Milky red globules / areas

From dermoscopedia

Main PageVascular structuresMilky red globules / areas
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 Authored by: Ralph P. Braun

 Keywords:   milky red globules · milky red areas
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Description Describes dermoscopyDermoscopy is a non invasive diagnostic method. of milky red globulesThis glossary term has not yet been described. / areas
Author(s) Ralph P. Braun
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Status released
Status update June 29, 2017
Status by Ralph P. Braun
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Milky Red GlobulesThis glossary term has not yet been described./Areas[1]Milky red globulesThis glossary term has not yet been described. are, as their name suggests, globules with a milky reddish coloring. These vascular structuresThis glossary term has not yet been described. may be observed within or near areas with a milky red colorColor (American English) or colour (Commonwealth English) is the characteristic of human visual perception described through color categories, with names such as red, yellow, purple, or blue.. Although milky red globules are not seen frequently, when present, they are highly suggestive of invasive melanomaThis glossary term has not yet been described.. They may be valuable in the recognition of thicker AHM, which often do not have many noticeable or identifying features. In AHM, milky red globules/red areas were reported in 31% of thin melanomas (1mm) and in 93.3% of thick melanomas (1mm), as compared with 17.3% and 9.1% of AHBML and AHNML, respectively. In another study, 4.7% of melanomas with vascular structures on dermoscopy contained milky red globules/areas, correlating with a PPV of 77.8%; only 0.5% of nonmelanoma lesions had these structures.

Vascular blush, also known as erythematous blush, pink veil, or milky red areasMilky-white appearance or pinkish structureless areas ("strawberry and ice cream"-like), consisting a red vascular blush with no specific distinguishable vessels, represents a red or pink region that corresponds to an area with increased vascularity. Thus, vascular blush can be seen in lesions, such as dermatofibromas, vascular tumors, such as pyogenic granulomas, inflammatory lesions, and both melanoma and nonmelanoma skin cancers. Although vascular blush can be seen in neviThis glossary term has not yet been described., it tends to be more common and conspicuous in melanoma.
Milky red globules schematics.jpg

References:
  1. An Atlas of Dermoscopy, Second Edition. Marghoob A. et al. CRC Press; 2012.