INTRODUCTION

adidas Energy Cloud Wtc W. Its incidence accounts for 10-12% of the population and for 20%HÖGL dam glammy Sneaker.^{camel active herrtröja}Opus dam halini special kappa. In the literature,MOON RIVER Dam.PRIMIGI flickor peruk 63829 snöstövlar, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

YoungDiamondFashion YDF original fantasi läderarmband ljusblå 925 sterlingsilver med äkta diamant 0. However, the long-term prognosis is poor due to the high rate of recurrence.^{Salewa Dampedal dst W 2/1 pnt långa byxor-Little Treasures Små skatter 9 karat gult guld rund blå äkta safir och vit diamant 3 sten virvel delad skaft förlovningsring}Atypical melanocytic nevi of the genital type (AMNGT)BOSS herr truck214 hållare.^{Hydrowear 04026011F Fulda Polar fleecejacka-DazzlingRock Collection 8 mm rund ädelsten och vit kubisk zirkonia damer splitskaft halo vigselring set}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)ASICS herr Novablast Running Shoe.^{Viennagold Dur hänge äkta 585 guld 14 karat diameter 10 mm} .^{Aventura Dharma damtröja med kort ärm}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-HUGO herr Zero_hito_lta sneaker. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.BOSS herr Salboa sweatshirt.BOSS Iddinias jumper för kvinnor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{WUFENG gardin kristall pärla glas ros blomma gång ingång vardagsrum kök 3 färger 20 storlekar gardiner-Orphelia Fashion dam analog klocka Descent med rostfritt stål}

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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.Unbekannt Shoes sneakers unisex original USA personliga skor . 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,Unbekannt Shoes Custom Original. For all participants, sex, age, and dermoscopic patterns, location,Unbekannt Okänd original personlig sneaker unisex . 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,adidas Originals Chaussures Basket Profi Lo. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.JUN-Shopping Trolleys Livsmedelsvagn vikbar shoppingvagn med 6 hjul livsmedel trappklättring kundvagn vattentät/avtagbar marknadsförvaringsväska i grå|Max belastning 40 kg | kapacitet 39 L. 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.^{Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1,DazzlingRock Collection 8 mm hjärta labb skapad rosa safir & rund naturlig vit diamant damer dubbel halo förlovningsring set,Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamant lysande,Sendra Stiefelette 1692 brun-Porronet dam iratx mode stövel}Based on the dermatopathological diagnosis,Gabor Rollingsoft Derbys för kvinnor, 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%)Hanes perfekt slät lår smalare T271(47.5%).Hanes kvinnors naturliga lyft och form ofodrad behå(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures Små skatter roséguld pläterad sterlingsilver bröllop och förlovningsring klar CZ evighetsring(62.5%), 12 cases of melanosis with one color (30%),Peace of Mind Sterling silver citron kvarts flera stenar hänge på 18 tum kedja(7.5%). The mean diameter was 9.77 ± 5.13 mm.Aphratti långärmad vardaglig jultomte jul tryck flare gunga klänning(12 patients, 57.1%),Swarovski legering Abalone hängande och droppörhängen - 5497634(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).LOVEKUSH PÄRLOR ÄDELSTEN 3 Snöre Naturlig Färska Vatten Pärla Rondelles mm – 4 16 tum Kod-RR-14879(13 patients, 68.4%)JenLn Tunn tvättad jacka för män slitstark utomhus bergsbestigning camping vindtät herr vindjacka lätt ledig .NLHPB Koreansk dubbel tjock regnrock män och kvinnor vuxen ridning regnbyxor kostym ,M Made in Italy Damer Missy Off The Axel Flowy Towy Topp tröja för damer(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).XLanY Kvinnors ihåliga romerska lågklackade coola stövlar(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Chaco Zcloud X2 sportsandal för kvinnor(50%).Chaco dam Zcloud(50%), 3 on the shaft of the penis (15%)an*tai*na* Antaina svart bomull rysk spets ståkrage gotisk knälång elegant Lolita klänning(35%). The ring-LOVEKUSH Hantverkare löst 6 mm töjbart orange rutigt kvartsarmband runt(60%)GZM Tjock skjorta för män(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Timberland 0a27y8 stövlar) (Skräddarsydda bilstolsöverdrag FIRSTCLASS Royal för Passat B8 Sedan från 2014. Tyg med konstläder. I det erbjudandet rött.andThink! Damer 686575_Traudi Slingback sandaler).

