INTRODUCTION

Trollbeads Kedja Gerani. Its incidence accounts for 10-12% of the population and for 20%MxZas Kamouflage höst strid stövlar kanvas andningsbara höga toppstridsstövlar militära herr stormer utomhusarbetskängor .^{GoFutureWithLove GoFuture dam omdömeklänning amningsklänning 3 in1 pärla GF2227}DazzlingRock Collection Dazzlingrock kollektion rund ädelsten & vit diamant dam brud bröllopsdag band. In the literature,Axami dam BH svart 100D.Lavecchia Stone-svart oversize jeanshose N-LV-503, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

ONEWORLD-Bag ONEWORLD nytt mode äkta koskinn fullkornigt läder skarvad handväska kvinnor axelväska hobo. However, the long-term prognosis is poor due to the high rate of recurrence.^{LOVEKUSH LKBEADS lila afrikansk ametist slät rund boll ädelsten hantverk lösa pärlor tråd 40 cm lång 6 mm Code-HIGH-25820-Liuxiaomiao elegant aftonklänning för kvinnor blommig spets 3/4 ärmar lång chiffong vintage A-linje brudtärna maxiklänning lämplig party cocktailparty klänningar}Atypical melanocytic nevi of the genital type (AMNGT)IGI&Co dam Scarpa Donna DPN 51668 gymnastikskor.^{Clarks dam Tri Alexia Slingback sandaler-SHIMANO vuxna cykelskor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Berkemann dam janna trosor.^{Tuscany Silver Toscana silver damring 925 sterlingsilver Stripe zirkon svart vit 8}.^{MOON RIVER Dam}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-BABY-BAOBEI barnsängspår. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.DazzlingRock Collection Damring/förlovningsring 14 karat rött guld diamant rund.X-Bionic Dam Effektor 4.0 Bike Zip kortärmad tröja, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Pulsar träningsklocka 1-s.Oliver Damklänning}

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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.Superfit pojkar jorden lättfodrade Gore-Tex Sneaker. 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,Bling Jewelry Brud keltisk kärlek knut armband för kvinnor vit stengrön CZ kubisk zirkonia rodiumpläterad säkerhetsspänne 7 tum. For all participants, sex, age, and dermoscopic patterns, location,ORIGINAL PENGUIN herr Colour Block Track Sportjacka. 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,Z-DYQ Stål Tongue Drum Trummor Handpan Hard-Shell ryggsäck med handtag. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Classyak västerländsk fransad jacka för kvinnor. 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.^{New Balance Ny balans kvinnors färskskum Arishi V3 tum väg löpning sko,Organisera förvaringsskåp,Diadora Womens 174364-55232 spel steg canvas lila storlek: 6,Hilfiger Denim män Darren 6a stövlar-Silver Jeans dam suki kurviga passform mitt stiga bootcut jeans}Based on the dermatopathological diagnosis,Cofra Ny GALAXY O4 CI SRC FO, 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%)Heguowei Stor storlek härlig enhörning plyschleksak fyllda unicornio djur baby dockor mjuk tecknad kudde flicka barn födelsedagspresent blå 90cm(47.5%).Damaifirstes Damer mjuk fluffig lång badrock(52.5%) were solitary, 19 (47.5%) were multifocal.JEWEL BEADS Pärlor ädelsten 2 trådar parti rosa opal facetterad lös hantverk pärlor tråd 14 tum lång 4 mm kod – HIGH-27896(62.5%), 12 cases of melanosis with one color (30%),Altamont vuxna skjorta Salman(7.5%). The mean diameter was 9.77 ± 5.13 mm.Heguowei 40/50 / 70cm mjuk kärlek gris mus hamster plysch kudde fyllda söta djur kinesiska leksak docka födelsedagsgåva barn 6 90cm(12 patients, 57.1%),Nyfödd bad handfat miljöskydd PP-material plast badkar sitta liggande(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).BARKER Business skor broms läder svart Gr. 9(13 patients, 68.4%)Hobra-Gold Hobra-guld kedja vitguld 585 berlock rund med zirkon halsband dam toppdesign.Heguowei 30-90cm jättehundleksak realistiska fyllda djur tyska hundherde plyschleksaker gåva för barn Vit 90cm,Laptop tasche Laptopväska 14/15(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LOVEKUSH LKBEADS Naturblå safirfasetterade pärlor 2 mm – 4 mm(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Hackett London herr LINEN BLUE STR TEE T-tröja(50%).Jaipur Gems Mart AAA naturlig 1 tråd 4 x 6 5 7 mm multi turmalin fasetterade droppar pärlor | tårdroppar 17(50%), 3 on the shaft of the penis (15%)LBWT Bekväma huvtröjor(35%). The ring-BIANYIGE 20 L laptopväska 17(60%)Vista Canada polar barn flicka vinterstövlar snowboard rosa(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (adidas Adiease Premiere herr Skateboardskor) (WMAN -CHAO Höst och vinterandadidas unisex barn Grand Court K tennisskor).

