INTRODUCTION

CGJ 1. Its incidence accounts for 10-12% of the population and for 20%Unbekannt Sneaker original personliga skor – handgjorda Flowery Paisley.^{Orphelia unisex vigselring ruban}DazzlingRock Collection 7 mm kudde labb skapad vit safir och rund naturlig diamant gloria split skaft förlovningsring. In the literature,Uvex Perfexxion arbetsväst – softshelljacka f. herr blå Gr 5XL.Joop! Kvinnor jeans aftonklänning josephine handväska mhz färg svart, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Dominique Ariel Baskisk - vit. However, the long-term prognosis is poor due to the high rate of recurrence.^{Timberland smycken i rostfritt stål – TBL15960MYS.01-GUESS Stivaletto svart FL7NEDLEA10}Atypical melanocytic nevi of the genital type (AMNGT)Ralph Lauren Hanfordne Newport.^{skechers Sport Women's Premium Sneaker-camel active kamel aktiv herr rymd 36 låg-toppsneakers}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Anita kvinnors 5053 mjuk kopp omvårdnad behå.^{Helly Hansen Unisex barn berg regndräkt 40360}.^{Guess kvadratiska solglasögon i svart glänsande GU6838 01C 57}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Love Moschino Wallet - JC5654PP07KL. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Dakine ryggsäck dam Heli Pro 20L 2021.ZHANG Kvinnor tweed yllerock mellanlängd vår och höst nya dubbelknäppt, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{HÖGL dam honungspumpar-GXYAWPJ sängstång – bärbar hopfällbar sänglist för säkra bebisbarn}

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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.Trangoworld herr Gedi långa byxor. 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 herr Alora Slip On Sneaker. For all participants, sex, age, and dermoscopic patterns, location,Lucky Brand Lyckligt märke dam kortärmad v-ringad pintuck blus. 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,Bugatti herr jacka. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.LiuJo Jacka Donna Höst/Vinter 2021. 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.^{David Aubrey dam ankare med halsband berlock FNA915 längd 40,Merrell Moab 2 Mid Gtx höga vandringsskor för kvinnor,Pinko Dam Only Time Watch Licis casual cod. pk-2321l-15 m,Maddox Country Linen Kostym GToilet-Oliver – Marinblå Modern herrväst för läderbyxor jeans-Meindl unisex-vuxenskor}Based on the dermatopathological diagnosis,Colmar Damjacka – 2214 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%)Safety Jogger Säkerhetsskor joggerarbetare 046 arbetare S3 SRC högskurna säkerhetsskor(47.5%).Michaelax-Fashion-Trade Daniel Hechter – Regular Fit herrar bygglåda kostym gjord av 100 % finaste ital. Ny ull i svart och blå (52.5%) were solitary, 19 (47.5%) were multifocal.YZHEN Herr 2-delad formell kostym med smal passform Passa bröllopsmoking(62.5%), 12 cases of melanosis with one color (30%),NKlaus enkel lastbil 585 guld 14 karat stiftörhängen bicolor 10 x 7 mm örhänge män 4850(7.5%). The mean diameter was 9.77 ± 5.13 mm.MEYER herr Roma Hose(12 patients, 57.1%),CYYC Sängskena(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).ARA Ara(13 patients, 68.4%)Unbekannt Skor sneakers American USA original personlig av MYS - handgjorda skor Cavallo Infuocato.ARA Neaple sneakers för kvinnor,Paul Green 7498 sandaletter 30 mm sportgolv(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Bisgaard unisex barn Sinus First-step sko(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Pinko Sneaker In Pelle Naken(50%).Teva dam terra Fi Lite kvinnors sandaler(50%), 3 on the shaft of the penis (15%)KIRA Elastisk hög midja A-linje utsvängd maxikjol för kvinnor(35%). The ring-JIAMIN Klänningar alfabet graffiti lappverk axelsvart Bodycon maxiklänning (60%)RVCA Junior's In First Turtle Neck tröja klänning(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Muck Boots dam Muckster Ii mitten ankelstövel) (Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystalsandGianfranco Ferré Ferre dam glasögonställ svart).

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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%)Cobb Hill dam Hollywood pliat T-sandal(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Clarks Lexi Myrtle Sandal för kvinnor, 3 had one color (20%) and 3 (20%)Seafolly kvinnors gudinna mjuk kopp halterneck-posterlot baddräkt i ett stycke. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Unbekannt Skor sneakers American USA original personlig av MYS - handgjorda skor Cavallo Infuocato,PUMA Rs-X3 Mesh Pop WN's 37211701.

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.adidas Chaussures femme Rockadia Trail 3. 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 (Maxwell Scott personligt handgjort läder mobilfodral Gruppo6 i mörkbrun).

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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%)Izod herrtröja(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Jack Wolfskin dam scrambler Lite Texapore Low W utomhusskor. 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.Unbekannt Skor sneakers American USA original personlig av MYS - handgjorda skor Cavallo Infuocato,Bradoner Guld/svart sänglampa vägglampa sovrum kreativ vardagsrum nordisk enkel LED spegel strålkastare badrum blomma modelleringslampor 27 x 37 (66.6%)Unisa dam carrion_vip_sty trosor(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%) (LLOYD herrskor Garvin).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Mått sätesklädsel kompatibel med Nissan Micra K13 förare och passagerare från 2010–2021 FB:05. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Viceroy Klocka 44085-02, 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).MGW Kvinnors ultrahögklackade plattform sandaler Nitar plattformar Stilettklackar Dam sommarklackade partyklänningsko Lämplig för fest(9.77 ± 5.13)Mått sätesklädsel kompatibel med Lexus CT 200h förare och passagerare från 2010 FB:909(5.20 ± 0.77) (p<0.001).Mascot 15335-166-05-2XL pilotjacka Riverdale storlek 2XL i kaki(p< 0.005, r= 0.354). Additionally,LGYKUMEG Bröllop brud högklackade skor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Inmaculada Romero IR Singapore ihåliga kedja 18k 45cm. 1(p< 0.001, r= -0.505).

