Table 2. Major Intraobserver Discrepancies and Agreement With GTC.
Case No./Group | WSI Diagnosis | TM Diagnosis | GTC Diagnosis |
---|---|---|---|
1/Melanocytic | In situ malignant melanoma | Invasive malignant melanoma | Invasive malignant melanoma |
2/Melanocytic | In situ malignant melanoma | Invasive malignant melanoma | In situ malignant melanoma |
3/Melanocytic | Invasive malignant melanoma | Atypical lentiginous compound nevus; severe atypia | Atypical lentiginous junctional nevus; severe atypia |
4/Melanocytic | Lentiginous junctional nevus | Atypical lentiginous junctional nevus; moderate atypiaa | Atypical lentiginous junctional nevus; moderate atypia |
5/Melanocytic | Lentigo/early junctional nevus | Atypical lentiginous junctional nevus; moderate atypiaa | Lentiginous junctional nevus |
6/Melanocytic | Lentiginous compound nevus | Atypical lentiginous compound nevus; mild atypiaa | Atypical lentiginous compound nevus; moderate atypia |
7/Inflammatory | Spongiotic dermatitis | Solar lentigo-seborrheic keratosis overlap | Spongiotic dermatitis |
8/Inflammatory | Spongiotic dermatitis | Granuloma annulare | Spongiotic dermatitis |
9/Nonmelanocytic | Verrucous keratosis | Actinic keratosis; hypertrophic variant | Verruca vulgaris |
10/Nonmelanocytic | Verrucous benign keratosis | Bowenoid actinic keratosis | Actinic keratosis |
11/Nonmelanocytic | Verruca vulgaris | Actinic keratosis; hypertrophic variant | Verruca vulgaris |
12/Nonmelanocytic | Verruca vulgaris | Actinic keratosis; hypertrophic variant | Verruca vulgaris |
13/Nonmelanocytic | Actinic keratosis | Solar lentigo | Actinic keratosis |
14/Nonmelanocytic | Actinic keratosis | Spongiotic/Psoriasiform dermatitis | Actinic keratosis |
Abbreviations: GTC, ground truth consensus; TM, traditional microscopy; WSI, whole-slide images.
Moderate/mild atypia with the margins involved resulting in probable reexcision.