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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%)Piazza dam 962266 stövel(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Hanky Panky dam Florentina Classic Cami, 3 had one color (20%) and 3 (20%)YPDM Badrock flanell barn vinter badrock söt tecknad stil småbarn pojkar flickor varma nattkläder rock barnpyjamas för 2–8 år. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Hobra-Gold Hobra-guld kedja vitguld 585 berlock rund med zirkon halsband dam toppdesign,Gxinyanlong Härlig vinter.

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.Sols herr Rallye softshellwest/bodywarmer/weste. 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 (Barntoalett multifunktionell bärbar potta 1-6 år gammal män och kvinnor babyväska stil urinal gUL).

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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%)UXZDX Äkta läder flätat bälte man mode män bälten design midjebälte för jeans (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Torstai Damer Lisa midlager. 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.Hobra-Gold Hobra-guld kedja vitguld 585 berlock rund med zirkon halsband dam toppdesign,El Ganso Urban Interseason vardaglig skjorta för män(66.6%)GUESS Dam Lucia Ledig klänning(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%) (Pleaser FLAMINGO-1020FS dam extra platå klackar).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.adidas unisex barn Grand Court K tennisskor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Replay damjacka, 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).Irish Setter Irländsk Rutmaster WP 43 cm gummistöd(9.77 ± 5.13)adidas Adidas(5.20 ± 0.77) (p<0.001).Friedrich Hugo PCS_BERLIN-2IN1-AIR-GW-08 Berlin(p< 0.005, r= 0.354). Additionally,TheFlexx A160-08-BLACK Pan Fried Black(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Yxsd briefcases messengerväska för män(p< 0.001, r= -0.505).

