Williams NM, Rojas KD, Reynolds JM, et al. - According to this systematic review and meta-analysis, the diagnostic value of dermoscopic structures associated with melanoma detection (eg, shiny white structures, blue-white veil) was confirmed, which adds to the overall pattern's importance and may suggest a hierarchy in the significance of these structures and patterns.

• In total, 40 studies involving 22,796 skin lesions and 5,736 melanomas were assessed.

• Shiny white structures, pseudopods, irregular pigmentation, blue-white veil, and peppering were the structures and patterns with the highest odds ratios.

• Pseudopods, shiny white structures, peppering, and streaks had the highest specificity, on the other hand, irregular pigmentation, blue-white veil, atypical network, and a multicomponent pattern had the highest sensitivity.