Histopathologic clues for the diagnosis of Wiesner nevus

J Am Acad Dermatol. 2014 Mar;70(3):549-54. doi: 10.1016/j.jaad.2013.10.032. Epub 2013 Dec 24.

Abstract

The dermatologic hallmark of a recently described BAP1-associated cancer susceptibility syndrome is a dome-shaped nevus with distinct clinicopathological features, first delineated by Wiesner and colleagues. Here we describe the leading histopathological criteria of Wiesner nevus. Wiesner nevus is composed of various nevomelanocytic populations all showing different degrees of atypia ranging from hyperchromatic nevus cell-like to large atypical epithelioid cells. Immunohistochemically, Wiesner nevus is BAP1 negative and VE1 positive.

Keywords: B-raf; BAP1 protein; epithelioid and spindle cell; human; nevus; proto-oncogene proteins.

MeSH terms

  • Biomarkers, Tumor / analysis*
  • Biopsy, Needle
  • Diagnosis, Differential
  • Genetic Predisposition to Disease
  • Germ-Line Mutation
  • Humans
  • Immunohistochemistry
  • Mutation
  • Nevus, Epithelioid and Spindle Cell / chemistry
  • Nevus, Epithelioid and Spindle Cell / diagnosis
  • Nevus, Epithelioid and Spindle Cell / pathology*
  • Nevus, Pigmented / chemistry
  • Nevus, Pigmented / diagnosis
  • Nevus, Pigmented / pathology*
  • Proto-Oncogene Mas
  • Skin Neoplasms / chemistry
  • Skin Neoplasms / diagnosis
  • Skin Neoplasms / pathology*
  • Tumor Suppressor Proteins / analysis*
  • Ubiquitin Thiolesterase / analysis*

Substances

  • BAP1 protein, human
  • Biomarkers, Tumor
  • MAS1 protein, human
  • Proto-Oncogene Mas
  • Tumor Suppressor Proteins
  • Ubiquitin Thiolesterase