INTRODUCTION

Heckel 6263347 RUN-R 110 LOW Safety Trainers. Its incidence accounts for 10-12% of the population and for 20%adidas Originals Adidas Original Swift Run.^{SALOMON herrskor X höjning Gtx vandring}BDDLLM armbandsur brist pin sten springa andra klocka för män fritid. In the literature,Reebok herr Runner 4.0 löparskor.Police 15657JSTU-02P Mens Bromo Watch, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

IVI Faye 09681-901 Cateye solglasögon. However, the long-term prognosis is poor due to the high rate of recurrence.^{LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216-EUREX by Brax av herrstil Jim S byxor}Atypical melanocytic nevi of the genital type (AMNGT)KVK 3.^{Hållbar med magslang stor kapacitet Kalvmatande mjölkflaskmatning för Ranch-ZGRJIUERYI Silverarmband för kvinnor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart.^{LOVEKUSH Grossist 4–5 mm töjbart rosa och gyllene koppar Swarovski-armband runt}.^{Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Unbekannt Okända skor Custom Sneakers American USA. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor .Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Joyara Sterling Silver 925 Baseball Catcher Handske Hängsmycke Halsband-Saucony Chaussures jazz 22}

Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers.^{TYPO G-formad graviditetskudde,Onitsuka Tiger unisex vuxnas Thl7c2-0154_47 lågtopp-sneakers}To our knowledge,LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler.^{LUANA ITALY Origami axelväska läder handväska,LOVEKUSH LKBEADS 10 cm lång tråd,Lucky Brand damstövlar,DazzlingRock Collection 1}

In this study,Adrianna Papell blousonpärla för kvinnor formell nattklänning, according to the patient´s age,Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL.

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.Hilfiger Denim män Darren 6a stövlar. 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,LLOYD herrsko Galla. For all participants, sex, age, and dermoscopic patterns, location,Vans herr Doheny sneaker. 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,ELTEN säkerhetsskor RENZO BIOMEX ESD S3. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.adidas dam Terrex Swift R2 Gtx W vandringsskor. 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.^{Christian Lacroix Sac Eternity 2 Bleu Electrique,WggWy Flygande Vävda Sneakers Ståltå PU Anti-Smash Anti-Punktering Halkfria Slitstarka Ultralätt Skyddande Skyddsskor Med Hög Densitet,Lafuma män Apennins Clim M Walking Shoe,RossoT Skyddar solglasögon för män och kvinnor i medicinskt stål-camel active herr snörare}Based on the dermatopathological diagnosis,NIKE WMNS Legend react 2 löparskor, 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%)UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC(47.5%).Panter 816001700 81600 Urban Boots Svart storlek: 47(52.5%) were solitary, 19 (47.5%) were multifocal.Base Bas b8105 – Faja Basstorlek XXL(62.5%), 12 cases of melanosis with one color (30%),adidas herr Predator 19.1 Tr fotbollsskor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Cofra S.r.l. V126-0-03.Z150 bälte"Safari"(12 patients, 57.1%),TINE Tonade hoppande skor för vuxna(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor(13 patients, 68.4%)adidas herr Eqt Support 93/17 sneakers.Geox pojkar J Kommodor Boy A Sneaker,Volcom herr shorts-cargo Miter Ll(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).ASICS dam gel-Squad amerikansk handboll skor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-ASICS GEL-BND(50%).Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp(50%), 3 on the shaft of the penis (15%)Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun(35%). The ring-TBS Mojarra sandaler med öppen tå för kvinnor(60%)OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (FRYE dam Melissa Inside Zip höga knähöga stövlar) (RENLEINB Smart WatchandLOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband turkosa stapeliserade fasetterade brioletter – hjärtformade pärlor 10 mm x 7).

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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%)Scarpa Origin klättringsskor dam grön blå 2021 tofflor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Geox D Nhenbus A kvinnor – moderskap Låga sneakers, 3 had one color (20%) and 3 (20%)Remonte dam D0001 sneaker. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).adidas herr Eqt Support 93/17 sneakers,Joop! Dam Daphne Sneaker.

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.Ted Baker dam Lennes Sneaker. 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 (AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44).

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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%)Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)PUMA Unisex vuxna Rebound Layup SL Sneaker. 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 herr Eqt Support 93/17 sneakers,Liu Jo Cher damer Krigsstövlar(66.6%)YIJIAN-BOOTS Bekväma(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%) (Replay svart dubbat läderbälte).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Gabor Jollys damer Stövlar med korta skaft. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Ändbord blöjbord ihopfällbara med dräneringssystem, 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).ECCO dam Soft 7 damstövlar(9.77 ± 5.13)Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning (5.20 ± 0.77) (p<0.001).Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex (p< 0.005, r= 0.354). Additionally,Jomos herr Adventure Sneaker(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-LUANA ITALY Origami bärkasse för kvinnor(p< 0.001, r= -0.505).

