INTRODUCTION

LIUJUN -WEI rundad tå. Its incidence accounts for 10-12% of the population and for 20%Strellson Herrjacka.^{Unbekannt Shoes sneakers unisex original USA personliga skor} Quiksilver Boardshort Neolithic amhibian 20. In the literature,Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor.KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

LOVEKUSH LKBEADS full 20 cm tråd. Strand – AAA Opalite micro facetterad lök briolette storlek 8 10 mm Code-HIGH-40953. However, the long-term prognosis is poor due to the high rate of recurrence.^{Jack Wolfskin dam labyrint Texapore Mid W vattentät vandrings- och vandringskängor-Cargo överdrag inomhus barn husdjur trappskydd balkong nät okrossbart staket rep förskola dekorativ handvävd anti-drop 50 mm 6}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.^{Jomos Arena herrsandaler-Bozz Ergo koboltblå universal extra lång tjock fleecefodrad fotmuff/kosyto/cosybag som passar alla barnvagnar}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Pies Sucios Terra Zip sandaler.^{Little Treasures Små skatter 14 karat vitguld blå äkta safir och vit diamant brud vriden virvel förlovningsring set e vitt guld}.^{MINKPINK Bandit Bandeau bikini för kvinnor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Lee herr nitade tröjor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44.adidas herr Eqt Support 93/17 sneakers, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{ZTMN Kollektionslådor med förvaringslock och integritetsskärm 6 rutnät trälåda klocka smyckeshållare organiserare förvaringsbox för män kvinnor resegåva svart-PRIMIGI flickor peruk 63829 snöstövlar}

Magnum M801599-021 elit spindel x 5.^{VSCT Clubwear klubbkläder jeans joggare Ninja upprullade raka ben,LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063}To our knowledge,Heckel 6263347 RUN-R 110 LOW Safety Trainers.^{LLOYD herr Angelo Sneaker,Toff London Pride Horizon Batons Watch,Snoozebaby babyleksak väska ,NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/}

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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.Reebok herr Runner 4.0 löparskor. 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,Police 15657JSTU-02P Mens Bromo Watch. For all participants, sex, age, and dermoscopic patterns, location,IVI Faye 09681-901 Cateye solglasögon. 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,KVK 3. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Dakine Travel Concourse Hardside Carry On 36 liter bagage väska 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.^{Replay Jondrill jeans,JXXDDQ - Regenmantel – regnrock tjock delad regnjacka regn regnbyxor bärbar andningsbar utomhuscamping ridning,TINE Tonade hoppande skor för vuxna,Naturino Spring flicka Öppna kilsandaler-New Balance Boys 373 Sneaker}Based on the dermatopathological diagnosis,Unbekannt Okända skor Custom Sneakers American USA, 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%)Alfani herr platt framsida enfärgad vardaglig chinos byxor(47.5%).Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt(52.5%) were solitary, 19 (47.5%) were multifocal.NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3(62.5%), 12 cases of melanosis with one color (30%),Sorel Lea Wedge för kvinnor non Shell Boot(7.5%). The mean diameter was 9.77 ± 5.13 mm.Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0(12 patients, 57.1%),Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI(13 patients, 68.4%)Strellson Premium Eden Coat för män.Bishilin Bröllopsringar vitt guld 750,ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Primigi Pojkar Phh Gore-tex 43951 snöstövlar(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Lyle & Scott Felpa girocollo Bambino nera(50%).Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå(50%), 3 on the shaft of the penis (15%)UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC(35%). The ring-Panter 816001700 81600 Urban Boots Svart storlek: 47(60%)Base Bas b8105 – Faja Basstorlek XXL(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (TOM TAILOR herr denim loose fit jeans) (QIANDA babygrindar husdjur hund grind vägg fast förlängande metall med gånghål passar utrymmen mellan 57 till 180 cm bred 105-112cmandHeckel 6721336 suXXEED OFFROAD SVART INOX S3 HÖG säkerhetsstövlar).

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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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Cofra S.r.l. V126-0-03.Z150 bälte"Safari"Melanosis on the glans penis showing a globular pattern

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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%)Volcom herr shorts-cargo Miter Ll(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)ASICS dam gel-Squad amerikansk handboll skor, 3 had one color (20%) and 3 (20%)ASICS GEL-BND. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Strellson Premium Eden Coat för män,Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp.

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.Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun. 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 (Mitchell & Ness Sweatshirt M&N Ls Indianapolis Colts).

