Impact of second histopathological review of melanocytic skin lesions at a melanoma reference center in Brazil.

Background: After the biopsy of a suspicious melanocytic lesion, patients depend on the pathologist's precision of specimen evaluation.

Methods: We assessed the agreement between histopathological reports made by general pathologists and reviewed by a dermatopathologist to evaluate the impact on the patient's management.

Results: In 79 cases analyzed, underdiagnosis was observed in 21.