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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 4.

Suggested Treatment Recommendations for Cases Interpreted as Conventional Spitz or Atypical Spitz by Pathologists’ Characteristics.

Conventional Spitz Atypical Spitz


No. case readings None ≤ .5 .5–1 ≥ 1 P-value None ≤ .5 .5–1 ≥ 1 P-value
34 39 4 1 8 90 71 25

Affiliation with academic medical center
No 6432 23 (43%) 28 (53%) 2 (4%) 0 (0%) 0.35 3 (2%) 65 (45%) 59 (40%) 19 (13%) 0.04
Yes 2544 11 (44%) 11 (44%) 2 (8%) 1 (4%) 5 (10%) 25 (52%) 12 (25%) 6 (13%)
Fellowship or board certified in dermatopathology
No 5424 19 (42%) 22 (49%) 3 (7%) 1 (2%) 0.89 4 (4%) 47 (46%) 38 (37%) 14 (14%) 0.98
Yes 3552 15 (45%) 17 (52%) 1 (3%) 0 (0%) 4 (4%) 43 (47%) 33 (36%) 11 (12%)
Years interpreting melanocytic skin lesions
< 10 Years 3552 8 (31%) 17 (65%) 1 (4%) 0 (0%) 0.24 2 (2%) 41 (48%) 32 (37%) 11 (13%) 0.78
10 years + 5424 26 (50%) 22 (42%) 3 (6%) 1 (2%) 6 (6%) 49 (45%) 39 (36%) 14 (13%)
Percent of caseload is melanocytic skin lesions
< 10 percent 3792 18 (50%) 15 (42%) 2 (6%) 1 (3%) 0.34 2 (3%) 32 (45%) 27 (38%) 10 (14%) 0.9
≥ 10 percent 5184 16 (38%) 24 (57%) 2 (5%) 0 (0%) 6 (5%) 58 (47%) 44 (36%) 15 (12%)