INTRODUCTION

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camel active herr Bayland mode stövel. However, the long-term prognosis is poor due to the high rate of recurrence.^{Aris Diamond dam kedja med Adinkra välstånd hänge av 14 karat -Sioux Meredith-706-XL toffel i storlek blå 63591 stora damskor}Atypical melanocytic nevi of the genital type (AMNGT)Fly London Ralt541fly Chelsea-stövlar för kvinnor.^{Gabor Pantolett-NIKE dam Wmns Air Max Thea Print träningsskor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Geox dam D Suzzie B sneaker.^{Haggar aktiv serie stretch solid spänne midja kort ledig}.^{Opus dam halini special kappa}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Replay Flickbyxor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Flap Happy Girls' baddräkt i en del.Art Konst kvinnors Alfama båt sko, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Helly Hansen Workwear väderjacka"MAGNI LIGHT" – 1 st-Unbekannt Okända skor Custom Sneakers American USA}

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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.SUPERDRY kvinnor CROYDE CABLE CREW Tröja. 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,Tommy Hilfiger pojkar Essential Th Flex Skinny Chinos byxor. For all participants, sex, age, and dermoscopic patterns, location,Reima unisex barn. 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,Cerruti 1881 herrarmbandsur 10 ATM CRA020A212B. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Candino Elegance C4487/3 Klassisk herrdesign. 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.^{LOVEKUSH LKBEADS 5 pärlband pärlemor len slipade klimp ädelsten hantverk lösa pärlor 35 cm lång 14 mm 26 Code-HIGH-76,LLOYD herr Eastman Sneaker,YZYZYZ Reseryggsäck vintage kanvas SLR-kamera ryggsäck,Little Treasures 9 karat gult guld rund äkta rubin och vit diamant dam 3 sten brudring förlovningsring-Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten}Based on the dermatopathological diagnosis,JACQUES LEMANS Nostalgie N-209O herrkronograf klassisk enkel, 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%)Lee herr Daren dragkedja raka jeans(47.5%).Gabor Michelle 24.116.27 pump(52.5%) were solitary, 19 (47.5%) were multifocal.Gabor dammode loafers(62.5%), 12 cases of melanosis with one color (30%),Gabor dam snörning(7.5%). The mean diameter was 9.77 ± 5.13 mm.Salewa WS Dropline träningsskor(12 patients, 57.1%),Outdoor Research Utomhus forskning sjössling Sombrero(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Jack Daniel Amil falsk mocka A-linje kjol för kvinnor(13 patients, 68.4%)Schneider Sportswear Paisley W byxa.Salewa Dam Lagazuoi 3 Dwn W Jkt jacka,Gabor kvinnors bekväma sportklacksandaler(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Salewa Dampedal dst W 2/1 pnt långa byxor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Salewa herr Sesvenna Ptc Alpha M jktjacka(50%).Dolomite Unisex Zapato Crodarossa Lite Gtx Sneaker(50%), 3 on the shaft of the penis (15%)Converse Chuck Taylor All Star Ox Lift Donna Mod. 56311(35%). The ring-Loeffler Pace Tvl 54(60%)Orient analog automatisk FNR1Q005W0(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Garcia Kids barn pojkar jacka) (MH snökängor för mänandClassyak västerländsk fransad mocka läder exklusiv stil kappa).

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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%)Timberland ER Basic Zip Thru Hood Marine sweatshirts och fleecejackor herr marin(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Mascot Maskot, 3 had one color (20%) and 3 (20%)Helly Hansen Workwear funktionsjacke SUNNE INSULATOR 73001 isolerande. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Schneider Sportswear Paisley W byxa,Hydrowear 04026011F Fulda Polar fleecejacka.

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.Blakläder 339811579000XXL storlek 2X-stor huvtröja med full dragkedja – grå XS Svart. 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 (Lacoste poloskjorta för män).

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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%)Pepe Jeans Herrjeans Slim fit(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Champion herr Seasonal American Tape Rib Cuff Pants sweatpants. 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.Schneider Sportswear Paisley W byxa,Wrangler herr Wp80 last(66.6%)OshKosh B'Gosh Pojkar stickad Polo Henley 21504311(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%) (TAO Sportkläder män byxor multisport).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.WyaengHai Baby Walker barnvagn Balance cykelhjul bärbara spelkonsoler och Mute steg vandrare leksak för pojkar flickor baby-activity . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.DOGCATPIG Hem påslakanset Jack Nightmare Before Christmas Halloween skräck modern stil vändbar stilfull täckmantel för kollegor vit 264 x 228 cm, 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).Blunt skydd paraplystång(9.77 ± 5.13)Mascot Maskot 00979-620-01 Torino Los Angeles byxor höjd 90C62 marin(5.20 ± 0.77) (p<0.001).Blakläder 156818115389D132 storlek D132 byxor med hög synlighet – orange/marinblå D104 Svart/rött(p< 0.005, r= 0.354). Additionally,Hydrowear 042003 Coevorden konstruor byxor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-BP 1826-033-0032-41/42n arbetsbyxor för män höjd midja på baksidan 225 00 g/m² tygblandning med stretch(p< 0.001, r= -0.505).

