AUTHOR=van Engen-van Grunsven Adriana C. H. , Kusters-Vandevelde Heidi , Groenen Patricia J. T. A. , Blokx Willeke A. M. TITLE=Update on Molecular Pathology of Cutaneous Melanocytic Lesions: What is New in Diagnosis and Molecular Testing for Treatment? JOURNAL=Frontiers in Medicine VOLUME=1 YEAR=2014 URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2014.00039 DOI=10.3389/fmed.2014.00039 ISSN=2296-858X ABSTRACT=

In this article, we give an update on recent findings regarding molecular pathology in cutaneous melanocytic tumors. The focus lies on use of genetics in the diagnosis of distinct subtypes of spitzoid tumors that are often characterized by specific phenotypic–genotypic alterations that can frequently be recognized by adequate histological examination. Typical illustrating cases are given in order to increase recognition of these lesions in daily dermatopathology practice. New molecular findings in the pathogenesis of congenital melanocytic tumors and neurocutaneous melanosis are reviewed. In addition, use of mutation analysis in the differential diagnosis of melanoma metastasis is discussed. Finally, application of mutation analysis in targeted therapy in advanced melanoma with advantages of new techniques such as next generation sequencing is described.