Desmoplastic melanoma – low magnification

LEGEND

The majority of cases also have an intraepidermal component of the lentiginous or superficial spreading type.

Occasional solar elastosis

This type of melanoma is often locally aggressive.

Melan-A and HMB-45 are typically negative, and SOX-10 is positive

  • Proliferation of spindle-shaped melanocytes, with or without atypia, in the dermis forming bundles between collagen fibers

  • Presence of a desmoplastic stroma: meaning it is hypocellular and fibrotic

Desmoplastic melanoma – high magnification

Proliferation of spindle-shaped melanocytes forming bundles between collagen fibers

Presence of a desmoplastic stroma: meaning it is hypocellular and fibrotic

Desmoplastic melanoma – high magnification

LEGEND

  • Presence of perineural invasion