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. Author manuscript; available in PMC: 2022 Feb 8.
Published in final edited form as: J Am Acad Dermatol. 2019 Dec 17;82(6):1435–1444. doi: 10.1016/j.jaad.2019.12.020

Table 3:

Suggested Treatment Recommendations for Cases Interpreted as Moderate or Severe Dysplasia by Pathologists’ Characteristics.

Moderate dysplasia Severe dysplasia


No. case readings None ≤ .5 .5–1 ≥ 1 P-value None ≤ .5 .5–1 ≥ 1 P-value
99 420 79 3 10 134 193 16

Affiliation with academic medical center
No 6432 59 (14%) 316 (72%) 60 (14%) 1 (0%) <0.01 6 (2%) 99 (40%) 130 (53%) 12 (5%) 0.51
Yes 2544 40 (24%) 104 (63%) 19 (12%) 2 (1 %) 4 (4%) 35 (33%) 63 (59%) 4 (4%)
Fellowship or board certified in dermatopathology
No 5424 35 (10%) 235 (69%) 70 (20%) 3 (1 %) <0.001 6 (3%) 67 (35%) 107 (55%) 14 (7%) 0.03
Yes 3552 64 (25%) 185 (72%) 9 (3%) 0 (0%) 4 (3%) 67 (42%) 86 (54%) 2 (1 %)
Years interpreting melanocytic skin lesions
< 10 years 3552 39 (16%) 182 (73%) 27 (11%) 2 (1 %) 0.34 2 (1 %) 44 (28%) 100 (65%) 9 (6%) <0.01
10 years + 5424 60 (17%) 238 (68%) 52 (15%) 1 (0%) 8 (4%) 90 (45%) 93 (47%) 7 (4%)
Percent of caseload is melanocytic skin lesions
< 10 percent 3792 27 (11%) 173 (72%) 40 (17%) 0 (0%) <0.01 4 (3%) 52 (36%) 83 (57%) 6 (4%) 0.87
≥ 10 percent 5184 72 (20%) 247 (68%) 39 (11%) 3 (1 %) 6 (3%) 82 (39%) 110 (53%) 10 (5%)