Research Topics
Genomes and Genes | Richard A ScolyerSummaryAffiliation: New South Wales Country: Australia Publications
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Publications
Tumor mitotic rate is a more powerful prognostic indicator than ulceration in patients with primary cutaneous melanoma: an analysis of 3661 patients from a single centerManuela F Azzola
Sydney Melanoma Unit, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
Cancer 97:1488-98. 2003..If confirmed by studies from other centers, it has the potential to further improve the accuracy of melanoma staging, as well as to define more rigidly the risk categories for patients entering clinical trials...
The importance of mitotic rate as a prognostic factor for localized primary cutaneous melanomaRichard A Scolyer
J Cutan Pathol 33:395-6; author reply 397-9. 2006
Merkel cell carcinoma: assessing the effect of wide local excision, lymph node dissection, and radiotherapy on recurrence and survival in early-stage disease--results from a review of 82 consecutive cases diagnosed between 1992 and 2004James Jabbour
Sydney Cancer Centre, Sydney, Australia
Ann Surg Oncol 14:1943-52. 2007..Wide surgical excision, lymph node dissection, and radiotherapy have been used with varying efficacy in the management of early-stage Merkel cell carcinoma...
False-negative sentinel node biopsy because of obstruction of lymphatics by metastatic melanoma: the value of ultrasound in conjunction with preoperative lymphoscintigraphyTai K Lam
Melanoma Institute Australia, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
Melanoma Res 19:94-9. 2009..They also highlight the advantages of using ultrasound to assess lymph nodes in any node fields to which lymphatic drainage occurs from a primary tumour site...
The chromatin remodelling factor BRG1 is a novel binding partner of the tumor suppressor p16INK4aTherese M Becker
Westmead Institute for Cancer Research, University of Sydney, Westmead Millennium Institute and Westmead Hospital, Australia
Mol Cancer 8:4. 2009..To identify such functions we conducted a yeast-two-hybrid screen for novel p16INK4a binding partners...
Combined naevus: a benign lesion frequently misdiagnosed both clinically and pathologically as melanomaRichard A Scolyer
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, Australia
Pathology 36:419-27. 2004..They are prone to clinical and pathological misdiagnosis as melanoma. Misdiagnosis may result in inappropriate treatment, patient anxiety and medicolegal consequences...
Failure to remove true sentinel nodes can cause failure of the sentinel node biopsy technique: evidence from antimony concentrations in false-negative sentinel nodes from melanoma patientsRichard A Scolyer
Sydney Melanoma Unit and Melanoma and Skin Cancer Research Institute, Royal Prince Alfred Hospital, Camperdown, Australia
Ann Surg Oncol 11:174S-8S. 2004..Our results suggest that an FN SNB can occur because of failure to remove the true SN as well as histopathologic misdiagnosis...
Parachordoma is not distinguishable from axial chordoma using immunohistochemistryRichard A Scolyer
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Sydney, Australia
Pathol Int 54:364-70. 2004..The results also suggest that parachordoma might not be easily distinguished immunohistochemically from axial chordoma (and therefore also from so-called chordoma periphericum)...
Pathology of melanocytic lesions: new, controversial, and clinically important issuesRichard A Scolyer
Sydney Melanoma Unit and Melanoma and Skin Cancer Research Institute, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
J Surg Oncol 86:200-11. 2004....
The detection and significance of melanoma micrometastases in sentinel nodesRichard A Scolyer
Sydney Melanoma Unit, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia
Surg Oncol 17:165-74. 2008....
Immunohistochemical stains fail to increase the detection rate of micrometastatic melanoma in completion regional lymph node dissection specimensRichard A Scolyer
Melanoma and Skin Cancer Research Institute, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
Melanoma Res 14:263-8. 2004..We therefore recommend only H&E staining on sections of all lymph nodes in CLND specimens from melanoma patients...
Pathologic examination of sentinel lymph nodes from melanoma patientsRichard A Scolyer
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
Semin Diagn Pathol 25:100-11. 2008..At present, the role of nonhistopathologic methods of SN evaluation, such as reverse transcription polymerase chain reaction (RT-PCR) and magnetic resonance spectroscopy, remains unclear, and these techniques require further evaluation...
Antimony concentrations in nodal tissue can confirm sentinel node identityRichard A Scolyer
Sydney Melanoma Unit, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
Mod Pathol 17:1191-7. 2004....
Interobserver reproducibility of histopathologic prognostic variables in primary cutaneous melanomasRichard A Scolyer
Department of Anatomical Pathology, and Sydney Melanoma Unit, and the Melanoma and Skin Cancer Research Institute, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Am J Surg Pathol 27:1571-6. 2003..However, few studies have assessed the accuracy and reproducibility with which these features of a melanoma are recorded by histopathologists...
