Atypical Lentiginous Melanocytic Proliferations Case Series: Relationship to Type <scp>II</scp> Dysplastic Nevi and Lentiginous Melanoma

A recent study described a distinctive subset of dysplastic nevi in older patients, genetically characterized by non-BRAFV600E driver mutations and frequent TERT promoter mutations. It has been proposed that these lesions overlap with the so-called lentiginous dysplastic nevi of the elderly. We explore this relationship in a series of 24 atypical lentiginous melanocytic proliferations, correlating with ex vivo dermoscopy, as well as immunohistochemical and molecular findings. We also discuss the utility of the MPATH-Dx tool to improve consensus for such lesions.

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Publication Details

Journal
Journal of Cutaneous Pathology
Published
2026-08-18
DOI
https://doi.org/10.1111/cup.70198
Primary Topic
Cutaneous Melanoma Detection and Management
Type
article
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article

Atypical Lentiginous Melanocytic Proliferations Case Series: Relationship to Type II Dysplastic Nevi and Lentiginous Melanoma

Maged Daruish, Siebe Loontiens, Joni Van der Meulen, Marc Haspeslagh et al.
Journal of Cutaneous Pathology
Cutaneous Melanoma Detection and Management
article

Atypical Lentiginous Melanocytic Proliferations Case Series: Relationship to Type II Dysplastic Nevi and Lentiginous Melanoma

Maged Daruish, Siebe Loontiens, Joni Van der Meulen, Marc Haspeslagh, Julie Lemahieu, Saleem Taibjee, Boris C. Bastian, Laura Gadeyne, Ella De Ryck
article en

Abstract

A recent study described a distinctive subset of dysplastic nevi in older patients, genetically characterized by non-BRAFV600E driver mutations and frequent TERT promoter mutations. It has been proposed that these lesions overlap with the so-called lentiginous dysplastic nevi of the elderly. We explore this relationship in a series of 24 atypical lentiginous melanocytic proliferations, correlating with ex vivo dermoscopy, as well as immunohistochemical and molecular findings. We also discuss the utility of the MPATH-Dx tool to improve consensus for such lesions.

Journal of Cutaneous Pathology
University of California, San Francisco (US), Ghent University Hospital (BE), Cancer Research UK (GB), Ghent University (BE), Cancer Research Institute Ghent (BE), Dorset County Hospital (GB), UCSF Helen Diller Family Comprehensive Cancer Center (US)
Good health and well-being
Openalex Percentile: Top 12%
Cutaneous Melanoma Detection and Management
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