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.