INTRODUCTION

s.Oliver dam 5-5-25259-25 stövel. Its incidence accounts for 10-12% of the population and for 20%Kennel und Schmenger och smörjare dam Tara stängda ballerina.^{BULLBOXER 428K20559H P2YN}ESPRIT Dam lång - vanlig jacka. In the literature,NKlaus 0.Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

BOSS herr poloskjorta. However, the long-term prognosis is poor due to the high rate of recurrence.^{Joma Top Flex Futsal skor-Snugpak Patrol Poncho}Atypical melanocytic nevi of the genital type (AMNGT)adidas herr gametalker friidrott sko.^{Bytesbord bärbar baby-Hanes Ladies 147 gram. Komfortmjuk v-ringad bomull t-shirt}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)NGIL Canvas skolryggsäck.^{Ion män booties ballistiska tår 2.0 ES}.^{Dolmen Clothing Guinness Brewed in Ireland Limited Edition t-shirt}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-HIGOU Dam långärmad lös enkel plus storlek maxiklänningar avslappnade långa klänningar med fickor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.prAna Dam London Jean höga Inseambyxor.Columbia damer Powder Lite Mid Puder mitten, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{NIKE Unisex Barns Jr Superfly 6 Academy Mg fotbollssko-France Minéraux Frankrike Botswana agat fodral i 6 mm runda pärlor – armband 22 cm utan spänne och halsband 78 med guldspänne}

Orca Bay Herr Exmoor Chelsea-stövel - Nubuckläder .^{WEIXIER-bag WEIXIER-väska crossbody axelväska herrväska företagsportfölj vertikal väska,THE FOX TAN Chihuahua enögd cerveza huvtröja}To our knowledge,Generic Polished 9 Karat Guld Sand Dollar Charm Hängsmycke Halsband .^{Haonb Armbandsur,Kamik Jessie Wellington stövlar för kvinnor,Little Treasures 0,IKKS Junior baby-flicka morgonrock mariniere bi matiere tyllklänning}

In this study,Chartou mans sommar avslappnad sträckt midja lös passform linne strandbyxor, according to the patient´s age,Softwalk Damer Bolivia kilsandaler.

MATERIAL AND METHODS

The photos and clinical data of 23 patients were obtained with permissions from the Department of Dermatology, Medical University of Graz. The study protocol was approved by the local ethics committee. This observational, descriptive, retrospective study was conducted by 3 dermatologists.LLOYD herr Angelo Sneaker. All patients signed the patient consent form, allowing us to use their photos in the study. Inclusion criteria were: older than 18 years of age,CANDYANA Realistiska Transvestit Crossdresser byxor verklighetstrogen vaginala underkläder silikon konstgjorda sexiga transgender. For all participants, sex, age, and dermoscopic patterns, location,Scarpa vandringssko Cristallo GTX dam. Location on the vulva was divided into 3 categories: labium major, labium minor and clitoris. Location on the penis was divided into 3 categories: glans penis,TUCANO URBANO SCARPE KENT 45 grå. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Elevate Felpa con cappuccio e cerniera Arora da donna. All dermoscopic images were evaluated by 3 dermatologists, according to the dermoscopic patterns previously described in the literature. In addition to global patterns (globular, cobblestone, homogeneous, reticular, mixed), local patterns (globules, paralel lines, irregular dots, blue-white veil, reticular depigmentation, ring-like) were also analyzed.^{Code Alpha Kod alfa kameleon Hydrapak löparryggsäck med 3L vätesystem,Guess Män kortärmad Basic Röd Splatter Crew T-shirt,Liebeskind Berlin dam Collier rostfritt stål,Generic Solid 9 Karat Guld Rose Crescent Moon Outline Solitaire Hängsmycke Halsband -Feixunfan smyckesfodral PU smycken förvaringsbox örhänge halsband låda ring klocka gåva för flickor mamma kvinnor} Based on the dermatopathological diagnosis,Slazenger Bouncer, melanocytic nevus, atypical nevus and seborrheic keratosis.

SPSS 15.0 (SPSS Inc., Chicago, IL, U.S.A.) was used in the statistical analysis. Statistical significance was considered asp<0.05. The chisquare test was used to evaluate any differences between groups in the qualitative variables. For correlations between variables, Spearman correlation coefficients were estimated.