False negative sentinel lymph node biopsies in melanoma may result from deficiencies in nuclear medicine, surgery, or pathologyRooshdiya Z Karim
Department of Anatomical Pathology, Sydney Cancer Centre, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
Ann Surg 247:1003-10. 2008..To investigate a cohort of melanoma patients with false negative (FN) sentinel node (SN) biopsies (SNBs) to identify the reasons for the FN result...
Lactate dehydrogenase 5 expression in melanoma increases with disease progression and is associated with expression of Bcl-XL and Mcl-1, but not Bcl-2 proteinsLiqing Zhuang
Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Mod Pathol 23:45-53. 2010..The strong correlation of LDH-5 expression with Mcl-1 expression suggests that treatment strategies inhibiting the activity of Mcl-1 in melanoma patients should be investigated...
Progression in melanoma is associated with decreased expression of death receptors for tumor necrosis factor-related apoptosis-inducing ligandLiqing Zhuang
Discipline of Pathology, Faculty of Medicine, University of Sydney, Sydney, New South Wales 2006, Australia
Hum Pathol 37:1286-94. 2006..This suggests that melanoma may not respond to treatment with TRAIL unless given with agents that increase the expression of TRAIL death receptors...
Clinical and pathologic factors associated with distant metastasis and survival in patients with thin primary cutaneous melanomaRajmohan Murali
Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Ann Surg Oncol 19:1782-9. 2012..We sought to identify clinical and pathologic factors associated with distant metastasis and survival in a large number of patients with thin melanoma treated at a single institution...
Diagnostic accuracy of fine needle biopsy for metastatic melanoma and its implications for patient managementAnna Doubrovsky
Sydney Melanoma Unit, Sydney Cancer Centre, Royal Prince Alfred Hospital, Camperdown, NSW, 2050, Australia
Ann Surg Oncol 15:323-32. 2008..In this study, the accuracy of FNB for the diagnosis of metastatic melanoma was investigated...
Outcome in 846 cutaneous melanoma patients from a single center after a negative sentinel node biopsyVivian S K Yee
Sydney Melanoma Unit, Sydney Cancer Centre, Gloucester House, Royal Prince Alfred Hospital, Missenden Road, Camperdown, 2050 New South Wales, Australia
Ann Surg Oncol 12:429-39. 2005..In those with a negative SNB, primary tumor thickness and ulceration are independent predictors of survival. Incorrect pathologic diagnosis contributed to only a minority of the false-negative results in this study...
Confirmation of sentinel lymph node identity by analysis of fine-needle biopsy samples using inductively coupled plasma-mass spectrometryAlison Beavis
Department of Chemistry, Materials and Forensic Science, University of Technology, Sydney, New South Wales, Australia
Ann Surg Oncol 15:934-40. 2008..This involved the use of inductively coupled plasma-mass spectrometry (ICP-MS) to analyze antimony concentrations in fine-needle biopsy (FNB) samples from surgically procured lymph nodes...
Sentinel lymph nodes containing very small (<0.1 mm) deposits of metastatic melanoma cannot be safely regarded as tumor-negativeRajmohan Murali
Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, and Discipline of Pathology, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
Ann Surg Oncol 19:1089-99. 2012....
Targeted high-resolution ultrasound is not an effective substitute for sentinel lymph node biopsy in patients with primary cutaneous melanomaAmira Sanki
Melanoma Institute Australia and Sydney Melanoma Unit, Royal Prince Alfred and Mater Hospitals, Sydney, New South Wales, Australia
J Clin Oncol 27:5614-9. 2009....
The site of infection and ethnicity of the patient influence the biological pathways to HPV-induced mucosal cancerWei Li
Sydney Head and Neck Cancer Institute, Royal Prince Alfred Hospital, Sydney, Australia
Mod Pathol 17:1031-7. 2004..These findings represent new evidence that the molecular pathways to human papillomavirus-induced mucosal cancer may be influenced by anatomic location and ethnicity...
Mcl-1, Bcl-XL and Stat3 expression are associated with progression of melanoma whereas Bcl-2, AP-2 and MITF levels decrease during progression of melanomaLiqing Zhuang
Discipline of Pathology, Faculty of Medicine, The University of Sydney, Sydney, NSW, Australia
Mod Pathol 20:416-26. 2007..These findings have important implications for the development of treatments targeting antiapoptotic proteins in patients with melanoma...
