Chaos & Clues for Non-Pigmented Lesions

Non-pigmented lesions have their own clues to malignancy. 
  • If present → then biopsy automatically. 
  • If not-present → continue to step 2. 

(A) Analyze the structure of blood vessels

  • What is the structure of the blood vessels? How many?

(B) Analyze the arrangement of the blood vessels

  • How are the blood vessels in (A) arranged?

Differential for FLAT lesions (based on vessel arrangement):

Differential for RAISED lesions (based on vessel arrangement):