Vascular Patterns

   
 
Table 9-2 Vascular Patterns
 Feature Description Associated with
 
Erythema
Diffuse ill-defined pink-red area
Irritated lesions, dysplastic nevi, melanoma
 
Milky red areas
Red area with milky ground glass appearance
Amelanotic or hypomelanotic melanoma
 
Various pink shades
More than one shade of pink within lesion
Amelanotic or hypomelanotic melanoma
 
Telangiectasias
Can appear dilated and linear
BCCs (often arborizing), amelanotic melanoma (especially if central position)
 
Pinpoint vessels
Dot-like vessels
Melanocytic lesions (nevi and melanoma)
 
Glomerular vessels
Vessels resembling capillaries of renal glomerulus
Bowen’s disease, psoriasis, clear cell acanthoma
 
Comma vessels
Comma-shaped vessels
Nevi (dermal and congenital), rarely amelanotic melanoma
 
Linear irregular vessels
Irregular-shaped wave-like vessels
Melanoma (especially if in combination with dotted vessels)
 
Hair pin vessels
Twisted loop appearance
Seborrheic keratosis, keratoacanthoma, squamous cell carcinoma
 
Crown vessels
Bending, orderly vessels which disappear in center of lesion
Sebaceous hyperplasia
 
Corkscrew vessels
Winding vessels with corkscrew appearance
Melanoma (cutaneous metastasis)
 
Red-blue lacuna
Well-defined ovoid red, red-blue, or black structures
Hemangiomas, angiokeratoma, or thrombosed hemangioma (if black structures)