Argyrophilic staining of nucleolar organizer region count and morphometry in benign and malignant melanocytic lesionsLing Xi L Li
Melanoma and Skin Cancer Research Institute, Sydney Melanoma Unit, Royal Prince Alfred Hospital, Camperdown, New South Wales 2050, Australia
Am J Dermatopathol 25:190-7. 2003..The results suggest that both AgNOR count and morphology help to separate benign and malignant melanocytic lesions and that the combination of both sets of parameters improves their discriminating ability...
Sentinel lymph node biopsy in pediatric and adolescent cutaneous melanoma patientsRobert Howman-Giles
Sydney Melanoma Unit and Melanoma Institute Australia, Royal Prince Alfred and Mater Hospitals, Sydney, NSW, Australia
Ann Surg Oncol 17:138-43. 2010..The present study takes advantage of the large Sydney Melanoma Unit (SMU) database to clarify this issue...
Sentinel lymph node biopsy in patients with thin primary cutaneous melanomaRajmohan Murali
Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
Ann Surg 255:128-33. 2012....
The role of cell cycle regulatory proteins in the pathogenesis of melanomaWei Li
The Sydney Melanoma Unit, Royal Prince Alfred Hospital, Camperdown, Australia
Pathology 38:287-301. 2006..However, large validation studies linked to comprehensive clinical follow up data are necessary to clarify the prognostic significance of cell cycle regulatory proteins in individual patients...
Diagnosis of metastatic melanoma by fine-needle biopsy: analysis of 2,204 casesRajmohan Murali
Department of Anatomical Pathology, Sydney Cancer Centre, Australia
Am J Clin Pathol 127:385-97. 2007..FNB is a highly accurate, rapid, and cost-effective procedure for the diagnosis of metastatic melanoma and should be considered as the initial diagnostic procedure of choice in patients with melanoma with clinically suspected metastases...
New evidence for geographic variation in the role of human papillomavirus in tonsillar carcinogenesisWei Li
Sydney Head and Neck Cancer Institute, Sydney Cancer Centre, Royal Prince Alfred Hospital, Sydney, Australia
Pathology 39:217-22. 2007..This study provides the first data on HPV in tonsillar cancers from Hong Kong...
Sentinel lymph node biopsy in histologically ambiguous melanocytic tumors with spitzoid features (so-called atypical spitzoid tumors)Rajmohan Murali
Sydney Melanoma Unit, Royal Prince Alfred Hospital, Camperdown, Sydney, NSW, 2050, Australia
Ann Surg Oncol 15:302-9. 2008..The current study evaluated the role of sentinel lymph node (SLN) biopsy in patients with such atypical spitzoid tumors...
Management of merkel cell carcinoma: the roles of lymphoscintigraphy, sentinel lymph node biopsy and adjuvant radiotherapyRoss E Warner
Sydney Melanoma Unit, Sydney Cancer Centre, Royal Prince Alfred Hospital, Camperdown, Sydney, NSW, 2050, Australia
Ann Surg Oncol 15:2509-18. 2008..However, its optimal treatment is uncertain. In this study, we aimed to assess the roles of lymphoscintigraphy and sentinel node (SN) biopsy, as well as radiotherapy, in the treatment of MCC...
Pathologic review of negative sentinel lymph nodes in melanoma patients with regional recurrence: a clinicopathologic study of 1152 patients undergoing sentinel lymph node biopsyLing-Xi L Li
Melanoma and Skin Cancer Research Institute, Sydney Melanoma Unit, Royal Prince Alfred Hospital, Camperdown, NWS, Australia
Am J Surg Pathol 27:1197-202. 2003....
Synchronous and metachronous malignancies in patients with melanoma: a clinicopathologic study highlighting the role of fine-needle biopsy cytology and potential diagnostic pitfallsCaroline L Cooper
Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia
Melanoma Res 20:203-11. 2010..Careful assessment of the FNB cytologic features and directed use of ancillary studies should enable accurate diagnosis in most cases and facilitate appropriate patient management...
Expression of glucose-regulated stress protein GRP78 is related to progression of melanomaLiquing Zhuang
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Histopathology 54:462-70. 2009..The aim of this study was to investigate its expression and role in the development and progression of human melanoma...
The expression of key cell cycle markers and presence of human papillomavirus in squamous cell carcinoma of the tonsilWei Li
Sydney Head and Neck Cancer Institute, PO Box M 142, Missenden Road, Camperdown, NSW 2050, Australia
Head Neck 26:1-9. 2004..CONCLUSIONS: HPV-positive tonsil SCCs have distinct molecular pathways. Their association with younger patient age suggests that they are biologically distinct from HPV-negative tumors...
Antimony by ICP-MS as a marker for sentinel lymph nodes in melanoma patientsMichael Dawson
Department of Chemistry, Materials and Forensic Science, University of Technology, Sydney, 1 Broadway, Broadway, NSW 2007, Australia
Analyst 128:217-9. 2003..A sensitive, accurate and specific method for the analysis of antimony by ICP-MS is presented as a marker of the sentinel lymph node in melanoma patients...