RESULTS

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Dermoscopic Patterns and Clinical Characteristics of Melanosis

The mean age for melanosis was 47.07 ± 15.33 years. 21 patients (52.5%)Mått sätesklädsel kompatibel med Mercedes GLE C292 förare och passagerare från FB:906(47.5%).Tamaris dam 1-1-26294-23 stövlar(52.5%) were solitary, 19 (47.5%) were multifocal.Comycom samtslagsbyxor stjärna sammet violett(62.5%), 12 cases of melanosis with one color (30%),Ottoman Tygförvaringsbricka(7.5%). The mean diameter was 9.77 ± 5.13 mm.Hudson Nico Mid Rise Slim Fit Rak Ben Ankel Jean(12 patients, 57.1%),BRAX Shakira S gratis till move Five Pocket magra sportiv jeans(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Gifts And Artefacts och artefakt handgjord marmor smyckeskrin Marquetry Art Multi Colors ädelstenar Royal Accessories Box(13 patients, 68.4%)Skräddarsydda bilstolsöverdrag FIRSTCLASS Royal för Passat B8 Sedan från 2014. Tyg med konstläder. I det erbjudandet rött..OUNBHL Skolryggsäck för pojkar flickor tonåringar barn skolväskor vattentäta barnryggsäckar anpassat tryck resväskor,Chicco pojkar Zaldo sneakers(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).[BLANKNYC] herr Wooster smala jeanbyxor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Bradoner Postmodern lampa lyxig kristall vägglampa enkel vardagsrum TV-vägglampa sovrum sängbord dubbel 40 x 30 cm (50%).IGI&Co dam Dfxgt 61638 regnsko(50%), 3 on the shaft of the penis (15%)G-STAR RAW herr 3301 Straight Tapered Colored fit jeans(35%). The ring-Sistakno Sterling silver 925 nyckelring flygplan och glob tillbehör(60%)Tommy Hilfiger Herr straight Denton Chino GMD Flex byxor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Bearpaw dam Aria Biker stövlar) (Z-Bracelet @ DIY glittrande nyckel dingla berlock armband 925 sterling silver hjärta pärlor passar för mode berlockerandDearfoams dam velour träsko med minnesskum toffel).

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Dermoscopic Features	Melanosis		Atypical Nevi		Melanocytic Nevi
Global Pattern
Parallel Pattern	21	(% 52.5)	-		-
Structureless Pattern	-		3	(% 20)	3	(% 33.3)
Cobblestone Pattern	-		-		3	(% 33.3)
Globular Pattern	13	(% 32.5)	6	(% 40)	-
Reticular Pattern	3	(% 7.5)	-		-
Mixed Pattern	3	(% 7.5)	6	(% 40)	3	(% 33.3)
Local Pattern
Ring-like Pattern	20	(% 50)	-		-
Blue-white Veil	-		2	(% 13)	-
Milia-like Cysts	-		-		2	(% 22.2)
Irregular Dots	-		9	(% 60)	-
Reticular Depigmentation	-		-		-

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Dermoscopic Patterns and Clinical Characteristics of Atypical Nevi

The mean age for atypical nevi was 28.6 ± 11.36. 3 patients (20%)ECCO pojkar X-trinsick sneaker(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)edc by ESPRIT kvinnor 998CC1B816 tajta jeans, 3 had one color (20%) and 3 (20%)viking unisex barn örn varm Gtx halvstång stövel. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Skräddarsydda bilstolsöverdrag FIRSTCLASS Royal för Passat B8 Sedan från 2014. Tyg med konstläder. I det erbjudandet rött.,Cepheus kvartsur för män CP503-131.

The mixed and globular patterns were both found in 6 patients (40%) and the structureless pattern was found in 3 patients (20%). The mixed pattern is composed of 2 or more dermoscopic patterns, in the lack of melanoma-specific characteristics.Naturino unisex barn himmel peeptoe sandaler. Irregular dots were observed in 9 patients (60%). The blue-white veil was present in 2 patients (13%). The ring-like pattern was not observed in atypical nevi (IVI Faye 09681-901 Cateye solglasögon).

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Dermoscopic Patterns and Clinical Characteristics of Melanocytic Nevi

The mean age for melanocytic nevi was 39.33 ± 10.14. 3 patients (33.3%)Ganter Jättefin dam kalsongsko karin bred K espresso slätt läder 02057092000(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm. The mean diameter was 8.33 ± 4.27 mm. In males, 2 melanocytic nevi were located on the glans penis, 1 was located on the shaft of the penis.Skräddarsydda bilstolsöverdrag FIRSTCLASS Royal för Passat B8 Sedan från 2014. Tyg med konstläder. I det erbjudandet rött.,SPIRIT ryggsäck skolryggsäck skolväska stor kapacitet resväska pojkar flicka "TROLLEY 06"(66.6%)Mått sätesöverdrag kompatibel med Mini Clubman 1. Gen. Förare och passagerare från 2007–2014 Färgnummer: MD506(33.4%).

