Abstract
D ERMOSCOPIC VASCULAR PATTERN MAY BE essential for the correct diagnosis of completelyamelanoticmelanomas,which are still a diagnostic challenge because of thelackofpigmentation.Hereweillustrate thedermoscopyimagesof3biopsy-provenamelanoticmelanomas, all Clark level IV and Breslow depth greater than 4 mm, belonging to different patients (Figures 1, 2, and3).Milky redglobules and/orareas (blackarrows)and irregular linearvessels(whitearrows)werealwaysdetected; hairpin (white arrowheads) and dotted vessels (black arrowheads) were observed in 2 cases; and highly tortuous vessels, a rarelydescribed feature,were found inonly1case (stars inFigure1). Inconclusion,themilkyredglobulesand/ orareas,whichcorrespondtohighlyvascularizedtumorcell nests, together with the irregular linear vessels seem to be the most useful dermoscopic features for the diagnosis of trulyamelanoticmelanomas, althoughhairpin,dotted, and highly tortuous vessels should also be considered.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