Selective BRAF inhibitors induce marked T-cell infiltration into human metastatic melanomaJames S Wilmott
Melanoma Institute Australia, Sydney, NSW, Australia
Clin Cancer Res 18:1386-94. 2012..To evaluate the effects of treatment with the potent mutant BRAF inhibitors GSK2118436 or vemurafenib (PLX4720) on immune responses to metastatic melanoma in tissues taken before and after treatment...
A sentinel node biopsy does not increase the incidence of in-transit metastasis in patients with primary cutaneous melanomaDaan van Poll
Sydney Melanoma Unit, Sydney Cancer Centre, Royal Prince Alfred Hospital, Camperdown, New South Wales 2050, Australia
Ann Surg Oncol 12:597-608. 2005..2%, compared with 10.8% in patients with a tumor-positive sentinel node treated with immediate dissection (n = 102; P = .03). CONCLUSIONS: Performing an SNB in patients with melanoma treated by WLE does not increase the incidence of ITM...
Prognostic factors in cutaneous desmoplastic melanoma: a study of 252 patientsRajmohan Murali
Diagnostic Oncology and Tissue Pathology, Royal Prince Alfred Hospital, Camperdown, Sydney, New South Wales, Australia
Cancer 116:4130-8. 2010..Primary melanomas either may be entirely desmoplastic or almost entirely desmoplastic (pure DM [pDM]) or may exhibit a desmoplastic component admixed with a nondesmoplastic component (combined DM [cDM])...
Use of multiple cytometric markers improves discrimination between benign and malignant melanocytic lesions: a study of DNA microdensitometry, karyometry, argyrophilic staining of nucleolar organizer regions and MIB1-Ki67 immunoreactivityLing-Xi L Li
Melanoma and Skin Cancer Research Institute, Sydney Melanoma Unit and Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia
Melanoma Res 13:581-6. 2003..This may be of particular significance in the diagnosis of melanocytic lesions whose biological behaviour cannot be confidently predicted by their histological features using conventional microscopy...
The prognostic importance of tumor mitotic rate confirmed in 1317 patients with primary cutaneous melanoma and long follow-upAnne Brecht Francken
Sydney Melanoma Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Ann Surg Oncol 11:426-33. 2004..However, its predictive value was less than it was when assessed according to the 1982 revisions of the 1972 TMR recommendations...
Subungual melanoma: a study of 124 cases highlighting features of early lesions, potential pitfalls in diagnosis, and guidelines for histologic reportingKong Bing Tan
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, Australia
Am J Surg Pathol 31:1902-12. 2007..Guidelines for the reporting of SUMs are also presented. Knowledge and recognition of the pathologic features of SUMs and the important features that distinguish them from nevi should reduce the frequency of misdiagnosis...
Reduced expression of p16 and p27 is correlated with tumour progression in cutaneous melanomaAmira Sanki
Sydney Melanoma Unit, Sydney Cancer Centre, Department of Anatomical Pathology, Royal Prince Alfred Hospital, and Discipline of Surgery, University of Sydney, NSW, Australia
Pathology 39:551-7. 2007..To determine if the cyclin dependent kinase inhibitors (CDKIs) p16 and p27 show reduced expression in the progression from benign to malignant melanocytic tumours, and to correlate these findings with patient prognosis...
BRAF Mutation, NRAS Mutation, and the Absence of an Immune-Related Expressed Gene Profile Predict Poor Outcome in Patients with Stage III MelanomaGraham J Mann
1 The University of Sydney at Westmead Millennium Institute, Westmead, New South Wales, Australia 2 Melanoma Institute Australia formerly the Sydney Melanoma Unit, Sydney, New South Wales, Australia
J Invest Dermatol 133:509-17. 2013..We conclude that the presence of BRAF mutation, NRAS mutation, and the absence of an immune-related expressed gene profile predict poor outcome in melanoma patients with macroscopic stage III disease...
Increasing tumor thickness is associated with recurrence and poorer survival in patients with Merkel cell carcinomaCathy S Lim
Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
Ann Surg Oncol 19:3325-34. 2012..Clinical and pathologic factors associated with disease progression and mortality in patients with MCC are poorly defined. Recently, it has been reported that p63 expression in primary MCC is strongly associated with clinical outcome...