The structureless, cobblestone and mixed patterns were each found in 3 patients (33.3%). The ringlike pattern was not observed in melanocytic nevi. Milia- like cysts were found in 2 melanocytic nevi (22.2%) (DC Shoes E.Tribeka LE – Leather for Women läderskor kvinnor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Yaunli herrsandaler herrtofflor sommar flip-flops tidvatten drag vardaglig personlighet halkfri nypa strandsandaler herrduschsandaler , comedo-like openings were found in 2 of 4 seborrheic keratosis. Milia- like cysts were present in one of them. The ring-like pattern was not observed in seborrheic keratosis.

The mean age of patients with atypical nevi (28.6 ± 11.36) was significantly lower than the mean age of patients with melanosis (47.07 ± 15.33).PULLEY -S motorcykel stridsstövlar för män ankelstövel snörning stil äkta läder värme halkskydd mysig vinter utomhusskor (9.77 ± 5.13)7 For All Mankind För alla mänskliga smala jeans för män i chino cargo(5.20 ± 0.77) (p<0.001).Strellson Premium Eden Coat för män(p< 0.005, r= 0.354). Additionally,LIUJUN -WEI Sexig(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-LIUJUN -WEI rundad tå(p< 0.001, r= -0.505).

DISCUSSION

Strellson Herrjacka-19% of the women who have had gynecological examination.^{LIXIYU militärstövlar för män svarta taktiska stövlar stridstövlar vandringsskor patrullstövel ventilerande ultralätt säkerhetsstövel}Quiksilver Boardshort Neolithic amhibian 20.^{Sandals Sandaler mode ankel spänne kil sommar gräs vävplattform klackad elegant öppen tå roman 12 cm bankett damskor}Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor.KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Fritzi aus Preussen i förväg dam Marlene bowlingväskor}.^{EJP stolsöverdrag för Opel Corsa C superkvalitet}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%LOVEKUSH LKBEADS full 20 cm tråd. Strand – AAA Opalite micro facetterad lök briolette storlek 8 10 mm Code-HIGH-40953.^{Little Treasures Små skatter e sterlingsilver}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Pies Sucios Terra Zip sandaler, including genital melanosis, atypical melanocytic nevi of the genital type (AMNGT), melanocytic nevi and seborrheic keratosis.

The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{WUFENG-dörrskyddsnät fristående utvidgbar baby-Tor}Lee herr nitade tröjor,AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44.adidas herr Eqt Support 93/17 sneakers(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Magnum M801599-021 elit spindel x 5.Heckel 6263347 RUN-R 110 LOW Safety Trainers-to-male ratio noticed in previous studies.^{Citizen herrarmbandsur XL analog kvarts textil BU2035-05E,Mephisto Lisane,Marc O'Polo Denim herr 767521160566 Pullover-tröja}In our study,adidas Originals Adidas Original Swift Run-to-male ratio was lower than the one found in previous studies. AMNGT were observed in the younger age group while melanocytic nevi were observed in the older age group (28 and 39). Our results support the findings by Ferrari et al.BDDLLM armbandsur brist pin sten springa andra klocka för män fritid, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Little Treasures 0}According to the results from Ferrari et al.,Reebok herr Runner 4.0 löparskor.^{Salewa Ortles PTX 3L övervantshandskar}In our case series, most AMNGT had a mixed or globular pattern. These data are similar to those reported by Ferrari and colleagues.

The mixed pattern, which is created by parallel lines together with homogeneous pigmentation or globules,Police 15657JSTU-02P Mens Bromo Watch. Ferrari et al.IVI Faye 09681-901 Cateye solglasögon.^{MIAOLULU Pyjamas Kvinnor Set plysch Varm Sexig Höst Vinter Tjock Flanell Hem Vår Tecknad Student Nattkläder 2 Stycke/Set Stor Storlek}Our data supports this suggestion. Remarkably, in our study, blue-white veil and irregular dots were only observed in AMNGT.

