Reflected light microscopy, pseudopodia-like marginal zone

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

irregular extensions; irregular foothills; pseudopodia at the periphery; pseudopods

Definition
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Peripheral tumor outgrowths projected into the incident light plane, pointing radially, are bulbously thickened at the ends, multi-fingered, laterally bent and sometimes tree-like.

General information
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Incident light microscopy: The peripheral tumor extensions, which are thickened at the ends and finger-shaped, are blue-grey or brown-grey in colour. In inflammatory neoplastic vascular reaction the pseudopodia are surrounded by a red rim.

Occurrence
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In the group of pigment cell tumors, the specificity of this reflected light microscopic feature for malignant melanomas is over 90%, the sensitivity is 18%. Occasionally, spindle cell nevi show the phenomenon.

Histology
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Confluent junctional melanocyte nests proliferate peripherally into the papillary stratum and into the border area of the reticular stratum. Partially strong transepidermal pigment discharge.

Literature
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  1. Bahmer FA, Fritsch P, Kreusch J, Pehamberger H, Rohrer C, Schindera I, Smolle J, Soyer HP, Stolz W (1990) Diagnostic criteria in reflected light microscopy. Dermatologist 41: 513-514
  2. Kreusch J, Rassner G (1990) Structural analysis of melanocytic pigment moles by reflected light microscopy. dermatologist 41: 27-33

Outgoing links (1)

Melanoma cutaneous;

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Last updated on: 29.10.2020