Distinguishing clinicopathologic features of patients with V600E and V600K BRAF-mutant metastatic melanomaAlexander M Menzies
Melanoma Institute Australia, Disciplines of Medicine, Surgery, Pathology, and Westmead Institute for Cancer Research, Westmead Millennium Institute, The University of Sydney, Sydney, New South Wales, Australia
Clin Cancer Res 18:3242-9. 2012..Methods: A prospectively assembled cohort of Australian patients were followed from diagnosis of metastatic melanoma (N = 308). Clinicopathologic variables were correlated with BRAF mutational status, genotype, and survival...
Desmoplastic neurotropic melanoma: a clinicopathologic analysis of 128 casesJames Y Chen
Department of Radiation Oncology, Sydney Cancer Centre, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
Cancer 113:2770-8. 2008..The authors investigated the local recurrence rates for patients with DNM after surgery alone or surgery followed by radiotherapy (RT)...
The history and future of melanoma stagingJohn F Thompson
Sydney Melanoma Unit, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
J Surg Oncol 86:224-35. 2004..A further advantage would be that because there would be a direct link between staging and prognostic estimate, such a system would be more readily able to be understood in an intuitive fashion...
Interobserver variation in the histopathologic reporting of key prognostic parameters, particularly clark level, affects pathologic staging of primary cutaneous melanomaRajmohan Murali
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia
Ann Surg 249:641-7. 2009..However, detailed quantification of the magnitude of variation between observers and its effect on melanoma staging has not been reported...
The impact of in vivo reflectance confocal microscopy on the diagnostic accuracy of lentigo maligna and equivocal pigmented and nonpigmented macules of the facePascale Guitera
Sydney Melanoma Diagnostic Centre and Dermatology Department, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
J Invest Dermatol 130:2080-91. 2010..In a test set of 29 LMs and 44 BMs, the OR for LM was 60.7 (confidence interval: 11.9-309) (93% sensitivity, 82% specificity)...
p16 and pRb immunohistochemical expression increases with increasing tumour grade in mammary phyllodes tumoursRooshdiya Z Karim
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Histopathology 56:868-75. 2010....
Sentinel lymph node biopsy for melanoma: aspects of pathologic assessmentRajmohan Murali
Royal Prince Alfred Hospital, Department of Anatomical Pathology, Camperdown, Sydney, NSW 2050, Australia
Future Oncol 4:535-51. 2008..Several non-histopathologic methods of SLN evaluation have been investigated, and while some of them show promise for the future, excision and histopathologic examination currently remains the gold standard for the evaluation of SLNs...
Differentiating benign nevi from malignant melanoma using DNA microdensitometry and karyometry and maturation: a zonal comparison, correlation and multivariate analysisLing Xi L Li
Melanoma and Skin Cancer Research Institute, and Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
Anal Quant Cytol Histol 24:234-43. 2002..To evaluate the diagnostic effectiveness of cytometric features of DNA microdensitometry, karyometry (nuclear morphometry) and maturation and their combinations in separating benign nevi from malignant melanomas...
Factors predicting recurrence and survival in sentinel lymph node-positive melanoma patientsRajmohan Murali
Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Ann Surg 253:1155-64. 2011..We investigated in detail the influence of SN tumor characteristics and clinical and primary tumor parameters on clinical outcomes in a large cohort of patients treated in a single center...
Clinical and pathological features of metastases of primary cutaneous desmoplastic melanomaRajmohan Murali
Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Histopathology 58:886-95. 2011..Our aim was to describe the histological features of metastases of primary DM and to determine whether they were predictive of outcome...
In vivo confocal microscopy for diagnosis of melanoma and basal cell carcinoma using a two-step method: analysis of 710 consecutive clinically equivocal casesPascale Guitera
Department of Dermatology, Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia
J Invest Dermatol 132:2386-94. 2012..RCM is a highly accurate non-invasive technique for BCC diagnosis. Good diagnostic accuracy was achieved also for MM diagnosis, although rare variants of melanocytic tumors may limit the strict application of the algorithm...
Absence of distinguishing senescence traits in human melanocytic neviSieu L Tran
Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, Westmead Hospital, Westmead, New South Wales, Australia
J Invest Dermatol 132:2226-34. 2012..We conclude that on the basis of current evidence it cannot be reasonably inferred that nevi are permanently growth arrested via senescence...
Interobserver reproducibility of histologic parameters of melanoma deposits in sentinel lymph nodes: implications for management of patients with melanomaRajmohan Murali
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Sydney, Australia
Cancer 115:5026-37. 2009....
Prognostic and clinicopathologic associations of oncogenic BRAF in metastatic melanomaGeorgina V Long
Melanoma Institute Australia, 40 Rocklands Rd, North Sydney, New South Wales, 2060, Australia
J Clin Oncol 29:1239-46. 2011..To assess the frequency and type of oncogenic BRAF mutations in metastatic melanoma and correlate BRAF status with clinicopathologic features and outcome...