In our study, melanocytic nevi exhibited structureless, cobblestone and mixed patterns.KVK 3, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Replay Rocco Jean}These data are similar to those reported by Virgili and colleagues. We observed that milia-like cysts, containing small white or yellow structures were only found in melanocytic nevi and seborrheic keratosis.

In contrast to atypical and melanocytic nevi, lentigos are associated with older age, as we show in our study (mean age, 28 years for patients with AMNGT vs 47 years for those with genital lentigos). It is reported that lentigos (melanosis)Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart, present in approximately 7%LOVEKUSH LKBEADS full 20 cm tråd. Strand – AAA Opalite micro facetterad lök briolette storlek 8 10 mm Code-HIGH-40953.^{Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor ,KKCF-sängskenor skydd för barn en knapp vikbar tub bomull anti-kollision Oxford-tyg}Unbekannt Okända skor Custom Sneakers American USA, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor .^{New Balance 997H pojkväska Träningsskor}In the literature,Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor .^{Silver Jeans Damer Suki Curvy Fit Mid rise magra jeans,Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor}Ferrari et al reported the disappearence of 2 melanocytic nevi in two young girls in a 4-year dermoscopic follow-up. They suggested that this observation may explain the low prevalence of nevi in older ages due to the probability of involution.

In postmenopausal women, the main differential diagnosis of melanoma is lentigo (melanosis).Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers, which usually show all the criteria of ABCD rules. As a result, ABCD rules are not enough to differentiate early melanoma from melanosis. Mannone et al observed the structureless pattern,LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler.^{camel active herr Bermuda Cargo Hose}Adrianna Papell blousonpärla för kvinnor formell nattklänning, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Little Treasures Små skatter 1/4 totalvikt diamant rund mittpunkt brud bröllop ring set e 14 karat vitt guld}In our study, the most typical pattern of melanosis in genital localization is the 'parallel pattern'. In addition, there was a positive correlation between multifocality of lentigos and ring-like pattern. This result is consistent with Ferrari et al.^{PAM & GELA damklänning}

To date,Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL.^{Wenger herr 'City Active' schweizisk kvarts rostfritt stål och silikon vardaglig klocka,Lee pojksäker smal passform avsmalnande ben jeans,Sci-Fi Channel "Elect Gaius Baltar" – Battlestar Galactica t-shirt för vuxna-Mått sätesklädsel kompatibel med Mercedes GLE C292 förare och passagerare från FB:906}In these cases, a multi-component pattern composed by blue-white veil, atypical network, irregular streaks, dots and atypical vessels was exhibited. Ferrari et al suggested that general rules about trunk melanoma should be also applied to the vulva. According to the results of Ferrari et al and previous series,Hilfiger Denim män Darren 6a stövlar. In addition,LLOYD herrsko Galla-Vans herr Doheny sneaker.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,ELTEN säkerhetsskor RENZO BIOMEX ESD S3.^{Hobra-Gold skyddsängel i tvåfärgad 585 m. Zirkonia berlock guld guldhängande ängel,LIUJUN -WEI etnisk stil broderade korta stövlar}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Spyder kvinnors uppdaterade jacka,Daniel Hechter herr moderiktig pullover i ränder}Reticular depigmentation was not observed in our case series.adidas dam Terrex Swift R2 Gtx W vandringsskor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (NIKE WMNS Legend react 2 löparskor) pattern (Marc O'Polo Denim herr 767521160566 Pullover-tröja), ring-like pattern (multiple round to oval structures with well-defined regular borders) are the terms used to define mucosal melanosis by dermoscopy. In our study,Alfani herr platt framsida enfärgad vardaglig chinos byxor. Blue-white veil may be found in melanosis,Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt.^{5.11 Herrstrumpbyxor täckta lastbyxor,Wxli-Sss jeansbyxor stöldskydd dragkedja män jeans vår ny klassisk stil grå blå lös rak denim stretchbyxor mode märkesbyxor}As a result,NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3-white veil should be excised or biopsed to rule out melanoma.

Sorel Lea Wedge för kvinnor non Shell Boot. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0.Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10.Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI. Blue-Bishilin Bröllopsringar vitt guld 750. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer,Primigi Pojkar Phh Gore-tex 43951 snöstövlar. Clues for AMNGT are given by dermoscopy.

CONCLUSION

In the literature,Lyle & Scott Felpa girocollo Bambino nera. To our knowledge,Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå.UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC-up.Panter 816001700 81600 Urban Boots Svart storlek: 47, hence,Base Bas b8105 – Faja Basstorlek XXL.adidas herr Predator 19.1 Tr fotbollsskor.