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Benign Patterns

Reticular - Globular - HomogeneousUncertain or Multicomponent Patterns

Nevi Malignant Melanoma

We recommend either short - term mole monitoring or a biopsy for these lesions, depending on the clinician’s level of experience.

NeviNevi Malignant Melanoma

Malignant Patterns

* Adapted from Hofmann-Wellenhof R, Blum A, Wolff IH, Soyer HP et al (2001) Arch Dermatol 137: 1575-1580

*

GlobularHomogeneous

Reticular

Global Evaluation of Lesion

Color: Generally more than 3 colors

Brown Blue White Gray Black Red

Asymmetry: Refers to the non-

uniform distribution of colors and structures on either side of the axis and not by lesion shape.

Disorganization: Non-uniformity of

structures and their departure from the expected locations traditionally seen in benign lesions.

Malignant Patterns

Malignant Patterns

A pattern is created by the placement of structures in a lesion. When these structures are asymmetrically distributed and there are more than 3 colors noted, they create patterns seen in many malignant lesions.

Globular

disorganized

Reticular

disorganized

Homogenous

disorganized

Malignant Patterns

Reticular

Homogeneous Globular

Reticular Disorganized

Reticular Disorganized