Diagnostic value of 8.5 T magnetic resonance spectroscopy of benign and malignant skin lesion biopsiesPascale Guitera
Sydney Melanoma Unit, Sydney Cancer Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Melanoma Res 20:311-7. 2010....
The complex relationships between sentinel node positivity, patient age, and primary tumor desmoplasia: analysis of 2303 melanoma patients treated at a single centerSander Sassen
Sydney Melanoma Unit, Sydney Cancer Centre, Gloucester House, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia
Ann Surg Oncol 15:630-7. 2008..In addition, desmoplastic melanomas are associated with a lower frequency of SN positivity, although this is less well documented...
Selective sentinel lymphadenectomy: progress to date and prospects for the futureJohn F Thompson
Sydney Melanoma Unit, Sydney Cancer Centre, Royal Prince Alfred Hospital, Camperdown, NSW, 2050, Australia
Cancer Treat Res 127:269-87. 2005....
Micromorphometric features of positive sentinel lymph nodes predict involvement of nonsentinel nodes in patients with melanomaRichard A Scolyer
Melanoma and Skin Cancer Research Institute, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
Am J Clin Pathol 122:532-9. 2004..05). Our results indicate that some morphologic features of melanoma metastases in SLNs predict the likelihood of further nodal involvement in CLND specimens...
Melanoma - a management guide for GPsJohn F Thompson
Surgery Melanoma and Surgical Oncology, University of Sydney, Melanoma Institute Australia and Department of Melanoma and Surgical Oncology, Royal Prince Alfred Hospital, New South Wales
Aust Fam Physician 41:470-3. 2012..The incidence of melanoma in Australia continues to rise. Early diagnosis and management before the melanoma has metastasised provides the best opportunity for a favourable outcome...
Treatment and prognostic significance of positive interval sentinel nodes in patients with primary cutaneous melanomaNick Verwer
Melanoma Institute Australia, Sydney, Australia
Ann Surg Oncol 18:3292-9. 2011..In this study, the incidence, location, and treatment of interval SNs in melanoma patients were analyzed to develop recommendations regarding the treatment of patients with interval SNs...
The prognostic value of tumor mitotic rate and other clinicopathologic factors in patients with locoregional recurrences of melanomaRajmohan Murali
Royal Prince Alfred Hospital, Sydney, Camperdown, NSW, Australia
Ann Surg Oncol 17:2992-9. 2010..In this study, we sought to determine the prognostic value of MRR and other clinicopathologic factors in recurrent melanoma...
Ultrasound examination of sentinel nodes in the initial assessment of patients with primary cutaneous melanomaEmma C Starritt
Sydney Melanoma Unit, Sydney Cancer Centre and Melanoma and Skin Cancer Research Institute, Royal Prince Alfred Hospital, Camperdown, New South Wales, 2050, Australia
Ann Surg Oncol 12:18-23. 2005..5 mm in diameter. However, most metastatic melanoma deposits in SLNs are considerably smaller than this at the time of initial staging, and US therefore cannot be considered cost-effective in this setting...
Correlation between preoperative lymphoscintigraphy and metastatic nodal disease sites in 362 patients with cutaneous melanomas of the head and neckJohannes H W de Wilt
Sydney Melanoma Unit and the Melanoma and Skin Cancer Research Institute, Sydney Cancer Centre, Royal Prince Alfred Hospital, New South Wales, Australia
Ann Surg 239:544-52. 2004..7%). CONCLUSIONS: Metastases from head and neck melanomas can occur in any SN demonstrated by lymphoscintigraphy. SNs in discordant as well as predicted node fields should be removed and examined to optimize the accuracy of staging...
Melanoma metastases in regional lymph nodes are accurately detected by proton magnetic resonance spectroscopy of fine-needle aspirate biopsy samplesJonathan R Stretch
Sydney Melanoma Unit and Melanoma and Skin Cancer Research Institute, Royal Prince Alfred Hospital, Camperdown, New South Wales 2050, Australia
Ann Surg Oncol 12:943-9. 2005..These data indicate the potential for SN staging of melanoma without surgical biopsy and histopathological evaluation...
Angiotropism is an independent predictor of local recurrence and in-transit metastasis in primary cutaneous melanomaSimone L Van Es
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
Am J Surg Pathol 32:1396-403. 2008..Our findings support the hypothesis that angiotropism represents a pathogenic mechanism for metastasis in patients with PCM...
Non-Sentinel Node Risk Score (N-SNORE): a scoring system for accurately stratifying risk of non-sentinel node positivity in patients with cutaneous melanoma with positive sentinel lymph nodesRajmohan Murali
Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
J Clin Oncol 28:4441-9. 2010..We investigated clinicopathologic factors that predict NSN positivity in an attempt to identify patients who may be safely spared completion lymph node dissection (CLND)...
