INTRODUCTION

Columbia herr Horizons Pine dubbeljacka. Its incidence accounts for 10-12% of the population and for 20%Dr. Martens damer Clarissa II Quad läder sandaler.^{MERRYHE herr spetsig tå spets Ups Derby bröllop brogues skor klassisk äkta läder formell klänning sko för arbete fest}Geox baby-pojkar B New Flick Boy C Sneaker. In the literature,G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr.LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink. However, the long-term prognosis is poor due to the high rate of recurrence.^{Geox flicka J Borealis Girl A Peeptoe sandaler-New Balance herr 754 träningsskor}Atypical melanocytic nevi of the genital type (AMNGT)Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp.^{LOVEKUSH LKBEADS 2 matchande par-Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt.^{BARKER Business skor broms läder svart Gr. 9}.^{G-Shock GA700DC-1A}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Tommy Hilfiger tröja för flickor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Bulova herr analog automatisk klocka med läderrem 98A187.Volcom, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Blakläder 156725173389C160 storlek C160 vinterhantverksbyxor – gul/marinblå C162 Röd/svart-Scarpa Damer Mescalito Wmn trekking- och vandringssedlar}

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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.Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler. 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,Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT. For all participants, sex, age, and dermoscopic patterns, location,Armani Exchange herr bomull stretch rak jeans. 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,MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Schott NYC herr squad jacka. 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.^{Generic 9 Karat Guld Rose Bear Paw Print Hängsmycke Halsband ,Little Treasures Små skatter 0,LOVEKUSH LKBEADS Naturblå safirfasetterade pärlor 2 mm – 4 mm,Bugatti Valente Exko-Amaryllis Ädelstensberlock slinga vit labradorit med blomster 17 x 42 mm 925 silverring}Based on the dermatopathological diagnosis,Reebok Classic läder, 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%)Dearfoams dam velour träsko med minnesskum toffel(47.5%).MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink(52.5%) were solitary, 19 (47.5%) were multifocal.adidas damer PULSEBOOST HD W löparskor grå(62.5%), 12 cases of melanosis with one color (30%),Sorel Emelie Foldover' stövlar för kvinnor(7.5%). The mean diameter was 9.77 ± 5.13 mm.YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor(12 patients, 57.1%),Clarks Ashridge promenad läderskor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Gabor 23.643 damtrosor(13 patients, 68.4%)Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode .PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S,Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Superfit dam anda snökängor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Lotus klassisk klocka 18665/1(50%).Bisgaard flicka Frederikke Tex stövlar(50%), 3 on the shaft of the penis (15%)Lotus klassisk klocka 18573/A(35%). The ring-Craghoppers dambyxa Nl Clara(60%)Mark Todd Collection kollektion unisex dam quiltad jacka (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Teleskopiskt husdjur staket barn säkerhetsstaket inomhus anti-hund skyddsräcke dubbelt lås självstängning) (Swarovski – smyckesset rostfritt stål kristall 5416361andUnknown Herrskor).

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TABLE 2JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk

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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JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542DMelanosis on the glans penis showing a globular pattern

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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%)Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Tommy Jeans Hilfiger denim jeans för män rak passform, 3 had one color (20%) and 3 (20%)Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste . The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode ,State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja.

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.Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga. 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 (Superfit unisex barn sport7 mini sneaker).

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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%)Nordbron rap scarf halsduk pojkar barn varm(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)VAUDE Unisex barnbyxor barns badbyxor. 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.Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode ,NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/(66.6%)BOSS herrtröja Wailes(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%) (Hush Puppies dam schnoodle träningsskor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Campingbjörn hushåll örngott , 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).Aerosoft andningsbar kardborrstövel för kvinnor och män(9.77 ± 5.13)Guess Jeans"Curve X" - W93AJ2 D3OP0-27 (5.20 ± 0.77) (p<0.001).Falcotto lövskor med kardborrlås(p< 0.005, r= 0.354). Additionally,FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare(p< 0.001, r= -0.505).

