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Genetic markers of oral malignant melanoma analysed by fluorescence in situ hybridisation (FISH)

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Abstract

Oral malignant melanoma (OMM) is a rare condition, and our knowledge about morphological and genetic modifications is scanty and incomplete. The aim of this study is to report morphological and fluorescent in situ hybridisation (FISH) data obtained in four cases of OMM. FISH results were also compared with those of cutaneous malignant melanoma (CMM, three cases), desmoplastic cutaneous melanoma (DMM, four cases) and spindle cells cutaneous melanoma (SCCM, one case). All the OMM cases showed a combined radial and vertical growth pattern, with the invasive component characterised by malignant spindle cells intermingled among collagen bundles. Two cases of OMM resulted positively stained with p16, in contrast with frequent loss of immunoreactivity in CMM. Three OMM were suitable for FISH analysis: 9p21 locus was deleted in 1/3, 1p36 resulted deleted 3/3, while EGFR gene showed a relative deletion. Similar genetic alterations were found in DMM and SCMM, but not in CMM. Ultrastructural findings further enhanced differences between OMM and CMM; OMM displayed, mature-staged melanosomes only within in situ component. In conclusion, OMM presents a morphological and genetic profile similar to DMM; and SCCM, however, displays some differences from CMM.

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Acknowledgements

This work was financed by grants from the Ministry of the University and Research (Fund ex 40% “Fundamental Oriented Research”) and Regione Emilia Romagna (Funds: Region-University Research Program 2007–2009, Project Oncology). ALT is supported with Vanini-Cavagnino grants from the Centro Interdipartimentale di Ricerca sul Cancro “G.Prodi”.

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Authors and Affiliations

  1. Department of hematology and Oncology “L. and A. Seragnoli”, Secyion of Anatomic Pathology at Bellaria Hospital, University of Bologna, Bologna, Italy

    Chiara Baldovini, Anna L. Tosi, Enrico Di Oto, Carmine Gallo, Lisa Ricchieri & Maria P. Foschini

  2. Operative Unit of Dermatology, Bellaria Hospital, Bologna, Italy

    Camilla Reggiani

  3. Department of Experimental Pathology, University of Bologna, Bologna, Italy

    Christine M. Betts

  4. Division of Pathology, San Luigi Hospital, Orbassano, Torino, Italy

    Susanna Cappia

  5. Operative Unit of Maxillo-Facial Surgery, Bellaria Hospital, Bologna, Italy

    Roberto Cocchi

  6. Section of Anatomic Pathology “M. Malpighi”, Department of Haematology and Oncology “L. and A. Seragnoli”, Bellaria Hospital, University of Bologna, Via Altura, 3, 40139, Bologna, Italy

    Maria P. Foschini

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  1. Chiara Baldovini
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  2. Anna L. Tosi
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  3. Enrico Di Oto
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  7. Carmine Gallo
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  8. Lisa Ricchieri
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  9. Roberto Cocchi
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  10. Maria P. Foschini
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Correspondence to Maria P. Foschini.

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Baldovini, C., Tosi, A.L., Di Oto, E. et al. Genetic markers of oral malignant melanoma analysed by fluorescence in situ hybridisation (FISH). Virchows Arch 459, 167–173 (2011). https://doi.org/10.1007/s00428-011-1107-9

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  • DOI: https://doi.org/10.1007/s00428-011-1107-9

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