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. 2013 Jan 16;2013:473635. doi: 10.1155/2013/473635

Table 2.

Seven melanoma-specific dermoscopic criteria [19]. As our case reports, a GCMN may show these features.

Criterion Definition Histopathologic correlates
(1) Atypical pigment network Black, brown, or gray network with irregular meshes and thick lines Irregular and broadened rete ridges
(2) Blue-whitish veil Irregular, confluent, gray-blue to whitish-blue diffuse pigmentation Acanthotic epidermis with focal hypergranulosis above sheets of heavily pigmented melanocytes in the dermis
(3) Atypical vascular pattern Linear-irregular or dotted vessels not clearly combined with regression structures Neovascularization
(4) Irregular streaks Irregular, more or less confluent, linear structures not clearly combined with pigment network lines Confluent junctional nests of melanocytes
(5) Irregular pigmentation Black, brown, and/or gray pigmented areas with irregular shape and/or distribution Hyperpigmentation throughout the epidermis and/or upper dermis
(6) Irregular dots/globules Black, brown, and/or gray round to oval, variously sized structures irregularly distributed within the lesion Pigment aggregates within stratum corneum, epidermis, dermoepidermal junction, or papillary dermis
(7) Regression structures White areas (white scarlike areas) and blue areas (gray-blue areas, peppering, multiple blue-gray dots) may be associated, thus featuring so-called blue-whitish areas virtually indistinguishable from blue-whitish veil Thickened papillary dermis with fibrosis and/or variable amounts of melanophages