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  • Title: Superficial spreading melanoma and blue naevus within naevus spilus--ultrastructural assessment of giant pigment granules.
    Author: Cox NH, Malcolm A, Long ED.
    Journal: Dermatology; 1997; 194(3):213-6. PubMed ID: 9187835.
    Abstract:
    BACKGROUND: Abnormal melanosomes occur in naevus spilus (NS). OBJECTIVE: To determine whether melanoma arising in NS contains abnormal melanosomes. METHODS: Light and electron microscopy of melanoma within NS and congenital naevus (Case 1), and of blue naevus within NS (Case 2). Light microscopy of additional naevi and melanomas. RESULTS: The melanoma and NS (Case 1) both had large numbers of giant pigment granules (GPGs), demonstrated ultrastructurally to be melanosome macrocomplexes. These were not observed in a congenital naevus (Case 1), or in the blue naevus within NS (Case 2). Small numbers of GPGs were observed in 0/2 NS, 8/16 benign naevi and 11/16 malignant melanomas (MMs). CONCLUSION: NS may be associated with other melanocytic tumours including MM and blue naevi; abnormal melanosomes in NS may also be present in the associated tumour. The prognostic importance of these is unknown, but occasional GPGs in melanocytic lesions are a frequent finding.
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