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Primary dermal melanoma: A case report and molecular characterization
Author(s) -
HIDA Yasutoshi,
KUBO Yoshiaki,
MIYAJIMA Osamu,
ARASE Seiji
Publication year - 2009
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.2009.00650.x
Subject(s) - melanoma , metastatic melanoma , immunohistochemistry , clear cell sarcoma , medicine , pathology , lesion , reverse transcription polymerase chain reaction , optimal distinctiveness theory , cancer research , biology , gene expression , gene , biochemistry , psychology , psychotherapist
Swetter et al. proposed primary dermal melanoma (PDM) as a distinct entity based on an excellent prognosis. The histopathological features of PDM are extremely similar to those of metastatic melanoma or clear cell sarcoma (CCS). We describe a 38‐year‐old woman with a subcutaneous tumor in her left thigh. Physical and imaging examinations showed no evidence of metastatic melanoma. The lesion showed obvious strong expression of KIT by immunohistochemistry, but no EWS ‐ ATF1 fusion transcript specific for CCS was detected by reverse transcription polymerase chain reaction. In further analyses of KIT expression in other tumors, three of four primary melanomas (75%) and six of 12 metastatic melanomas (50%) were moderately or strongly positive, however, both the primary and metastatic lesions of CCS tested negative. We believe this to be a case of PDM, and emphasize the distinctiveness of PDM.