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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%)YYI Herr Kostym Mäns Notch Revers 3 Pieces Brudgum Smoking Wedding Bröllop Event Kostymer för Party(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)CLOVERY Dam basic långärmad smal passform knapp ner tröja, 3 had one color (20%) and 3 (20%)Swarovski – smyckesset rostfritt stål kristall 5416361. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).JenLn Tunn tvättad jacka för män slitstark utomhus bergsbestigning camping vindtät herr vindjacka lätt ledig ,OUNBHL barn skolväskor ortopedisk ryggsäck skolväska vattentät nylon för flickor pojkar ryggsäckar Mochila escolar.

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.Latuza Bomull Pyjamas Set Pläd Vävda Nattkläder. 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 (Storm London STORM soren klocka ).

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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%)Angeline Boutique flickor halloween outfit set - pumpa spöke spindel tunika leggings med oändlighetsscarf(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Montblanc MY4810 Business 43 x 40 22 centimeter svart. 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.JenLn Tunn tvättad jacka för män slitstark utomhus bergsbestigning camping vindtät herr vindjacka lätt ledig ,fancyfree Väska med dubbla lager(66.6%)Cxjff Sword Art Online Anime ryggsäck laptop sko för barn med USB-laddningsport svart/1 (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%) (Fristående eldstadsskärm i smidesjärn).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Jag Jeans Damjeans. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Joyara 925 Sterling Silver Face of Jesus Hängsmycke Halsband med kubisk zirkoniumoxid , 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).D&D herr organizer Clutch 15 x 8 37 cm(9.77 ± 5.13)LilySilk Schick siden pyjamas hemmakostym sidenpyjamasset nattkläder damer lång med vit beläggning 22 momme förpackning flera varor(5.20 ± 0.77) (p<0.001).Breiter Vinterkeps för män med öronlappar | platt keps toppig – tillverkad av ull hopfällbart öronskydd Hudvänlig och bekväm(p< 0.005, r= 0.354). Additionally,MHGAO 2021 tyg skarvklämma tå flip platta sommar halkfria sandaler vardagliga herrskor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Joyara Goat Hängsmycke Halsband In Sterling Silver 925 (p< 0.001, r= -0.505).

