We have examined melanocytic cells derived directly from fresh biopsy
tissue for the presence of p53 mutations. Using selective media that p
ermits growth of melanocytes and inhibits growth of fibroblasts and ke
ratinocytes, we established short-term, primary cultures of melanocyte
s from skin biopsies of common acquired nevi, dysplastic nevi, and fro
m metastatic melanoma. Using PCR-single-stranded conformational polymo
rphism analysis, we have detected p53 mutations in 2 of 11 benign comp
ound nevi and 2 of 5 dysplastic nevi. All nevi positive for p53 mutati
ons were derived from patients who previously had cutaneous moles and
three of the four had a family and/or personal history of melanoma.