Cherry Angioma — SCE Dermatology MCQ

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EasySkin CancerCherry AngiomaSCE Dermatology

A 55-year-old woman has dermoscopic examination of a vascular lesion. She sees well-defined red lacunae separated by whitish septae. What is the most likely diagnosis?

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Correct answer: D — Cherry angioma (Campbell de Morgan spot)

Well-defined red lacunae (round red-blue globular structures) separated by whitish septae are the characteristic dermoscopic pattern of cherry angiomas (Campbell de Morgan spots). These are extremely common benign vascular proliferations that increase in frequency with age. The lacunae represent dilated vascular spaces within the papillary dermis. This dermoscopic pattern allows confident diagnosis without biopsy. Angiokeratomas show similar lacunae but with a darker (blue-black) colour and sometimes a keratotic surface. Amelanotic melanoma can mimic vascular lesions — irregular vessels, milky-red globules, and polymorphous vascular patterns are concerning features that warrant biopsy.

Reference: BAD 2016 Dermoscopy Guidelines