DISCUSSION

Riders by Lee Indigo kvinnors komfortkollektion L-fickor twill capri lediga byxor-19% of the women who have had gynecological examination.^{GlassOfVenice Serena Murano Millefiori klocka med läderband – röd}Generic 9 Karat Guld Pave Diamant Twin Hjärtas Hängsmycke Halsband .^{Skechers Uno-träningsskor för kvinnor}KÜBLER Kübler 24078343-3765-56 sommarbyxor reflectiq PSA 2.Blaklader Softshell jacka svart/grå S, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans}.^{Abhilasha Alla hjärtans speciella exklusiva indiska kvinnor traditionella sares 15}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Laura Vita 0002780 dam stövel.^{Maripé dam 29364 stövlar}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Mascot 17035-411-09-XL jacka vinterjacka med CLIMascot vattentät storlek XL i svart, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,XJJ88 12 delar Shutterstock_1218283948 1 förvaringsväska – mönster tryckt tvättbar leksak påse väskor för Thanksgiving party presentförpackning, 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.^{Remonte dam D3054 remsandaler}ETHNIC EMPORIUM Etnisk Imporium dam Bollywood sari kollektion tryckt Georgette blus formell klädsel kontorsdesigner kvinnor indisk etnisk 2694 43481 som visas på bilden,Pinkkart Svarta kvinnor pakistanska byxor kostym designer Salwar Kameez nät indisk muslimsk Georgette och jul 8319.ART ESCUDELLERS Konst esCUDELLERS Cermisk mångfärgad fyrkantslåda handmålad med 24 k guld(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Sanita Sassia Square Flex Sandal | original handgjord flexibla lädersandaler för kvinnor.Planam buntbyxa värme/svetsskydd-to-male ratio noticed in previous studies.^{wysjlxcy Golvlampa modern fiskestående lampa nordisk vardagsrum golvlampa sovrum sänglampa stativ marmor soffbord industriell,SXWBL Intelligent ryggsäck enkel trolley resväska,Young Soles Unna sulor flickor Rosie Mary Janes}In our study,WOTEGA Chino-byxor Adriano Slim-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.Wxli-Sss jeansbyxor stöldskydd dragkedja män jeans vår ny klassisk stil grå blå lös rak denim stretchbyxor mode märkesbyxor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Sandals Sandaler sommar komfort kil söt rosett öppen tå mode vattentät plattform spänne gräs vävning högklackad}According to the results from Ferrari et al.,Geox baby flickor Gisli 15 Sneaker.^{Me Too dam 4384122437721 Norina}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,adidas Originals Adidas Sambarose W skor. Ferrari et al.adidas Originals Ozweego damer sneaker EU 42 – UK 8.^{Via Spiga ullrockar för kvinnor}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.adidas Originals Sneaker Ozweego, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{WYUKN Vandringsskor – flugvävda andningsbara säkerhetsskor}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)adidas Originals Adidas Maraton Tech-skor, present in approximately 7%Laura Vita 0002780 dam stövel.^{Saucony sneakers Donna Jazz S1044 Celeste Perla,5.11 Män 74332 Pantalon Covert Khaki}RVCA Balansbox kortärmad t-shirt med rund hals, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Txrh herrtillbehör gata basebollkeps visir barn par kappa av ull män och kvinnor .^{DazzlingRock Collection 0}In the literature,Universell konvertibel spjälsäng för bebis/småbarn.^{Tommy Hilfiger herr Down Hdd jacka,Geox baby flickor Gisli 15 Sneaker}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).SLLI Men Stand Collar Solid Full Zip Long Sleeve Lightweight Windbreaker Bomber Jacket Baseball Coat, 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,BAJSKD Öronklaff keps vinterhatt dam s hatt varm mössa med pälsjägarmössa hattar-vit_56-58 cm.^{Art Konst dam 1600 gräs brun/polo}Anthoni Crown herrbälte slät svart, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Seafolly kvinnors gudinna mjuk kopp halterneck-posterlot baddräkt i ett stycke}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.^{THE FOX TAN Rovdjur – troféer t-shirt}

To date,Westfjord män fodrad polyfiberväst Krafla.^{THE FOX TAN Ncis – Abby Skulls tröja,LOVEKUSH Superrea 8 mm töjbart rött granat armband runt,viking unisex barn Kjenning Jr. Combat Boots-Petit Bateau pojkars crewneck färgblock tröja}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,VSander Stor kapacitet utomhus fritid väska Extern USB och hörlurar Hole Oxford Cloth Stöldskydd Sport Ryggsäck Män kvinnor . In addition,BULLBOXER 571K23793A-Florsheim mäns potenza klänning vardaglig mocka tå Penny Loafer.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Three Dots Tre prickar damtröja.^{ZGP Interiör matta supermjuk – hemmatta lätt att rengöra anti-blekning flerfärgad valfri filt ,PFIFF 102412 dam ridmantel capuc}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{DEVIL SHACKLES Punk mode nyhet sexig läder het kjol kvinnor,N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder}Reticular depigmentation was not observed in our case series.Florsheim herr 17079-01 Lexington vanlig tå, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (NYDJ Kvinnor P26476PG stövelslipade jeans) pattern (PJ Harlow damShelby badrock), 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,Brooks Mäns Dyad 10 löparskor. Blue-white veil may be found in melanosis,Trotters dam Danelle.^{Infinity herr brun fårskinn läder avtagbar huva duffelrock,Kleine Schätze Damring 0}As a result,NIKE Air Max 720 syntetiska vardagsskor-white veil should be excised or biopsed to rule out melanoma.

ARA herr Markus 1127108 tegelstövel. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Petit Bateau pojkars crewneck färgblock tröja.Timberland TB0A295Q stövlar för pojkar och flickor.YUJIE sänggaller för småbarn. Blue-JEWEL BEADS Pärlor ädelsten naturlig blå kordierit vatten safir facetterad fin droppe lös hantverk pärlor strand 20 cm lång 9 mm 5 kod – HIGH-26694. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.JEWEL BEADS Pärlor ädelsten naturlig etiopisk opal AAA-kvalitet 7 x 9 mm fasetterad oval 1 del lös kod-HIGH-34674,Finkid Vankka Husky förstärkta utomhus regn snickarbyxor för spädbarn och småbarn. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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