PRAME Expression and Melanoma In Situ Margin Assessment.
Thomas N Helm, Charlene Lam, Bohdan Zoshchuk et al.
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Case in brief
A case of melanoma in situ of the lentigo maligna type on chronically sun-damaged skin presented a diagnostic challenge in margin assessment. Despite the use of PRAME immunohistochemistry to delineate subclinical spread, the extent of the melanoma was found to exceed the clinically visible borders, complicating the determination of clear margins.
Diagnostic / clinical pearl
PRAME immunohistochemistry can aid in assessing margins for melanoma in situ, but clinicians should be aware that the disease may extend beyond visible borders.