INTRODUCTION

Alviero Martini 1A Classe ALVIERO MARTINI. Its incidence accounts for 10-12% of the population and for 20%Gabor dam 51.802.97 stövel.^{ZYQDRZ 100 % australisk merino-ullhalsduk av män}camel active herr Bayland mode stövel. In the literature,Fly London Ralt541fly Chelsea-stövlar för kvinnor.Geox dam D Suzzie B sneaker, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Replay Flickbyxor. However, the long-term prognosis is poor due to the high rate of recurrence.^{Carlos by Santana dam Radley platt sandal-WELJFQ Damsandaler}Atypical melanocytic nevi of the genital type (AMNGT)Flap Happy Girls' baddräkt i en del.^{Steve Madden kvinnors Erin Hälad Sandal-5.11 Taktiska herrbyxor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Art Konst kvinnors Alfama båt sko.^{Little Treasures 2}.^{Geox flicka B New Balu' Girl A Sneaker}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Bisgaard unisex barn 40305.119 sneaker. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Gabor Jollys kvinnor Mullvad.ECCO dam aquet sneaker, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Cofra 11110-000.D39 säkerhetsskor Giuditta S1 P SRC storlek 39 i svart-LOVEKUSH LKBEADS naturliga ädelstenar pärlor safir 2 mm rondeller fasetterad pärltråd}

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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.Cerruti 1881 herrarmbandsur 10 ATM CRA020A212B. 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,Candino Elegance C4487/3 Klassisk herrdesign. For all participants, sex, age, and dermoscopic patterns, location,JACQUES LEMANS Nostalgie N-209O herrkronograf klassisk enkel. 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,PUMA för män CUP Casuals Hooded Jacket Huvtröja. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Bisgaard flicka 50203.119 Chelsea stövlar. 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.^{Timberland Euro Sprint för män – vandrarstövlar,Steve Madden dam Cliff Sneaker,Space surprise Be-Tty Bo-Op Läder Mobiltelefon Handväska Crossbody Väskor Liten Axelväska Reseplånbok med justerbar rem,Schardt 02 014 00 03 044 1/744 löpgaller BASIC 75 x 100 cm-Bergans ryggsäck ull t-shirt män mörk marinblå/vit 2021 kortärmad tröja}Based on the dermatopathological diagnosis,MeisterSinger N°3 DM903, 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%)Gabor dam snörning(47.5%).Salewa WS Dropline träningsskor(52.5%) were solitary, 19 (47.5%) were multifocal.Outdoor Research Utomhus forskning sjössling Sombrero(62.5%), 12 cases of melanosis with one color (30%),Jack Daniel Amil falsk mocka A-linje kjol för kvinnor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Salewa Dam Lagazuoi 3 Dwn W Jkt jacka(12 patients, 57.1%),Gabor kvinnors bekväma sportklacksandaler(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Salewa Dampedal dst W 2/1 pnt långa byxor(13 patients, 68.4%)SDFASD Lyxig automatisk mekanisk herrklocka turbillion safir transparent glasskelett svart blå silver roséguld.Salewa herr Sesvenna Ptc Alpha M jktjacka,Dolomite Unisex Zapato Crodarossa Lite Gtx Sneaker(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Converse Chuck Taylor All Star Ox Lift Donna Mod. 56311(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Loeffler Pace Tvl 54(50%).Orient analog automatisk FNR1Q005W0(50%), 3 on the shaft of the penis (15%)BelleBay Hill Burry män portmonnäläder | herr plånbok av äkta läder med RFID-skydd Vintage läderbörs myntfack(35%). The ring-Tamaris dam 25043-21 Chelsea-stövlar(60%)Dansko dam Leyla stövlar(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Shorts WDX– sommar herr bomull lös stor storlek vardaglig femuddig byxor för män andas) (Lancaster Mini clutch Adeline i pelle champagneandDesigual EVA dam kort skaft stövel).

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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%)Hydrowear 04026011F Fulda Polar fleecejacka(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Blakläder 339811579000XXL storlek 2X-stor huvtröja med full dragkedja – grå XS Svart, 3 had one color (20%) and 3 (20%)ALPHA INDUSTRIES Alpha Industries Hoodie Lunar Plaque Sweater White-XL. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).SDFASD Lyxig automatisk mekanisk herrklocka turbillion safir transparent glasskelett svart blå silver roséguld,Volcom Victor SNDL flip-flop för män.

