Filigree-like rete ridges, lobulated nests, rosette-like structures, and exaggerated maturation characterize Spitz tumors With NTRK1 fusion Journal Article


Authors: Yeh, I.; Busam, K. J.; McCalmont, T. H.; LeBoit, P. E.; Pissaloux, D.; Alberti, L.; de la Fouchardière, A.; Bastian, B. C.
Article Title: Filigree-like rete ridges, lobulated nests, rosette-like structures, and exaggerated maturation characterize Spitz tumors With NTRK1 fusion
Abstract: Activating NTRK1 fusions have been described as oncogenic events across the spectrum of Spitz tumors. Herein we report a series of 38 Spitz tumors with NTRK1 fusion. These Spitz tumors have distinctive histopathologic features characterized by filigree-like rete ridges which are elongated, thin and branched, dermal melanocytes arranged in a rosette-like configuration, and marked diminishment of melanocyte size with descent into the dermis. These features are distinct from those of other genetically defined subtypes of Spitz tumors and can aid in microscopic diagnosis and help prioritize in case selection for molecular testing in the rare patients that need targeted therapy. © Copyright 2019 Wolters Kluwer Health, Inc. All rights reserved.
Keywords: spitz nevus; spitz tumor; kinase fusion; ntrk1; spitz melanoma
Journal Title: American Journal of Surgical Pathology
Volume: 43
Issue: 6
ISSN: 0147-5185
Publisher: Lippincott Williams & Wilkins  
Date Published: 2019-06-01
Start Page: 737
End Page: 746
Language: English
DOI: 10.1097/pas.0000000000001235
PROVIDER: scopus
PUBMED: 30844834
DOI/URL:
Notes: Article -- Export Date: 3 June 2019 -- Source: Scopus
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  1. Klaus J Busam
    688 Busam