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Benign Patterns
*                                                       Global Evaluation of Lesion

                                                        Color: Generally, 3 or
                                                        fewer
                     Reticular
                                                               Light brown
                                                               Dark brown
                                                               Black

                                                        Symmetry:
                                                            Refers to the distribution of
     Homogeneous                  Globular              colors and structures on either
                                                        side of the axis and not solely
                                                        by contour.

                                                        Organization:
                                                            Uniformity of structures
                                                        and their distribution in specific
* Adapted from Hofmann-Wellenhof R, Blum A, Wolff IH,   locations within the lesion
Soyer HP et al (2001) Arch Dermatol 137: 1575-1580
Benign Patterns

 A pattern is created by the placement of structures
in a lesion. When these structures are symmetrically
distributed and there are less than 3 colors (light
brown, dark brown, and black) noted, they create a
pattern seen in many benign lesions.
  The most common benign patterns are:




   Reticular           Globular          Homogeneous
Benign Patterns



              Reticular




Homogeneous               Globular
Reticular Pattern
Reticular
Here are six flat clinical lesions
characteristic of junctional Clark nevi
And six dermoscopy images all showing a
uniform network that thins at the periphery.
Benign Patterns



              Reticular




Homogeneous               Globular
Globular pattern

 Diffuse globules throughout the lesion
Globular

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Slides 41 50

  • 1. Benign Patterns * Global Evaluation of Lesion Color: Generally, 3 or fewer Reticular Light brown Dark brown Black Symmetry: Refers to the distribution of Homogeneous Globular colors and structures on either side of the axis and not solely by contour. Organization: Uniformity of structures and their distribution in specific * Adapted from Hofmann-Wellenhof R, Blum A, Wolff IH, locations within the lesion Soyer HP et al (2001) Arch Dermatol 137: 1575-1580
  • 2. Benign Patterns A pattern is created by the placement of structures in a lesion. When these structures are symmetrically distributed and there are less than 3 colors (light brown, dark brown, and black) noted, they create a pattern seen in many benign lesions. The most common benign patterns are: Reticular Globular Homogeneous
  • 3. Benign Patterns Reticular Homogeneous Globular
  • 6. Here are six flat clinical lesions characteristic of junctional Clark nevi
  • 7. And six dermoscopy images all showing a uniform network that thins at the periphery.
  • 8. Benign Patterns Reticular Homogeneous Globular
  • 9. Globular pattern  Diffuse globules throughout the lesion