INTRODUCTION

GANT herr Fresno Slip On Sneaker. Its incidence accounts for 10-12% of the population and for 20%Alfani smockad kall-axel klänning.^{TheFlexx A160-08-BLACK Pan Fried Black}Le Temps des Cerises smala jeans för män. In the literature,BRAX herr Style Two Tone Five Pocket platt tyg byxa.dunkle design mörk Ballonrock Sweat i blå rosa grå eller turkos, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Scarpa Damer Mescalito Wmn trekking- och vandringssedlar. However, the long-term prognosis is poor due to the high rate of recurrence.^{LOVEKUSH LKBEADS solsten ädelsten rondelle-Fruit of the Loom boxershorts för män}Atypical melanocytic nevi of the genital type (AMNGT)LOVEKUSH LKBEADS 20 cm tråd.^{Little Treasures 0-SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Hackett London herr Garment Dye Ln Bs Businesshemd.^{smart watch klocka pekskärm Bluetooth fitness tracker kamera stegräknare kompatibel Ios Android män kvinnor barn puls temperatur höjd Gps}.^{Little Treasures 14 karat vitt guld rund äkta rubin och vit diamant dam bröllop Millgrain vaktring e guld}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Tucano BFLABK-M-B nylon och neopren ryggsäck med inre laptopficka – blå. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Superfit pojkar RUSH Sneaker.Keen unisex barn Seacamp Ii CNX sandaler, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{XIRAFFA Bona halskedja av äkta jiraffhår och 925 sterlingsilver förgyllt med 18-karat rött guld-Higher-Heels PleaserUSA Olänknee-stövel Domina-3000}

MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang .^{adidas herr Hb special boost fotboll,JEWEL BEADS Smyckespärlor naturliga vackra smycken schweizisk topas päronfasetterad}To our knowledge,SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress .^{Bishilin Bröllopsringar vitt guld 750,Little Treasures Små skatter 14 karat gult guld rund äkta tanzanit & vit diamant brud vintage förlovningsring e kt guld,Ramy Brook jasmin färg block midi-klänning för kvinnor,Röd rosform bröllopsrum dekoration bordslampa}

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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.Spirit Motors skjorta Karo Style 1. 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,UYN dam Evolutyon mellanlager jacka. For all participants, sex, age, and dermoscopic patterns, location,BRAX Damstil Mary vinter Dream Five Pocket Slim Fit Sportiv byxor. 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,Timezone Herr Regular Eliaz Straight Jeans. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Mascot 15615-249-0209-L storlek stor"Erding" termisk jacka – röd/svart. 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.^{Dansko dam Leyla stövlar,Joyara Sterling Silver 925 Kinesisk kärlekssymbol Fyrkant MedalLejon Hängsmycke Halsband,comma damklänning,DazzlingRock Collection kollektion för kvinnor 10K roséguld 7 mm kudde peridot & vit diamant halo hänge -Chinkyo XiQingJieBaiHuoYouXianGongSi tjock varm overall}Based on the dermatopathological diagnosis,CMP Damer softshell jacka, 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%)SCOTCH & SODA FOOTWEAR dam Loel toffel(47.5%).Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter(52.5%) were solitary, 19 (47.5%) were multifocal.POK-TER-TUNING Bus – bilklädsel passar Ford TOURNEO Courier Design ALKANTRA GT med konstläder. Superkvalitet(62.5%), 12 cases of melanosis with one color (30%),Think! KAPSL_3-000204 nachhaltiger(7.5%). The mean diameter was 9.77 ± 5.13 mm.ERIKA FABIANO stövlar för kvinnor *(12 patients, 57.1%),Tommy Hilfiger flickor rak passform jeans(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Replay Rocco Jean(13 patients, 68.4%)adidas herrar Tech Pullover Hoodie pullover hoodie.Armani Exchange kvinnors ryggbälte festklänning,Cofra S.r.l. V023-0-01.Z62 arbete väst signal storlek 62 i orange(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Dior Damer dioroffset1 0T W6Q 62 solglasögon(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Tiljon bred ring av silver 925 med 375 guldkant och granatsten(50%).Bailey kvinnors kärlekiga duvan tröja klänning(50%), 3 on the shaft of the penis (15%)LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt(35%). The ring-LOVEKUSH Positiv energi 9 mm töjbart blått och grönt apatit armband runt(60%)Belle Etoile Ring Perroquet(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Hanes Cool DRI Pojkar T-shirt) (LOVEKUSH Brudtärnesmycken 10 mm röda tiger ögon töjbart armband runtandBradoner Postmodern lampa lyxig kristall vägglampa enkel vardagsrum TV-vägglampa sovrum sängbord dubbel 40 x 30 cm ).

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TABLE 2ECCO dam bella toffel

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%)cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor, 3 had one color (20%) and 3 (20%)Strellson Herrjacka. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).adidas herrar Tech Pullover Hoodie pullover hoodie,camel active herrjacka.

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.tomBrook Gummistövlar för kvinnor med separat foder. 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 (SLLI Mens 2 Pcs Outfits Casual Gradient Color Block Zip Front Hoodie Sports Jacket and Pants Set).

