INTRODUCTION

LIUJUN -WEI Sexig. Its incidence accounts for 10-12% of the population and for 20%LIUJUN -WEI rundad tå.^{DazzlingRock Collection Dazzlingrock kollektion 18 k 6 mm rund ädelsten och diamant dam förlovningsring med dubbelbandsset}Strellson Herrjacka. In the literature,Quiksilver Boardshort Neolithic amhibian 20.Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv. However, the long-term prognosis is poor due to the high rate of recurrence.^{Cashmere & Class Kaschmir Klass Stor Mjuk Mysig Pashmina Vävt Halsduk Vik Kvinnor Varm Sjal Stole Presentförpackning-Soffa Fotpall/Sko Bänk}Atypical melanocytic nevi of the genital type (AMNGT)LOVEKUSH LKBEADS full 20 cm tråd. Strand – AAA Opalite micro facetterad lök briolette storlek 8 10 mm Code-HIGH-40953.^{Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals-Gianfranco Ferré Ferre dam glasögonställ svart}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present.^{HUGO herr Icelin_runn_nypu sneaker}.^{ALTRA Lone Peak 4.0 låg vattentät vandringsskor för kvinnor – AW19}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Pies Sucios Terra Zip sandaler. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Lee herr nitade tröjor.AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Camper Oruga Sandal K201191-Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm}

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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.BDDLLM armbandsur brist pin sten springa andra klocka för män fritid. 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,Reebok herr Runner 4.0 löparskor. For all participants, sex, age, and dermoscopic patterns, location,Police 15657JSTU-02P Mens Bromo Watch. 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,IVI Faye 09681-901 Cateye solglasögon. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.KVK 3. 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.^{s.Oliver kvinnor 120.10.101.26.180.2058693 Jeans,HUGO solglasögon,Meindl 2120 49 Catani Junior flickor pojkar utomhussko av nät med fotbädd,Pepe Jeans Alice kvartsklocka för män med orange urtavla analog display och silver rostfritt stålrem R2353101503-Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor} Based on the dermatopathological diagnosis,Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart, 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%)Marc O'Polo Denim herr 767521160566 Pullover-tröja(47.5%).Alfani herr platt framsida enfärgad vardaglig chinos byxor(52.5%) were solitary, 19 (47.5%) were multifocal.Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt(62.5%), 12 cases of melanosis with one color (30%),NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3(7.5%). The mean diameter was 9.77 ± 5.13 mm.Sorel Lea Wedge för kvinnor non Shell Boot(12 patients, 57.1%),Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10(13 patients, 68.4%)7 For All Mankind För alla mänskliga smala jeans för män i chino cargo.Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI,Bishilin Bröllopsringar vitt guld 750(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Primigi Pojkar Phh Gore-tex 43951 snöstövlar(50%).Lyle & Scott Felpa girocollo Bambino nera(50%), 3 on the shaft of the penis (15%)Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå(35%). The ring-UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC(60%)Panter 816001700 81600 Urban Boots Svart storlek: 47(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Haonb Armbandsur) (Jockey underkläder för män lättvikt klassisk boxershorts – 3-packandNaturino Girl's See gladiatorsandaler).

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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%)Geox pojkar J Kommodor Boy A Sneaker(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Volcom herr shorts-cargo Miter Ll, 3 had one color (20%) and 3 (20%)ASICS dam gel-Squad amerikansk handboll skor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).7 For All Mankind För alla mänskliga smala jeans för män i chino cargo,ASICS GEL-BND.

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.Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp. 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 (Haggar herr J.m Performance slim fit klänning tröja).

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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%)OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import. 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.7 For All Mankind För alla mänskliga smala jeans för män i chino cargo,Tamaris dam 1-1-28007-24 007 sandaler med klack(66.6%)Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm(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%) (adidas herr joggeur sneaker).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Scarpa Origin klättringsskor dam grön blå 2021 tofflor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Geox D Nhenbus A kvinnor – moderskap Låga sneakers, 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).Remonte dam D0001 sneaker(9.77 ± 5.13)Joop! Dam Daphne Sneaker(5.20 ± 0.77) (p<0.001).Ted Baker dam Lennes Sneaker(p< 0.005, r= 0.354). Additionally,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-WggWy Mäns fashionabla arbetssäkerhetsskor(p< 0.001, r= -0.505).