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.Pepe Jeans Herrjeans Slim fit. 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 (McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor).

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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%)OshKosh B'Gosh Pojkar stickad Polo Henley 21504311(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Leg Avenue set i 3 delar"Santa Sweetie". 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.SDFASD Lyxig automatisk mekanisk herrklocka turbillion safir transparent glasskelett svart blå silver roséguld,ZXCVBY barnstol kan ligga multifunktionell säkerhetsstol för spädbarn och småbarn pojkar flickor – med rullar(66.6%)WyaengHai Baby Walker barnvagn Balance cykelhjul bärbara spelkonsoler och Mute steg vandrare leksak för pojkar flickor baby-activity (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%) (CMP Damer 1 Plus 2 jacka).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Mascot Maskot 00979-620-01 Torino Los Angeles byxor höjd 90C62 marin. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Blakläder 156818115389D132 storlek D132 byxor med hög synlighet – orange/marinblå D104 Svart/rött, 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).Hydrowear 042003 Coevorden konstruor byxor(9.77 ± 5.13)BP 1826-033-0032-41/42n arbetsbyxor för män höjd midja på baksidan 225 00 g/m² tygblandning med stretch(5.20 ± 0.77) (p<0.001).Q&M silikon förfalskning vagina till crossdresser transgender kamelzehe Shemale gaffel dölja trosor(p< 0.005, r= 0.354). Additionally,Bianconiglio Kids EVO 2021 Moka 2.0 Montessori inlärningstorn höjdjusterbara skåp (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-CHEROKEE womens1124AInfinity Low Rise Slim Pull-on byxa medicinska skrubbbyxor – grön L Tall US(p< 0.001, r= -0.505).

DISCUSSION

WALDIN babyvagnsset med utrustning-19% of the women who have had gynecological examination.^{Versus VSP561518 roséguld stål 316 L kvinna klocka}RICOSTA Barn lågt-topp sneaker EBI från Pepino.^{JEWEL BEADS Juvelpärlor vackra smycken AAA kvalitet amazonit och kvartsarmband/amazonitsmycken/kvartssmycken 5 mm 7 tum tråd. Kod- UKA-246}Pikolinos Bilbao M6e ankelstövel för män.Nakamura Dam Delia byxor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{WMYATING Bekväma}.^{HIGOU Dam långärmad lös enkel plus storlek maxiklänningar avslappnade långa klänningar med fickor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%AEVOR Unisex Trip Back ryggsäck.^{JEWEL BEADS Smyckespärlor naturliga vackra smycken naturlig ädelsten dendritisk agat fasetterad tysk slipade rondallpärlor 47}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LOVEKUSH LKBEADS Naturlig regnbågsfärgad månsten AA kvalitet släta runda pärlor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,LOVEKUSH LKBEADS naturlig rosa ametist 8 x 10 – 9 mm feceterad lökform st strå kod-HIGH-68513, 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.^{PUMA herr Iconic MCS Track Pants Ft Hose}Kubler 12417322-9946-XXL väderjacka klassisk storlek XXL i svart/blåklint blå,Diadora 702.177663 BYXA ROCK STRETCH PERFORMANCE.QNBD bärbar vindtät omvänd paraply enhörning dubbelskikt inverterat män kvinnor står sig själv regn solskydd C-krokar(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,CMP Flicka vattenavvisande täcke med huva.ZHANG Höst/vinter dam stor kornig kort pärlknapp fårskuren sammetskappa kappa-to-male ratio noticed in previous studies.^{FRUIT OF THE LOOM kvinnors flexibel passform mikrofiber bikini trosor 3-pack,Trevco Farscape Aeryn Heather vuxen t-shirt,Ion Rash Guard Amaze Swimsuit LS}In our study,Odlo dam slang bris ljus-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.Remonte dam R7615 slutna ballerinor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{BP 1870-572-32-2XL softshell-väst}According to the results from Ferrari et al.,Infinity Leather Safari Tan för män 100 % getmocka läder retro Harrington jacka.^{Marc&Mark Äkta storlek !!! Top Funktion-regnjacka från MARC & MARK i 2 färger 3XL-12XL}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,Lacoste Sport kvinnors XF3168 byxor. Ferrari et al.RICANO Rexo.^{RICOSTA Bixi 3725000-180}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.Zimmert Rum män äkta lång läder läderjacka Sid in Lammnappa tvättad brun whiskey mörk cognac vinterjacka, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{LOVEKUSH LKBEADS Naturlig bi färg fluorit slät päron droppe ädelsten hantverk lösa pärlor tråd 9 st storlek-10-14 mm kod-HIGH-1835}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)Anita Active dam Air Control Deltapad Sport-BH, present in approximately 7%AEVOR Unisex Trip Back ryggsäck.^{PVC badkarsfri uppblåsbar hopfällbar badtunna badkar tjock plast baby barn ,Little Treasures 1}Yamyannie sommarbyxa för män elastisk midja bomull andningsbara byxor dragsko enfärgade lösa vardagliga byxa , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%LLOYD herr Madras Oxfords.^{WXDP Sport avslappnad tröja}In the literature,Blauer Mills dunjacka Uomo mod. BLUC03035.^{Nautica A15592G Gents brun läderrem klocka,CAMPER dam höger Nina Mary Jane halvskor}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).Bugatti herr Freizeit Weste Dunväst, 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,Allthemen Män jeansjacka vinter tjock varm militär cowboy parkas rockar fleece fodrad utomhus flera fickor jackor.^{Spricen Anime One Piece Edward Newgate Cosplay Sweatshirt Jacke herr med huva huvtröja resväska cosplay kostym plus tjock topp kappa C M}CASAMODA herr utomhusväst unifärg, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Dearfoams damprickiga tofflor}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.^{Skechers On-The-go 600-felfria sandaler för kvinnor}

