July 01, 1997

Metastatic Amelanotic Melanoma

Electron Microscopic Results

Groups of small, membrane-bound vacuoles were noted in the cytoplasm, and after careful examination some of these were noted to contain striated structures (Figs. 2 and 3). Further searching of the cytoplasm revealed occasional elliptical shaped structures again with an internal lamellar or striated structure (Figs. 4 and 5). The latter were particularly typical of melanosomes prior to the accumulation of melanin pigment and, therefore, diagnostic for malignant melanoma. The diagnosis was later confirmed by immunocytochemistry positive for S-100 protein and HMB-45.

Sections

To:
Diagnosis and Comment

Figure 2. Oval stage II melanosome with readily defined striated material internally. x105,000

Figure 3. Narrow band of striations (arrow) at edge of melanosome with granular matrix. x73,000

 

Figure 4. Vesicular structures some of which appear empty, have minimal granulofibrillar material or striations (arrow). x73,000

Figure 5. Vesicular structures with concentric membranes, fine granules or striated material. x105,000

 

Go To Cases of the Month DescriptionCases of the Month

1996 1997

 

Go To Society WebsiteSociety for Ultrastructural Pathology

© 1997 Society for Ultrastructural Pathology
All Rights Reserved