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. 2018 May 10;5(1):MMT04. doi: 10.2217/mmt-2018-0001

Table 2. . Basic terminology used to describe melanocytic lesions.

Layer Terminology Description
Superficial (suprabasal) epidermis Regular honeycomb pattern Normal keratinocytes appearing as polygonal cells with well-demarcated refractive cellular outlines

  Regular cobblestone pattern Small monomorphous round cells appearing bright because of a high amount in melanin in the keratinocytes

  Irregular (or atypical) honeycomb or cobblestone pattern Irregular-shaped keratinocytes in a honeycomb or cobblestone pattern

  Broadened honeycomb pattern Honeycomb pattern with enlarged intercellular spaces

  Epidermal disarray (or disarranged pattern) No recognizable honeycomb or cobblestone pattern replaced by irregular bright particles

  Pagetoid cells (or pagetoid infiltration) Cells twice the size of keratinocytes. May be round, dendritic or both

Basal cell layer and DEJ Edged papillae Normal dermal papillae surrounded by a rim of refractive cells

  Nonedged dermal papillae Dermal papillae are not visible or not demarcated by a normal rim of bright cell but rather by large reflective structures

  DEJ disarray Loss of the normal architecture of the DEJ

  Nests Oval to round bright structures corresponding to aggregates of melanocytes. Nests may be further descried as being dense, sparse or cerebriform

DEJ: Dermoepidermal junction.