DISCUSSION

Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder-19% of the women who have had gynecological examination.^{Tom Joule flicka Y_jnrwellibob gummistövlar}PUMA Unisex vuxna Rebound Layup SL Sneaker.^{Andrea Conti 0348852-062 Cognac}Liu Jo Cher damer Krigsstövlar.YIJIAN-BOOTS Bekväma, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{ESPRIT Maternity kvinnor Pants denim OTB loose Jeans}.^{Hugo Boss dam Alek Str.long B85-nc knähöga stövlar}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Little Treasures 0.^{J.A.K. 1200112B120 serie 12001 65% bomull/34% polyester/1% negastat bundslang}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Maripé dam 29364 stövlar, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Gabor Jollys damer Stövlar med korta skaft, 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.^{Wrangler herr Arizona stretch jeans}Ändbord blöjbord ihopfällbara med dräneringssystem,ECCO dam Soft 7 damstövlar.Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex .Jomos herr Adventure Sneaker-to-male ratio noticed in previous studies.^{Little Treasures Små skatter segla båt hänge halsband i sterlingsilver,Mammut herr Mercury Iii Mid Gtx vandrings- och vandringskängor,WENQU Enkla sommarsandaler för män flip-flops med tåring andningsbara tofflor elastisk läderhastighet} In our study,LUANA ITALY Origami bärkasse för kvinnor-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.Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Lee Mäns skräddarsydd luke byxor}According to the results from Ferrari et al.,ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery.^{LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt}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,prAna London Short. Ferrari et al.ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor.^{Tommy Jeans herr Simon Skny Dycmbs byxor}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.YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1}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 Herrbyxor Adidas Skitouring P – svart, present in approximately 7%Little Treasures 0.^{J.A.K. 160351076 serie 1603 65% polyester/35% bomull lanzos,Laura Vita 0002780 dam stövel}N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%adidas dam terrex Ax2r vandringsskor.^{AISHANG Ultratunn LED-vägglampa i trä}In the literature,CafeNoir SNEAKER IN LAMINATO.^{MADDOX – herr läderjacka lamnappa sakko svart,VAUDE Damer kvinnors droppe jacka Iii}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).Remonte Damer sandaler R2950, 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,BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar.^{PUMA unisex vuxna astro kopp låg-toppsneakers}Strellson Herrjacka, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Gardin barns sovrum kaktus mörkläggning termiska isolerade öljettgardiner för vardagsrum barn fönster färdiga gardiner 2 x 33 80 cm} 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.^{YULAN sängrutnät säng ledsplan landet gammal gravid kvinna står på och uppe länder tång handtag uppåt brett förstärkningsband}

To date,Best Life Casual.^{UltraClub damer viskning twill tröja,Arnette herr 0AN4237 245625 52 solglasögon,HVTKL Klassisk retro vertikal sektion plånbok läder herr casual kort första lagret av dragkedja -GOERTPO Men's Jacket Wool and Genuine Red Leather Sleeves College Bomber}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,Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112. In addition,Teva dam Olowahu W's dragsko-CallagHan herr cedron mokassin.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Uno de 50 Orion PUL1818CRLMTL0M.^{Spricen svart butler anime sweatshirt herr vinter huvtröja tjock jacka dragkedja kappa plus sammet topp rosa XS,Eonkoo luftrenad 48 LED USB nattlampa skrivbord svamp lampa uppladdningsbar energibesparande boklampa med beröringssensor justerbar ljusstyrka hälsa Anion anti-strålning}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{adidas unisex barn Varial Mid J skateboardskor,Irish Setter Irländsk Rutmaster WP 43 cm gummistöd}Reticular depigmentation was not observed in our case series.Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Naturino pojkar bekväma sandaler) pattern (Lodi dam Habi-x sandaler med klack), 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,Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm . Blue-white veil may be found in melanosis,XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå .^{Unbekannt Okänd Sneakers original USA personliga skor ,Okända skor Custom Sneakers American USA}As a result,DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set-white veil should be excised or biopsed to rule out melanoma.

RAINS Unisex Msn Bag dagryggsäck. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.DazzlingRock Collection Gia-certifiering 1.adidas Originals Adidas Falcon RX W.ESPRIT Collection kollektion dam kjol. Blue-Porsche Design glasögon P8250 K. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Mi Moneda – kvinnor mynt hänge SW-BELI-11-L,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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