Absence of human papillomavirus in tonsillar squamous cell carcinomas from Chinese patientsWei Li
Sydney Head and Neck Cancer Institute, Royal Prince Alfred Hospital, Sydney, Australia
Am J Pathol 163:2185-9. 2003..They also support the hypothesis that molecular pathways to tonsil cancer mediated by HPV are distinct from those induced by mutagens present in cigarette smoke or alcohol...
Sentinel node biopsy for melanoma: Where have we been and where are we going?John F Thompson
Sydney Melanoma Unit and the Melanoma and Skin Cancer Research Institute, Royal Prince Alfred Hospital, New South Wales, Australia
Ann Surg Oncol 11:147S-51S. 2004..Techniques such as in vivo proton magnetic resonance spectroscopy hold great promise and suggest that this goal might be achievable...
Myxoid variant of adrenocortical carcinoma: report of a unique caseRooshdiya Z Karim
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
Pathol Int 56:89-94. 2006..Clinicoradiological correlation may be helpful, but special stains, immunohistochemistry and ultrastructural examination may be necessary to establish the diagnosis...
Surgical management of primary cutaneous melanoma: excision margins and the role of sentinel lymph node examinationJohn F Thompson
Sydney Melanoma Unit, Level 3, Gloucester House, Sydney Cancer Centre, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2006, Australia
Surg Oncol Clin N Am 15:301-18. 2006..Minimally invasive and noninvasive methods of SN assessment, such as magnetic resonance spectroscopy, are being evaluated...
Histologically ambiguous ("borderline") primary cutaneous melanocytic tumors: approaches to patient management including the roles of molecular testing and sentinel lymph node biopsyRichard A Scolyer
Melanoma Institute Australia, Sydney, NSW, Australia
Arch Pathol Lab Med 134:1770-7. 2010....
Fine-needle biopsy of metastatic melanoma: clinical use and new applicationsRajmohan Murali
Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Lancet Oncol 11:391-400. 2010..In this review, the role of FNB as an important diagnostic modality in the management of suspected metastatic melanoma is described and other diagnostic and research applications of FNB are discussed...
Diagnosis of cutaneous melanocytic tumours by four-colour fluorescence in situ hybridisationAdrienne L Morey
Department of Anatomical Pathology, St Vincent s Hospital, Darlinghurst, NSW, Australia
Pathology 41:383-7. 2009..We performed four-colour fluorescence in situ hybridisation (FISH) analysis of melanocytic tumours to determine the accuracy of the technique in classifying melanocytic tumours as benign or malignant...
Histological expression of tumour necrosis factor-related apoptosis-inducing ligand (TRAIL) in human primary melanomaLuc P Bron
Sydney Head and Neck Cancer Institute, Royal Prince Alfred Hospital, Sydney, Australia
Pathology 36:561-5. 2004..Analysis of a larger group of patients with longer follow-up is required to determine whether TRAIL expression correlates with survival of patients...
Increased expression of apoptotic markers in melanomaMichael Slater
Institute for Biomedical Research, Department of Anatomy and Histology, The University of Sydney, Sydney, NSW 2006, Australia
Melanoma Res 13:137-45. 2003..In addition, keratinocyte regulation of the epidermis and dermis is severely compromised by the loss of E-cadherin and P2X(1-3) and P2Y(2) receptors, resulting in a lesion that is aggressive and malignant...
Quality of histopathological reporting on melanoma and influence of use of a synoptic templateLauren E Haydu
The University of Sydney, Sydney, NSW, Australia
Histopathology 56:768-74. 2010....
Melanin bleaching in argyrophilic staining of AgNORs in pigmented lesions: a morphometric evaluationLing Xi L Li
Melanoma and Skin Cancer Research Institute, Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, Australia
Anal Quant Cytol Histol 24:166-72. 2002..To establish a procedure that can effectively bleach melanin from pigmented lesions without affecting quantification of argyrophilic staining of nucleolar organizer regions (AgNORs)...
Sentinel node positive melanoma patients: prediction and prognostic significance of nonsentinel node metastases and development of a survival tree modelMartin Wiener
Melanoma Institute Australia formerly Sydney Melanoma Unit, Sydney, NSW, Australia
Ann Surg Oncol 17:1995-2005. 2010..This study aimed to establish whether NSN status can be predicted, to determine its effect on survival, and to develop survival tree models for the sentinel node (SN) positive population...