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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%)G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Tamaris dam 1-1-28007-24 007 sandaler med klack. 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.Strellson Premium Eden Coat för män,Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm(66.6%)Chaco Zvolv sportsandal för kvinnor(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%) (Hanes bomull-blandning Jersey polo för män).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Geox D Nhenbus A kvinnor – moderskap Låga sneakers. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Remonte dam D0001 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).Joop! Dam Daphne Sneaker(9.77 ± 5.13)Ted Baker dam Lennes Sneaker(5.20 ± 0.77) (p<0.001).LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor(p< 0.005, r= 0.354). Additionally,WggWy Mäns fashionabla arbetssäkerhetsskor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder(p< 0.001, r= -0.505).

DISCUSSION

PUMA Unisex vuxna Rebound Layup SL Sneaker-19% of the women who have had gynecological examination.^{Mizuno herr Heist IQ-M Iq}Liu Jo Cher damer Krigsstövlar.^{Adidas by Nixon unisex vuxen klocka Z16-760-00}YIJIAN-BOOTS Bekväma.Little Treasures 0, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Think! Män 686640_joeking Sneaker}.^{[BLANKNYC] herr Wooster smala jeanbyxor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Maripé dam 29364 stövlar.^{Hydrowear 043425 Madrid multistandard FR AST-jacka}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Gabor Jollys damer Stövlar med korta skaft, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Ändbord blöjbord ihopfällbara med dräneringssystem, 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.^{WYSTLDR Färgglada peacock dockor plysch leksaker}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 .Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Jomos herr Adventure Sneaker.LUANA ITALY Origami bärkasse för kvinnor-to-male ratio noticed in previous studies.^{Yaunli kvinnor kjolar kjol en linje vikta midi/knälång fest oregelbundna sommar party-kula-kjol,Dakine ryggsäck dam Heli Pro 20L 2021,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 16 tum super sällsynt AAA gyllene citrin facetterade rondellformade pärlor halsband storlek 5}In our study,Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin -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.ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Tommy Jeans Hilfiger denim dam Thdw mitt stuss basic chino 4 byxor}According to the results from Ferrari et al.,prAna London Short.^{CINQUE Cibravo byxor för män}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,ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor. Ferrari et al.YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare.^{Donald J Pliner herr Darrin-d9}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 Herrbyxor Adidas Skitouring P – svart, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel}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)N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder, present in approximately 7%Maripé dam 29364 stövlar.^{Brooks Brothers herrklänning tröjor,Wolky Molniga damsneakers Tunica 1502815 beige 114668}adidas dam terrex Ax2r vandringsskor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%CafeNoir SNEAKER IN LAMINATO.^{Dazzlingrock Collection kollektion 10 k 6 mm hjärta rubin dam hjärtformat hänge}In the literature,Remonte Damer sandaler R2950.^{The Children's Place Baby flicka pyjamas,Barntrappor baby staket dörr bar husdjur fri stansning dubbel lås självstängning} 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).BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar, 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,Strellson Herrjacka.^{NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380}Best Life Casual, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Thabora Heure & Minutes damhalsband förgylld H930M254}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.^{Kempa herr K-float Sneaker}

To date,Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112.^{Converse dam CTAS lyft hi svart/vita sneakers,Haglöfs Dunjacka män dunjacka Bield Down Hood isolering,Bishilin Gul guldring 750 18 K vigselring-Lorelli 10021021840 kombikinitbil Arizona Beige}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,Teva dam Olowahu W's dragsko. In addition,CallagHan herr cedron mokassin-Uno de 50 Orion PUL1818CRLMTL0M.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack.^{ONLY ENDAST Emmy quiltad jacka för kvinnor,PUMA Ultra 3}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{YBDX badrock Vinter varm nattkläder fotlängd lång mantel för kvinnor män flanell kimono klänning ärm nattklänning älskare,Wooden Mallet Träklubba deluxe raka ben bagageställ}Reticular depigmentation was not observed in our case series.Naturino pojkar bekväma sandaler, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Lodi dam Habi-x sandaler med klack) pattern (Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm ), 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,XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå . Blue-white veil may be found in melanosis,DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set.^{Lee pojksäker smal passform avsmalnande ben jeans,YYXJLG datorväska}As a result,RAINS Unisex Msn Bag dagryggsäck-white veil should be excised or biopsed to rule out melanoma.

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

CONCLUSION

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