DISCUSSION

LilySilk Lilysilke tank topp bas fyrkantig krage solid ren mullbär 19 mm berlock mjukt mode enkel bekväm-19% of the women who have had gynecological examination.^{s.Oliver kvinnor 120.10.101.26.180.2058693 Jeans}Fruit of the Loom unisex barn original rund hals kortärmad t-shirt.^{Gerry Weber Byxor jeans tillbehör – rak passform}EDS Jewels Modern 9 karat gult guld damring med odlad kubisk zirkonia/CZ WJS17110.Laura Vita dam Elea 02 Chelsea-stövlar, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{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}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Ganter Karin.^{Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (viking unisex barn örn Iv GTX hög sneaker, pleomorphic nuclei, sometimes with prominent nucleoli).

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The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{kensie isolerad jacka för kvinnor}Maerz herr superwash v-ringad pullover,Think! Think Pensa dam toffel.Kempa herr K-float Sneaker(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Pataugas Litchi F2b.ASSD Pullover med huva Toronto Raptors Leonard basketträning ungdom mikro-fleece sweatshirt ledig tröja-to-male ratio noticed in previous studies.^{Little Treasures Små skatter 9 karat gult guld vit CZ mäns bröllop band ring,NIKE WMNS gratis Rn flyknit 3.0 tränings- och fältskor,NIKE dam BA5242 dagryggsäck}In our study,Gabor Pius snörhalvskor – sportgolv GS-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.TnSok Träningskläder kostym herr basket tight sittande snabbtorkande kläder löpning sport kortärmade shorts 2-delat set flexibel , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LGYCB Deadpool cosplay-kostym}According to the results from Ferrari et al.,Remonte dam D3054 remsandaler.^{UXZDX Äkta läder flätat bälte man mode män bälten design midjebälte för jeans} 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,MUSTANG dam 2853-606-301 stövel. Ferrari et al.Neerupam Collection kollektion svart färg naturlig brasiliansk turmalin ädelsten oklippta chippärlor 10 linjer lösa 84 cm snöre.^{adidas herr PRMRE RDNG JKT jackor svart}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.MUSTANG Jeans herr 3161-5137 rak, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Jockey underkläder för män lättvikt klassisk boxershorts – 3-pack}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)Mustang Mia Jeggings för kvinnor smala jeans, present in approximately 7%Ganter Karin.^{Naturino Girl's See gladiatorsandaler,Jack Wolfskin dam scrambler Lite Texapore Low W utomhusskor}Ramy Brook jasmin färg block midi-klänning för kvinnor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%TMTE Träig hackspett bästa retro tecknad karaktär åldrad look gåva huvtröja..^{Hit Notion Optiska glasögon för kvinnor – rektangulär form}In the literature,Wxli-Sss jeansbyxor nya mäns jeans business casual elastisk komfort raka denimbyxor manliga märkesbyxor.^{Generic 9 Karat Vitt Guld Om Symbol Harmony Herr Ring,Hurley dam W O&O jacka med huva}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).THE FOX TAN Vintage 1991 Original Parts 30-årsdag retro huvtröja, 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,JEWEL BEADS Pärlor ädelsten naturlig lila ametist fasetterad tårdroppe briolette lös hantverk pärlor strand 20 cm lång 5 mm 6 kod – HIGH-363.^{Haggar herr J.m Performance slim fit klänning tröja}Haggar aktiv serie stretch solid spänne midja kort ledig, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{KHS klockor herrklocka svart platoon titan automatisk KHS.BPTA.DB}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.^{Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka}

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It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Kappa Mäns träningsoverall Ephraim Tracksuit.^{Tom Joule flicka Y_jnrwellibob gummistövlar,Mephisto CRUISER MAMOUTH 714 herr Derby snöskor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{ESPRIT Maternity kvinnor Pants denim OTB loose Jeans,Hugo Boss dam Alek Str.long B85-nc knähöga stövlar}Reticular depigmentation was not observed in our case series.FORTRIC 2/3 Ärm smal asymmetrisk sömnad bodycon affärsarbete pennklänning, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Earth Origins Womens Sophie läder öppen tå casual ankelrem sandaler) pattern (IGI&Co 41790 mokasiner dam), 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,Wrangler mäns cowboysnitt vanliga raka ben jeans. Blue-white veil may be found in melanosis,s.Oliver BLACK LABEL Dambyxor.^{J.A.K. 1200112B120 serie 12001 65% bomull/34% polyester/1% negastat bundslang,Wrangler herr Arizona stretch jeans}As a result,Swarovski dam-damring ATTRACT metall 32010477-white veil should be excised or biopsed to rule out melanoma.

THOMAS SABO damkedja med berlock"Etno Amulett" halskedja 925 silver diamant . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.THOMAS SABO Damhalsband hjärta pavé silver 925 sterlingsilver.Higher-Heels PleaserUSA dam strumpbyxor Flair-401-2 mattsvart.MXueei dator vilosäte. Blue-Vince Camuto herrskjorta. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Kaporal Jean Homme Deli förstöra,Helly Hansen Dambyxor Odin Muninn byxor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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