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Stolz, Wilhelm ; Vogt, Thomas ; Landthaler, Michael ; Hempfer, Siegfried ; Bingler, Paul ; Abmayr, Wolfgang

Differentiation between malignant melanomas and benign melanocytic nevi by computerized DNA cytometry of imprint specimens

Stolz, Wilhelm, Vogt, Thomas, Landthaler, Michael, Hempfer, Siegfried, Bingler, Paul and Abmayr, Wolfgang (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.

Date of publication of this fulltext: 05 Aug 2009 13:59
Article
DOI to cite this document: 10.5283/epub.8518


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 ...

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, the 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.



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Details

Item typeArticle
Journal or Publication TitleJournal of cutaneous pathology
Volume:21
Number of Issue or Book Chapter:1
Page Range:pp. 7-15
Date1994
InstitutionsMedicine > Lehrstuhl für Dermatologie und Venerologie
Identification Number
ValueType
8188937PubMed ID
10.1111/j.1600-0560.1994.tb00684.xDOI
Classification
NotationType
AdultMESH
DNA, Neoplasm/analysisMESH
Diagnosis, DifferentialMESH
Dysplastic Nevus Syndrome/diagnosisMESH
FemaleMESH
HumansMESH
Image Processing, Computer-Assisted/methodsMESH
MaleMESH
Melanoma/diagnosisMESH
Middle AgedMESH
Nevus, Pigmented/diagnosisMESH
Skin Neoplasms/diagnosisMESH
Statistics as TopicMESH
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgUnknown
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-85183
Item ID8518

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