Non the less a thickened network is a good clue to melanoma within a pigmented lesion when you have a thinner network to compare it to!
This is a teaching blog of the Australian Institute of Dermatology. The blog will look at the Kittler and Menzies algorithms for diagnosing pigmented skin lesions and illustrate them with cases from the Skin Cancer College of Australia and New Zealand's dermatoscopy blog. You can join the next Institute Dermatoscopy course at www.aiddermatoscopy.com
Friday, April 2, 2021
Thick lines reticular or branched
This feature is found where the outline of the network is much thicker than that of the rest of the lesion or the surrounding background skin. They represent atypical melanocytes expanding the rete ridges. We see a lot of reticulated networks because we look at a lot of nevi. Remember though that some non melanocytic lesions can exhibit a network eg Solar lentigo (with increased melanocytes at the DEJ), reticulated Seb k, Dermatofibroma, Ink spot lentigo and Accessory nipple!
Non the less a thickened network is a good clue to melanoma within a pigmented lesion when you have a thinner network to compare it to!
Non the less a thickened network is a good clue to melanoma within a pigmented lesion when you have a thinner network to compare it to!
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