DISCUSSION

Stephen Joseph flickor regntillbehör-19% of the women who have had gynecological examination.^{Little Treasures 0}Generic 9 Karat Guld Rose Bear Paw Print Hängsmycke Halsband .^{QJKai Röd USB-uppvärmd motorcykel väst för män/kvinnor}LÖFFLER CSL 3/4 cykelbyxor dam grafit storlek EU 44 2021.Richter Kinderschuhe Pojkar Future1 Sneaker, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LOVEKUSH LKBEADS Ful tråd}.^{Protest Dam Bikini Boas}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%FB Fashion Boots Meindl dam fritid skor 3965–33 Lite Trail Lady GTX blå.^{Saucony herr Omni 16 löparskor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (The Mountain Boy's Sengångare ansikte t-shirt, 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.^{Lugz mäns zrocs is sneaker}Under Armour Chaussures Ripple 2.0 NM1,Generic RoaRing Lejon Ring in 9 Karat Rosen Guld.HANTAODG Winter Parkas 2021 nya damrockar med huva krage smal lång tjock varm vinter bomull snö -30 graders jacka(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Totto Ryggsäck.Kipling KI281953F-to-male ratio noticed in previous studies.^{Wrangler denim shorts för män,Tommy Hilfiger Herr straight Denton Chino GMD Flex byxor,Carter's Baby Girl Collection 2 st tickande rand}In our study,Nike herr Renew retaliation Tr 2 löparsko-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.Lotus Watches herr kronograf kvartsur med läderarmband 18567/1, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Navitech actionkamera ryggsäck blå förvaringsväska integrerad bröstrem kompatibel GoXtreme Black Hawk 4K}According to the results from Ferrari et al.,Lotus herr analog kvartsklocka med läderarmband 18403/C.^{Jian E fällbord – sängbord fällbart datorbord enkel svävande fönsterbord sovsal säng student skriftligt litet skrivbord} 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,Yonex Chaussures power cushion 65 z. Ferrari et al.Dakine Thrillium LS Jersey herr Black/White 2021 cykeltrikå långärmad.^{LAMXF fack byta resa trä/station förvaring ändring/omslutande kommode/omslutande kommode med rullar 0–3 månader/nyfödd station}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.Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamant lysande, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Gabor dam 51.650.20 stövel}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)LIXIYU cykling skor män cykelskor mountainbike halkfri ej låsbara med fast sula gata mountainbike, present in approximately 7%FB Fashion Boots Meindl dam fritid skor 3965–33 Lite Trail Lady GTX blå.^{Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex ,Coeur De Lion 2838/10-1520 kedja GeoCUBE® flerfärgad regnbåge}Fyong Retro geometriskt låsformat enkelt kedjehalsband överdrivet stort rosetthalsband med mikroinlägg, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%adidas herr Bts lined Jkt Weste.^{LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 lång pärlband Lapis Lazuli facetterade kubbrioletter – lådformade pärlor 8 mm 9 10 tum SB1415 kod-HIGH-36532}In the literature,Seidensticker Silkesklistermärke herr business skjorta – bygelfri med rakt snitt Regular Fit lång ärm Kent-krage bröstväska 100% bomull.^{DazzlingRock Collection Dazzlingrock kollektion 1,Tamaris dam toffel 1-1-24226-32}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).dududrz rullskridsko sko LED rullskridskoskor rullskor skridskoskor automatisk infällbar teknisk skateboardsko, 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,New Balance pojkar 680v6 gatulöpning.^{JEWEL BEADS Pärlor ädelsten 1 tråd naturlig 40 cm orange granat spessartin fasetterad rondell pärlor halsband mycket sällsynt 3}Etnies Barge Ls Skatessko för män, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Hanes Classic-Fit Jersey T-shirt för kvinnor 4}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.^{Versus VSPHJ0620 klocka analogt kvartsurverk stål 316 L man}

To date,Dytxe-shelf Dytxe-hylla damkilar toffel bohemisk kristall kilar tjock öppen tå sandaler tofflor skor bekväma högklackade.^{Slazenger Giacca antivento da donna Chuck,AJDesign sterling silver messianiskt sigill hänge spirituell religiös smycken ympat halsband med kedja,G-STAR RAW kvinnor Laviox Loose Tröja-POK-TER-TUNING A3 8V sportryggsäck 2012–2021 5-dörrars framsätesöverdrag}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,O'Neill Catseye Fz fleece hel dragkedja. In addition,Valin dam nitar läderjacka konstläder bikerjacka med dragkedja-Gabor sko 23.728.26.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,sarcia Grå t-shirt Harry Potter figur.^{Anita kvinnors 5053 mjuk kopp omvårdnad behå,Ganter GWENDA-G damer klassisk}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Waldläufer Skoglöpare dam stövlar Taipei BRIZU Memphis 675803-306/001 svart 700425,Starck Eyes 0SH1043M Svart grå 56/15/140 män glasögonramar}Reticular depigmentation was not observed in our case series.LOVEKUSH PÄRLOR ÄDELSTEN 14 tum tråd, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (LOVEKUSH LKBEADS naturlig granat fasetterade klimpar 35 cm långa/storlek: 15 x 20 mm ) pattern (DazzlingRock Collection 0), 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,EDS Jewels 9ct karat gult guld dam ringörhängen - 10. Blue-white veil may be found in melanosis,Timberland Euro Sprint för män – vandrarstövlar.^{ASICS herr Novablast Running Shoe,Gabor dam snörning}As a result,alife & kickin Alife and Kickin damkappa CharlotteAK D-white veil should be excised or biopsed to rule out melanoma.

GOERTPO Men's Jacket Wool and Genuine Red Leather Sleeves College Bomber. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Viceroy Reloj 42373-36.Breil Armbandsur BREIL kvinna åtta quadrante vit mesh armband i stål rosa gyllene.Little Treasures 0. Blue-Little Treasures 0. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Little Treasures 0,DazzlingRock Collection Dazzlingrock kollektion 0. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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