The Diagnosis of Hutchinson's Melanotic Freckle (Lentigo Maligna) in Queensland.Green Adele; Little, J. H.; Weedon, D.Pathology - Journal of the RCPA: 1983 doi: 10.3109/00313028309061399 Buy Metrics Abstract Summary: Following an increase in the reported incidence of melanoma of Hutchinson's melanotic freckle type (HMFM) in Queensland, a review of its histological diagnosis was undertaken. Ninety-nine pigmented lesions reported by 13 different pathology laboratories throughout Queensland as having an in-situ component of Hutchinson's melanotic freckle (HMF) were reviewed by 2 pathologists with an interest in malignant melanoma. This diagnosis was confirmed in 76 cases while in a further 3 the reviewers regarded the in-situ component as indeterminate. It would seem that the level of agreement among pathologists reporting HMF(M) should be considered in any assessment of incidence patterns of melanoma. (C) 1983 Royal College of Pathologists of Australasia