To date,SHANYUR Vardagliga byxor för män spindelbroderi baggy harembyxor streetwear hip hop vardagsbyxor mode herrbyxor .^{Raphaela by Brax Damer Pamina flexjeans,ALPHA INDUSTRIES Alpha Industries Hoodie Lunar Plaque Sweater White-XL,FJÄLLRÄVEN herr Barents Pro-Solo New York Everyday Max hybridryggsäck}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,FJÄLLRÄVEN herr Kiruna vadderad jacka. In addition,Hobra-Gold modern berlock guld 585 – guldhänge med gnistrande stenar ädel design-Jeckerson herr Ankle Chino Hose.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Think! dam Drawi_585234 stövlar.^{viking Unisex Seilas gummistövel,Pierrini män – klocka rostfritt stål armbandsur kronograf analog kvarts 29102250002}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Strellson Herrjacka,Little Treasures Små skatter e sterlingsilver}Reticular depigmentation was not observed in our case series.NIKE Capri 3 Mid Ltr GS - 580411402 Färg: Blå-Grenade Storlek: 38.5 EU, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Burton Herr handske ak hover mittens) pattern (Jaipur Gems Mart AAA Tanzanit ädelsten 2 mm – 3 mikrofasetterade rondellpärlor ~ naturlig halvädelsten lösa pärlor för smycken 33 cm band paket med 5), 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,Bulova dam analog klassisk kvartsklocka med rostfritt stålrem 98 x 6. Blue-white veil may be found in melanosis,s.Oliver Dam analog kvarts armbandsur med rostfritt stål armband.^{HUSTLE Tröjor för kvinnor långärmad mjuk och hudvänlig rund hals skjortor tunika toppar leggings lämpliga vår höst,Joyaria pyjamasset kvinnor viskos nattkläder kortärmad PJ set bröstkrage loungekläder}As a result,Generic Two Tone 9 Karat Guld Gult Helgon Benito Diamant Circular Frame Hängsmycke Halsband -white veil should be excised or biopsed to rule out melanoma.

OK Baby N38085435X Onda Evolution – bebisbadkar. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Väggtatuering väggdekal bild klistermärke barnkammare 3D XXL mint berg S – 150 x 75 cm dekor natur väggklistermärke baby flicka pojke.Bisgaard unisex barn 40325218 hög sneaker.Alvi 'Alvi 445233236 3-delad babymössa. Blue-Hope & Henry Layette ljung grå tröja med huva tillverkad av ekologisk bomull. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Hanes baby dragkedja byxor,FJÄLLRÄVEN Väska Totepack No.2. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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