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< CNMD \ <Tutorial \First step
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Diagnostic Algorithm for Differentiating
Melanocytic from Non-Melanocytic Lesions
[Modified according to Kreusch, Stolz, and Menzies]
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Pigment network - pseudonetwork
(See exception 1)
- Aggregated globules
(not multiple blue-gray globules)
- Branched streaks
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Homogeneus blue pigmentation
(See exception 2)
- Parallel pattern
(on palms/soles and mucosal areas)
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- Multiple milia-like cysts
- Comedo-like openings
(irregular crypts)
- Light-brown fingerprint-like structures
- Fissures/ridges
(brain-like appearance)
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- Absent pigment network
AND one of:
- Arborizing vessels
- Leaf-like areas
- Large blue-gray ovoid nests
- Multiple blue-gray globules
- Spoke wheel areas
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Ulceration (See exception 3)
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- Red-blue lacunas
- Red-bluish to red-black
homogeneus areas
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