Table 2 Contrasting criteria for Spitz tumors from reports in the literature30

From: The Spitzoid lesion: rethinking Spitz tumors, atypical variants, ‘Spitzoid melanoma’ and risk assessment

Criterion

Kernen and Ackerman 7

Reed et al 26

Weedon and Little 12

Paniago-Pereira et al 11

Pagetoid spread

Not stated

Not stated

Occasional

Sparse

Nuclear atypia

Absent

Minimal

Present

Not important

Giant cells

Occasional

Present

Present

Not helpful

Epidermis

Thinned

Hyperplastic

Hyperplastic

Hyperplastic

Cell type

Mostly spindled

No comment

Mostly spindled

Mostly spindled

Dermal mitoses

Rare

Variable (rarely high)

Common

Occasional

Atypical mitoses

Rare

Not stated

Uncommon

Rare

Maturation with descent

Mostly absent

Present

Mostly absent

Prominent

Deep dermal margin

Pushing

Infiltrative

Infiltrative

Pushing