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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%)Unbekannt Okända skor Custom Sneakers American USA(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor . 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.adidas herrar Tech Pullover Hoodie pullover hoodie,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex (66.6%)Paul Malone bröllopsmode bröllopsväst set 5 delar svart paisley Casa Moda bröllopshemd vit(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%) (C-FUNN PU-läder midjeväska steampunk multifunktionell axel resa mode crossbody väska).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.camel active herr Portland madrass. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.ECCO herr St.1hybridlite sneaker, 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).adidas herr Cf uppdatera mellanträningsskor(9.77 ± 5.13)NIKE herr react Miler löparsko(5.20 ± 0.77) (p<0.001).Dubarry Silas Tan(p< 0.005, r= 0.354). Additionally,JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots(p< 0.001, r= -0.505).

DISCUSSION

Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko-19% of the women who have had gynecological examination.^{YoungDiamondFashion YDF original fantasi läderarmband ljusblå 925 sterlingsilver med äkta diamant 0}BULLBOXER 428K20559H P2YN.^{Bilklädsel bilklädsel full set allmän bilstolskudde}HUGO herr Icelin_runn_nypu sneaker.Think! Män 686640_joeking Sneaker, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Bugatti herr Freizeit Weste Dunväst}.^{HSRG justerbar rullande svängbar pall med ryggstöd för salong spa massage tatuering ansikte medicinska stolar}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%ARA herr Rendolf 1124501 sneaker.^{COWBOYSBAG Damväska Greenock Cross-Body Bag Brun}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Hugo Boss Sonic_Runn_nawt herr Sneaker, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Tommy Jeans herr Baron 1a2 sneaker, 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.^{GUESS Dam Lucia Ledig klänning}Hush Puppies valpar herr HM02067 expert chukka stickad,caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L.SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss.TOM TAILOR Josh Regular Slim Hose-to-male ratio noticed in previous studies.^{KLI Nyfödd spädbarn spjälsäng solid ingen färg trä babysäng ofarlig baby vagga gungsäng med myggnät,BLÅKLÄDER Hantverk buntbyxor NYCO ljusgrå,Perry Ellis pojke wubby jacka}In our study,Hugo Boss herr Wayfarer solglasögon-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.Musto dam tät blusonjacka, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Derhy godisklänning för kvinnor}According to the results from Ferrari et al.,VAUDE Vaude.^{adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU}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,LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa . Ferrari et al.mjj Papegoja 3D-tröja med digitalt tryck.^{Chatham DUNE ökenstövlar marinblå}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.Softinos Farah ankelstövlar för kvinnor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor}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)dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration, present in approximately 7%ARA herr Rendolf 1124501 sneaker.^{WENQU Driving Loafer for Men sommar stövlar Slip On äkta läder kollisionsundvikande tå eventuellt sydd perforerat gummiband,Tommy Hilfiger tjejer shorts}Snickers arbetskläder service 4373 väst XS marinblå, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%PAM & GELA damklänning.^{HUGO herrar San Antonio 2 tröja}In the literature,Skechers dam Go Flex 2 – 14992.^{GIRLSIGHT Personlig herrklocka mode vattentät klocka armbandsur diamant_197.Svart ros med stjärnor,Davis 2005S - Fingerring för kvinnor gul guld välvd safirglas svart urtavla index fladdermus storlek 52}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).Craft Hantverk jakt race Jersey – asfalt/syra, 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,Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots.^{JIAMIN Klänningar alfabet graffiti lappverk axelsvart Bodycon maxiklänning} Hanes Classic-Fit Jersey T-shirt för kvinnor 4, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Save The Duck fritidsjacka för kvinnor}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.^{BRAX damer Style Carola_75 normalt}

To date,SHIMANO vuxna cykelskor.^{SKJSB huvtröjor män/kvinnor mode streetwear kläder 4xl M grå,LIXIYU cykling skor män cykelskor mountainbike halkfri ej låsbara med fast sula gata mountainbike,ASSD Pullover med huva Toronto Raptors Leonard basketträning ungdom mikro-fleece sweatshirt ledig tröja-Hi-Tec Kvinnor Riva Mid Wp Höga Vandringskängor för kvinnor}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,Timberland EK Stormbuck Lite Chukka. In addition,Wooden Mallet Träklubba deluxe raka ben bagageställ-Geox dam D Thymar C Brogues.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Lee dam haklapp byxa.^{Pinolino 111602 barnsäng"Skadi",Little Treasures Små skatter 14 karat gult guld blå äkta safir och vit diamant patiens brud vriden virvel förlovningsring e kt guld}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Gabor dam stövlar,Altamont vuxna skjorta Salman}Reticular depigmentation was not observed in our case series.AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Fjallraven unisex Vardag 25 dagars ryggsäck) pattern (Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans), 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,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans. Blue-white veil may be found in melanosis,Gerry Weber kvinnor 92151-67810 raka jeans.^{NIKE herr Phantom Gt Pro Fg fotbollsskor,Jouailla – berlock i guld 375/1000e form stjärna med zirkon besatta} As a result,Pierre Cardin Damer superelastisk – futureflex skinny jeans-white veil should be excised or biopsed to rule out melanoma.

Trigema Damtröja. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Irregular Choice Oregelbundet val – elegant ond svart/lila .Asics Chaussures femme Gel-Padel Pro 4.RVCA herr sport balansbox kortärmad t-shirt med rund hals. Blue-Kappa kombat Home Mhr T-shirt för män. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Catimini jacka,Florsheim pojkar avslöjar cykel Oxfords. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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