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Updated: Jul 8, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Three-dimensional melanin distribution of acral melanocytic nevi is reflected in dermoscopy features: analysis of the
M Kimoto1, M Sakamoto, H Iyatomi
1Department of Dermatology, Keio University School of Medicine, Tokyo, Japan. kimotoma@1998.jukuin.keio.ac.jp
Background:
Acral melanocytic nevi have parallel patterns on dermoscopy; however, it is not understood why pigment distributions exhibit such patterns.
Aim:
To clarify the reason why melanin distributions in acral melanocytic nevi exhibit a parallel pattern on dermoscopy.
Methods:
A serial sectioning perpendicular to the skin markings was performed, and each section was stained with modified Fontana-Masson staining to pick out melanin granules. These sections were then reconstructed to three-dimensional images by an image processing software, and these three-dimensional images were analyzed.
Results:
Melanin columns in the cornified layer were mainly seen in the dermoscopic images of acral melanocytic nevi. In the parallel-furrow pattern melanin columns were arranged vertically, and in the fibrillar pattern they were arranged in a slanting fashion.
Conclusion:
Melanin columns in the cornified layer, not melanin in the basal layer, mainly contribute to the dermoscopic pattern of acral melanocytic nevi.
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