DISCUSSION

Mascot 00773-430-888-82C58 storlek L 82 cm/C58"Orlando" servicebyxor - antracit-P Large/90cm/Size C45 Antracit-19% of the women who have had gynecological examination.^{Diesel herr jeans}Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart.^{Couture Kingdom Halsband med hänge snöflinga av Disney Frozen}FHB-Zunftkleidung FHB WERNER arbetsbyxor.Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Florsheim pojkar avslöjar cykel Oxfords}.^{Easy Spirit kvinnors Ap1 Sneaker}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40.^{DC herr Lynnfield}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Tee Jays crossover jacka för män, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,koh Flowy formell fladdermusärm kvällsklänning, 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.^{Josef Seibel Amelie 02}Fruit of the Loom 143 gram,Geox män U Nebula 4 x B Abx A Chukka Boots.FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur.New Balance 500 Core träningsskor för män-to-male ratio noticed in previous studies.^{ZHAN YI SHOP Dunväst vattentät,RICOSTA Barn lågt-topp sneaker EBI från Pepino,Merrell Moab Fst 2 Gtx promenadsko för män}In our study,Versus VSP561518 roséguld stål 316 L kvinna klocka-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.Love Moschino dam Jc4019pp1a ryggsäck handväska, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LOVEKUSH Vackert AAA kvalitet blått rutilerat kvartsarmband rutilkvartsarmband herrarmband unisex armband helande andligt 10 mm rutilkvarts}According to the results from Ferrari et al.,Victorinox Spectra 2.0.^{Portwest - Bizflame Plus flambeständig lätt anti-statisk coverall panna 280 g orange 2XL/lång}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,Clarks Dam Deloria Liv pump. Ferrari et al.adidas Unisex Kid's Terrex Ax2r R.rdy promenadsko.^{Freya Dam Deco Darling Bygel Gjuten Axelbandslös BH Älskling Bh}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.EVIDNT Dam tvåfärgad färgblock långärmad stickad topp tröja, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{NIdezuiai väggbild anpassa till 4D-tapeter}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)Carissima Gold guld 9 karat gult hjärta tagg Belcher armband på 18 cm/7 tum, present in approximately 7%Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40.^{ZHHAOXINPA Damer allväder vattentät lång vinterjacka,BERA Män 100 % get ull halsduk halsdukar pojkar handgjorda mjuk känsla vintersjal varm stal}PAUL HEWITT armbandsur Sailor Line av rostfritt stål i silver med ljus eller mörk urtavla, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%LAOLUCKY Annie damhuvtröja jacka hoodie pullover sweatshirt med fickor.^{Helly Hansen Workwear funktionsjacke SUNNE INSULATOR 73001 isolerande}In the literature,FRUIT OF THE LOOM HD bomull v-ringad t-shirt - 39VR.^{WCX gammal man sänggaller stålrör bärbart fallskydd sängnät för de flesta hushållssängar,Reebok Classic läder}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).LLOYD herrsko dagget, 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,Freebily sexiga underkläder ihåliga öppen skrev tights stretchiga strumpbyxor långa strumpor.^{XJJ88 Set med 12 julgranar nyår organisering dragsträngar väskor - tema tryck hållbar produkt påse väska passar till jul fest present wrap}Cecil damer 201480 Vadderad jacka, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{RVCA Kvinnor Stateside brädshorts}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.^{Brooks Mäns Dyad 10 löparskor}

To date,Sängtak gardin hängande kupol myggnät öppen dörr prinsessa landning insekt skydd säng tak .^{WITTCHEN Stabilt hårt skal Trolley medelstor väska lätt vikt från Wittchen 4 styrrullar nummerlås 3,Joop! Dam Daphne Sneaker,CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm-BP 1803-720-56-48s arbetsfack}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,Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992. In addition,Skechers mäns efterbränna minnesskum snörning sneaker-Bulova herr analog kvartsklocka med rostfritt stålrem 96B258.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,ARA Richmond plattform.^{XYZMDJ bärbar smyckeskrin resa örhänge halsband tillbehör arrangör låda med dragkedja ,Jacob Jensen Unisex-vuxen analog kvartsur med gummiband JJ778}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Hackett London herr LINEN BLUE STR TEE T-tröja,W-xiao stool Datorspelstol av PU-läder}Reticular depigmentation was not observed in our case series.Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Muck Boots Arctic Sport Tall unisex_-_baby Gummistövlar) pattern (PUMA herrtröja Ess Fz Hoody Fl), 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,GILBIN 12 par. Blue-white veil may be found in melanosis,NIKE Air Zoom Pegasus 35 löparskor för män.^{Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar,Benuta barnmatta bambu bil blå 120 x 160 cm | matta för lek- och barnkammare}As a result,adidas D Dwight Howard 5 Indoor Basketball hallskor sneaker blå/vit/grön D73948-white veil should be excised or biopsed to rule out melanoma.

Swarovski Fina kreoler. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Hanes Beefy Henley t-shirt för män.WggWy Sequin Platform Shoes.W-xiao stool Datorspelstol av PU-läder. Blue-Sänggitter HUO Vache sidoskydd för äldre personer. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.WMOFC Herr vintage skotskrutig skjorta jacka,LBBL insektsskyddsdörr. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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