R. Finkpuches et al., EXPRESSION OF 2 MORPHOLOGIC PARAMETERS CONCERNING TUMOR-STROMA INTERACTION IN BENIGN AND MALIGNANT MELANOCYTIC SKIN-LESIONS, The American journal of dermatopathology, 20(5), 1998, pp. 468-472
The importance of tumor-stroma interaction in many solid tumors of the
skin has been demonstrated in recent years. Invasion and metastasis r
equire multiple interactions of the tumor cells with the surrounding s
troma. In malignant melanoma most studies concerning tumor-stroma inte
raction focus on the peritumoral infiltrate, whereas other aspects of
tumor-stroma interactions have not been considered. We investigated tw
o morphologic criteria of tumor-stroma interaction in melanocytic skin
tumors. Simple infiltration into the surrounding dermis or subcutis w
ithout evident stromal reaction (DERMSIMPLE) and the existence of morp
hologically intact collagen bundles of the reticular dermis within the
tumor bulk (PRECOLL) were examined in 373 benign common nevi, 239 dys
plastic nevi, 322 Spitz nevi, 368 primary malignant melanomas, and 344
melanoma lesions metastatic to the skin. Our results showed that ther
e is a highly significant difference in the expression of DERMSIMPLE a
nd PRECOLL between benign and malignant melanocytic skin tumors. Conce
rning DERMSIMPLE, 13.3% of benign skin lesions compared with 28.2% of
malignant lesions were positive for this feature; PRECOLL was found in
13.8% benign and 37.1% malignant lesions (chi-squared test; p = 0.000
1 for both features). Furthermore, it could be demonstrated that simpl
e infiltration into the surrounding stroma as well as the existence of
morphologically intact collagen bundles of the reticular dermis withi
n the tumor bulk increases with tumor progression; between primary mal
ignant melanoma and melanoma metastatic to the skin, for example, ther
e was a highly significant difference for DERMSIMPLE, as well as for P
RECOLL (chi-squared test; p = 0.00001). These data indicate that morph
ologic aspects of tumor-stroma interactions in different benign and ma
lignant melanocytic skin lesions may reflect biological behavior of tu
mor cells. The analysis of further aspects of tumor-stroma interaction
and the relation to the patient's outcome may lead to the development
of further prognostic parameters in malignant melanoma.