Immunohistochemical staining of lentigo maligna during Mohs micrographic surgery using MART-1.

Abstract:

BACKGROUND:Lentigo maligna (LM) often displays extensive subclinical spread. Mohs micrographic surgery (MMS) has been proposed to help delineate the true histologic margin; however, visualizing atypical melanocytes on frozen section is challenging and often requires confirmatory permanent paraffin sections. OBJECTIVE:Our aim was to use a monoclonal antibody to rapidly stain frozen sections during MMS to facilitate better visualization of atypical melanocytes. METHODS:Frozen sections of LM during MMS were stained with MART-1 (melanoma antigen recognized by T cells) and compared with paraffin-embedded sections. RESULTS:We found 100% correlation between frozen sections stained with MART-1 and paraffin-embedded sections. CONCLUSIONS:Atypical melanocytes can be better visualized on frozen sections of LM by using MART-1 rather than hematoxylin and eosin. This allows for easier identification during MMS and better chance of complete removal of LM lesions.

journal_name

J Am Acad Dermatol

authors

Kelley LC,Starkus L

doi

10.1067/mjd.2002.119197

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

78-84

issue

1

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(02)20366-7

journal_volume

46

pub_type

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