Irregular Streaks

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 Author(s): Ralph P. Braun
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Description This chapter describes the histopathological correlation of the dermoscopy term irregular streaks
Author(s) Ralph P. Braun
Responsible author Ralph Braun→ send e-mail
Status unknown
Status update July 2, 2018
Status by Ralph P. Braun


Streaks are linear pigmented projections seen at the periphery of lesions.

Streaks schematic 25.jpg

Both pseudopods (streaks with bulbous projections at their tips) and radial streaming (streaks without bulbous projections at their tips) are considered to be streaks. Streaks in melanoma are usually observed only focally and asymmetrically at the lesion’s periphery and reflect the radial growth phase of the tumor. On the other hand, streaks that are distributed symmetrically around the entire perimeter of the lesion are seen mostly in pigmented spindle cell nevi (Spitz or Reed). Histologically, streaks represent confluent junctional nests of melanocytes.

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