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Report of two cases of vacuolar interface dermatitis initially suspected as melanoma in situ and review of the literature

Relato de dois casos de dermatite de interface vacuolar, inicialmente diagnosticados como melanoma in situ, e revisão da literatura

ABSTRACT

The diagnosis of melanocytic lesions can be challenging and immunohistochemical study is a valuable tool for dermatopathologists. We report two cases initially simulating melanoma in situ, reviewing the histopathological and immunohistochemical findings and the cases published in the literature with similar findings/results. We emphasize the importance of clinicopathological correlation in the evaluation of lesions with interface changes and in the "pseudomelanocytic nests", which may simulate melanoma in situ. We also highlight the importance of using a immunohistochemistry panel in addition to Melan-A, in the study of these lesions.

Key words:
melanoma; MART-1 antigen; dermatitis

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