“…Patients with equivocal ATM were younger with a median age 12 versus 53 years, and had a lower rate of positive lymph nodes compared with unequivocal ATM thus suggesting molecular differences to justify differential clinical behaviour (Ref 36). Immunoistochemistry of ATM is positive for S-100 protein, HMB-45, vimentin and Melan-A (Refs 4, 36, 37, 38, 39) and testing CD68 is useful to differentiate pigmented melanocytic cells from melanophages. The principal differential diagnosis of ATM or PEM are summarised in Table 1 (Refs 2, 4, 15, 16, 33, 39, 40).…”