Elemental bio-imaging of melanoma in lymph node biopsiesDominic Hare
Elemental Bio imaging Facility, University of Technology, Department of Chemistry and Forensic Science, Sydney, Broadway, New South Wales, Australia
Analyst 134:450-3. 2009..Further enhancement of the tumour boundary was achieved by imaging the (31)P/(34)S ratio. (31)P/(66)Zn ratio images showed a decreasing ratio beyond the tumour boundary that extended into peritumour normal lymph node tissue...
Cytoplasmic expression of nm23 predicts the potential for cerebral metastasis in patients with primary cutaneous melanomaMaria Sarris
Neuroscience Institute of Schizophrenia and Allied Disorders, Darlinghurst, New South Wales, Australia
Melanoma Res 14:23-7. 2004..Patients with cutaneous melanomas with a low expression of nm23 appear to be more at risk of developing brain metastases...
Cutaneous melanomaJohn F Thompson
Sydney Melanoma Unit, University of Sydney at Royal Prince Alfred Hospital, Sydney, Camperdown, New South Wales, Australia
Lancet 365:687-701. 2005....
Spitz naevus versus Spitzoid melanoma: when and how can they be distinguished?Kerry A Crotty
Department of Anatomical Pathology, Melanoma and Skin Cancer Research Institute, Sydney, NSW, Australia
Pathology 34:6-12. 2002..This report highlights these new data and speculates on their possible future role in the diagnosis of borderline lesions...
The prognostic significance of isolated immunohistochemically positive cells in sentinel lymph nodes of melanoma patientsRajmohan Murali
Am J Surg Pathol 32:1106-7; author reply 1107-8. 2008
Test and teach. Diagnosis: Subcutaneous Rosai-Dorfman diseaseRooshdiya Karim
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Pathology 34:466-70. 2002
Cooperation between surgical oncologists and pathologists: a key element of multidisciplinary care for patients with cancerJohn F Thompson
Sydney Melanoma Unit, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia
Pathology 36:496-503. 2004..By cooperating fully and communicating freely with each other, surgical oncologists and pathologists can ensure high standards of initial and subsequent care for cancer patients...
Desmoplastic melanoma: a diagnostic trap for the unwaryStanley W McCarthy
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
Pathology 36:445-51. 2004..DM may also present as a recurrence or occasionally as a metastasis from other types of melanoma. A high index of suspicion and knowledge of its often subtle morphological appearance are necessary to avoid misdiagnosis...
Intraoperative frozen-section evaluation can reduce accuracy of pathologic assessment of sentinel nodes in melanoma patientsRichard A Scolyer
J Am Coll Surg 201:821-3; author reply 823-4. 2005
Sentinel lymph nodes in malignant melanoma: extended histopathologic evaluation improves diagnostic precisionRichard A Scolyer
Cancer 101:2141-2; author reply 2142-3. 2004
In vivo and ex vivo proton MR spectroscopy of primary and secondary melanomaRoger M Bourne
Institute for Magnetic Resonance Research, Department of Magnetic Resonance in Medicine, University of Sydney, Block 3, Level 3, Royal North Shore Hospital, St. Leonards, NSW 2065, Australia
Eur J Radiol 53:506-13. 2005..Elevated levels of choline, lactate, taurine, and amino acids appear to be clinically useful markers for identifying the pathology of primary and metastatic melanoma...
Rapid detection of metastatic melanoma in lymph nodes using proton magnetic resonance spectroscopy of fine needle aspiration biopsy specimensCynthia L Lean
Institute for Magnetic Resonance Research, University of Sydney, PO Box 148, St Leonards, NSW 1590, Australia
Melanoma Res 13:259-61. 2003....
Frontiers in melanocytic pathologyRichard A Scolyer
Pathology 36:385-6. 2004
Incomplete biopsy of melanocytic lesions can impair the accuracy of pathological diagnosisRichard A Scolyer
Australas J Dermatol 47:71-3; author reply 74-5. 2006
Activation of CCR9/CCL25 in cutaneous melanoma mediates preferential metastasis to the small intestineFarin F Amersi
Department of Molecular Oncology, John Wayne Cancer Institute, Santa Monica, California 90404, USA
Clin Cancer Res 14:638-45. 2008..The integrin heterodimers alphabeta are also known to be important mediators of cellular adhesion. We hypothesize that the mechanism of small intestinal metastasis by melanoma is via the CCR9-CCL25 axis and specific integrins...
Cytologic features of metastatic and recurrent melanoma in patients with primary cutaneous desmoplastic melanomaRajmohan Murali
Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, Sydney, Australia
Am J Clin Pathol 130:715-23. 2008..010) than did "pure" DMs. Recurrent and metastatic DM has a range of cytologic appearances. Awareness of the cytologic features and careful clinicopathologic correlation will assist in accurate FNB diagnosis...
