis that can microscopically mimic melanoma in situ. Careful conventional microscopy coupled with a panel of immunostains can allow the proper diagnosis to be reached.
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Funding sources: None. Conflicts of interest: None identified. |
Vol 54 - N° 1
P. 132-135 - janvier 2006 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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