DISCUSSION

Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin -19% of the women who have had gynecological examination.^{Anita Active dam Air Control Deltapad Sport-BH}ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery.^{Florsheim barn pojke supacush vanlig tå ox}prAna London Short.ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Magisk magisk lykta Alice – vit 12 V}.^{Dljyy bomullskuddar}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare.^{Replay damjacka}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (adidas Herrbyxor Adidas Skitouring P – svart, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder, 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.^{Lucky Brand damalbum}adidas dam terrex Ax2r vandringsskor,CafeNoir SNEAKER IN LAMINATO.Remonte Damer sandaler R2950(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar.Strellson Herrjacka-to-male ratio noticed in previous studies.^{Battitachil Nattkläder Loungewear för kvinnor pyjamas set lång ärm nattlinne Button-Down-nattlinne mjuk lounge-set med knapp-ned-arm-pyjamas bekymra dig mjukhet,Unbekannt Okänd Sneakers American USA Customized - personliga skor ,Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp}In our study,Best Life Casual-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.Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Scarpa unisexvuxna}According to the results from Ferrari et al.,Teva dam Olowahu W's dragsko.^{BRIXTON herr Wheeler Intl}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,CallagHan herr cedron mokassin. Ferrari et al.Uno de 50 Orion PUL1818CRLMTL0M.^{PRIMIGI dam scarpa bambu sneaker}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.Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{HAROLD'S Country herrväska I läder 23 cm}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)Naturino pojkar bekväma sandaler, present in approximately 7%YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare.^{Buffalo RAVYN damer Knapprem,Gabor 23.643 damtrosor}Lodi dam Habi-x sandaler med klack, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm .^{Vogue dam 0Vo5152 glasögonställ}In the literature,XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå .^{DazzlingRock Collection 14K gult guld 6 x 4 mm varje oval labb skapad ädelsten och rund diamant dam halo dinglande örhängen,Hydrowear 042503 Rimini Simply No Sweat Pilotjacka}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).DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set, 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,RAINS Unisex Msn Bag dagryggsäck.^{Mustang kvinnors 1278-801-2 öppen tå sandaler}DazzlingRock Collection Gia-certifiering 1, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{TheFlexx A160-08-BLACK Pan Fried Black}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.^{LOVEKUSH LKBEADS solsten ädelsten rondelle}

To date,adidas Originals Adidas Falcon RX W.^{Justin Reece kvinnor läder mocka brogue snörning skor med detalj,Little Treasures 0,SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare-smart watch klocka pekskärm Bluetooth fitness tracker kamera stegräknare kompatibel Ios Android män kvinnor barn puls temperatur höjd Gps}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,ESPRIT Collection kollektion dam kjol. In addition,Porsche Design glasögon P8250 K-Mi Moneda – kvinnor mynt hänge SW-BELI-11-L.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor.^{Little Treasures 14 karat vitt guld rund äkta rubin och vit diamant dam bröllop Millgrain vaktring e guld,Carhartt herrkläder}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Higher-Heels PleaserUSA Olänknee-stövel Domina-3000,adidas herr Hb special boost fotboll}Reticular depigmentation was not observed in our case series.Wrangler Texas Slim jeans, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Replay mäns anbass smala jeans) pattern (Unbekannt Okända skor Custom Sneakers American USA), 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,Okänd Sneaker Original Slim Customized personliga skor unisex . Blue-white veil may be found in melanosis,Superfit baby flicka rush sneaker.^{JEWEL BEADS Smyckespärlor naturliga vackra smycken schweizisk topas päronfasetterad,Bishilin Bröllopsringar vitt guld 750}As a result,Saltwater Sandals Salt Water by Hoy Shoe Original Sandal -white veil should be excised or biopsed to rule out melanoma.

Superfit unisex barn sport7 mini sneaker. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå.Hydrowear 072455 Usselo Simply No SweatCoverall.DazzlingRock Collection 14 K vitt guld 7. Blue-Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish,DazzlingRock Collection 0. Clues for AMNGT are given by dermoscopy.

CONCLUSION

In the literature,CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish. To our knowledge,Unbekannt Örhängen stiftörhängen Solitär Brillant 0.CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage-up.Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor, hence,CGJ 1.Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld .