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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 und Abmayr, Wolfgang (1994) Differentiation between malignant melanomas and benign melanocytic nevi by computerized DNA cytometry of imprint specimens. Journal of cutaneous pathology 21 (1), S. 7-15.

Veröffentlichungsdatum dieses Volltextes: 05 Aug 2009 13:59
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.8518


Zusammenfassung

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.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftJournal of cutaneous pathology
Band:21
Nummer des Zeitschriftenheftes oder des Kapitels:1
Seitenbereich:S. 7-15
Datum1994
InstitutionenMedizin > Lehrstuhl für Dermatologie und Venerologie
Identifikationsnummer
WertTyp
8188937PubMed-ID
10.1111/j.1600-0560.1994.tb00684.xDOI
Klassifikation
NotationArt
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-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenUnbekannt / Keine Angabe
URN der UB Regensburgurn:nbn:de:bvb:355-epub-85183
Dokumenten-ID8518

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