[1]
Descriptive terminology
|
Metaphoric terminology
|
Significance†
|
LINES
|
|
|
lines reticular
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pigment network
|
melanocytic lesions dermatofibroma solar lentigo
|
lines reticular and thick
|
broadened network
|
melanoma
|
lines reticular and thin
|
delicate network
|
melanocytic nevi
|
lines reticular and thick or reticular lines that vary in color
|
atypical pigment network
|
melanoma
|
lines reticular white
|
|
melanoma Spitz nevus dermatofibroma
|
lines reticular hypopigmented around brown clods
|
negative pigment network (former synonyms: inverse network reticular depigmentation)
|
melanoma Spitz nevus
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lines white perpendicular*
|
shiny white streaks (former synonyms: chrysalis chrysalids crystalline)
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melanoma BCC Spitz nevus dermatofibroma
|
lines branched
|
branched streaks
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melanocytic lesion
|
lines radial (always at periphery)
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streaks
|
Reed nevus melanoma recurrent nevus
|
lines radial and segmental
|
radial streaming
|
melanoma recurrent nevi
|
lines radial connected to a common base
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leaf like areas (sometimes variously shaped large clods have also been termed leaf like areas)
|
BCC
|
lines radial converging to a central dot or clod
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spoke wheel area (sometimes a clod within a clod has also been termed spoke-wheel area/concentric structure)
|
BCC
|
lines curved and thick
|
cerebriform pattern (former synonyms: “brain-like appearance”) to describe the pattern and fissures and ridges (former synonyms “gyry and sulci” and “fat fingers”) to describe the structural components of the pattern
|
SK
|
lines brown curved parallel thin
|
fingerprinting
|
solar lentigo
|
lines curved and thick in combination with clods
|
crypts
|
SK
|
lines parallel short crossing ridges (volar skin)
|
fibrillar pattern
|
acral nevi
|
lines parallel thick on the ridges (volar skin)
|
parallel ridge pattern
|
acral melanoma
|
lines parallel thin in the furrows and crossing the ridges (volar skin)
|
lattice-like pattern
|
acral nevi
|
lines parallel thin in the furrows (volar skin)
|
parallel furrows pattern
|
acral nevi
|
lines angulated or polygonal (facial skin)
|
rhomboids
|
lentigo maligna
|
lines angulated or polygonal (non-facial skin)
|
angulated lines/polygons/zig-zag pattern
|
lentiginous melanomas (non-facial non-acral)
|
Descriptive terminology
|
Metaphoric terminology
|
Significance†
|
CLODS
|
|
|
clods small round or oval
|
globules
|
various diagnoses
|
clods brown circumferential
|
rim of brown globules
|
growing nevi
|
clods brown yellow or orange (rarely black)
|
comedo-like openings
|
SK
|
clods brown or blue concentric (clod within a clod)
|
concentric globules
|
BCC
|
clods brown or skin colored large and polygonal
|
cobblestone pattern
|
dermal nevi
|
clods blue large clustered
|
blue-gray ovoid nests
|
BCC
|
clods blue small
|
blue globules
|
BCC
|
clod within a clod (concentric clods)
|
variant of spoke wheel area
|
BCC
|
clods white shiny*
|
shiny white blotches and strands
|
BCC
|
clods pink and small
|
milky red globules
|
melanoma
|
clods red or purple
|
red lacunes
|
hemangioma
|
Descriptive terminology
|
Metaphoric terminology
|
Significance†
|
DOTS
|
|
|
dots any color
|
granularity or granules
|
various diagnoses
|
dots gray
|
peppering
|
Melanoma LPLK
|
dots gray and circles gray
|
annular-granular pattern
|
lentigo maligna
|
dots or clods white clustered or disseminated
|
milia like cysts cloudy or starry
|
SK
|
dots white four arranged in a square*
|
rosettes
|
various diagnoses but mainly AK SCC actinic damaged skin
|
dots peripheral arranged in lines
|
linear dots
|
pigmented Bowen disease
|
dots brown central (in the center of hypopigmented spaces between reticular lines)
|
targetoid dots
|
congenital nevi
|
Circles[edit]
Descriptive terminology
|
Metaphoric terminology
|
Significance†
|
CIRCLES
|
|
|
circles white
|
|
SCC
|
circles concentric
|
circle within a circle
|
lentigo maligna
|
circles incomplete
|
asymmetric pigmented follicular openings
|
lentigo maligna
|
Pseudopods[edit]
Descriptive terminology
|
Metaphoric terminology
|
Significance†
|
PSEUDOPODS
|
|
|
pseudopods circumferential or lines radial circumferential
|
starburst pattern
|
Reed nevus
|
Structureless[edit]
Descriptive terminology
|
Metaphoric terminology
|
Significance†
|
STRUCTURELESS
|
|
|
structureless zone brown or black
|
blotch
|
If centric hypermelanotic Clark (“dysplastic”) nevus if eccentric melanoma
|
structureless zone blue
|
blue-whitish veil
|
melanoma
|
structureless zone pink
|
milky red areas
|
melanoma
|
structureless zone white
|
scar-like depigmentation
|
melanoma
|
structureless zone white central
|
central white patch
|
dermatofibroma
|
structureless zone polychromatic
|
rainbow pattern
|
various diagnoses
|
structureless red interrupted by follicular openings
|
strawberry pattern
|
actinic keratosis
|
structureless brown (tan) eccentric
|
|
melanoma
|
structureless any color
|
homogenous pattern
|
various diagnoses
|
structureless brown interrupted by follicular openings (facial-skin)
|
pseudo-network
|
facial pigmented lesions
|
Descriptive terminology
|
Metaphoric terminology
|
Significance†
|
other
|
|
|
sharply demarcated scalloped border
|
moth eaten border
|
solar lentigo
|
* only visible by polarized dermoscopy † significance varies depending on context
Abbreviations used: BCC basal cell carcinoma; SK seborrheic keratosis; SCC squamous cell carcinoma; LPLK lichen planus-like keratosis: AK actinic keratosis
References
- ↑ Kittler et al.: Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy. J. Am. Acad. Dermatol. 2016;74:1093-106. PMID: 26896294. DOI.