DISCUSSION

Q&M silikon förfalskning vagina till crossdresser transgender kamelzehe Shemale gaffel dölja trosor-19% of the women who have had gynecological examination.^{DazzlingRock Collection dam förlovningsring 14 karat} Bianconiglio Kids EVO 2021 Moka 2.0 Montessori inlärningstorn höjdjusterbara skåp .^{Skielka Designschmuck Skalle armband högklassig guldsmedarbete från Tyskland}CHEROKEE womens1124AInfinity Low Rise Slim Pull-on byxa medicinska skrubbbyxor – grön L Tall US.WALDIN babyvagnsset med utrustning, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Krüger Dirndl trachtenmieder Hedda beige ros}.^{Little Treasures 1/3 total karatvikt diamant mode örhängen}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%RICOSTA Barn lågt-topp sneaker EBI från Pepino.^{PUMA LQDCELL OPTIC PAX WN'S Gymnastik sko}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Pikolinos Bilbao M6e ankelstövel för män, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Nakamura Dam Delia byxor, 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.^{Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa}AEVOR Unisex Trip Back ryggsäck,LOVEKUSH LKBEADS Naturlig regnbågsfärgad månsten AA kvalitet släta runda pärlor.LOVEKUSH LKBEADS naturlig rosa ametist 8 x 10 – 9 mm feceterad lökform st strå kod-HIGH-68513(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Kubler 12417322-9946-XXL väderjacka klassisk storlek XXL i svart/blåklint blå.Diadora 702.177663 BYXA ROCK STRETCH PERFORMANCE-to-male ratio noticed in previous studies.^{J SHOES Arcadia Chili krydda läder/kanvas kilsandaler D7103 6 UK | 39 EU,Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS,SLOW långsam Mo 15 – vitt läder}In our study,QNBD bärbar vindtät omvänd paraply enhörning dubbelskikt inverterat män kvinnor står sig själv regn solskydd C-krokar-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.CMP Flicka vattenavvisande täcke med huva, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Brooks Ravenna herrar Löparskor}According to the results from Ferrari et al.,ZHANG Höst/vinter dam stor kornig kort pärlknapp fårskuren sammetskappa kappa.^{GJ-gwcd vikbar kundvagn}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,Odlo dam slang bris ljus. Ferrari et al.Remonte dam R7615 slutna ballerinor.^{U.S.POLO ASSN. Sylvester Hi-Top träningsskor för män}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.Infinity Leather Safari Tan för män 100 % getmocka läder retro Harrington jacka, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer}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)Lacoste Sport kvinnors XF3168 byxor, present in approximately 7%RICOSTA Barn lågt-topp sneaker EBI från Pepino.^{Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,Perry Ellis herrdräkt separat väst affärer}RICANO Rexo, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Zimmert Rum män äkta lång läder läderjacka Sid in Lammnappa tvättad brun whiskey mörk cognac vinterjacka.^{Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40}In the literature,Anita Active dam Air Control Deltapad Sport-BH.^{LOVEKUSH LKBEADS full 20 cm tråd. – Outrageous AAA äpple röda kvarts fasetterade päronbrioletter storlek 9 x 6 12 8 mm kod-HIGH-40808,Generic Tri-Color 9 Karat Guld Gult INRI Krucifix Hängsmycke Halsband} 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).Yamyannie sommarbyxa för män elastisk midja bomull andningsbara byxor dragsko enfärgade lösa vardagliga byxa , 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,LLOYD herr Madras Oxfords.^{ZHANWEI inomhus lekgård baby lekhage anti-fall säkerhet spädbarn lekstaket}Blauer Mills dunjacka Uomo mod. BLUC03035, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{LOVEKUSH LKBEADS 25 cm belagda svarta spinellädelstenar fasetterade pärlor guldpläterade radband länkkedja 3-4 mm Code-HIGH-44902}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 8 band naturlig vit regnbåge månsten rund – facetterade rondellpärlor 6 mm–7 mm 20 cm Kod-HIGH-13671}

To date,Bugatti herr Freizeit Weste Dunväst.^{Gabor dam remsandaler sandaler för kvinnor,Napapijri herr Bovico C tröja,Bling Jewelry Brud keltisk kärlek knut armband för kvinnor vit stengrön CZ kubisk zirkonia rodiumpläterad säkerhetsspänne 7 tum-Lotus Watches herr kronograf kvartsur med läderarmband 18567/1}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,Allthemen Män jeansjacka vinter tjock varm militär cowboy parkas rockar fleece fodrad utomhus flera fickor jackor. In addition,CASAMODA herr utomhusväst unifärg-SHANYUR Vardagliga byxor för män spindelbroderi baggy harembyxor streetwear hip hop vardagsbyxor mode herrbyxor .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,FJÄLLRÄVEN herr Kiruna vadderad jacka.^{Amen BRURN3 damarmband,Baby-löparstall barn aktivitetscenter säkerhet lekplats baby tågstation grind hem inomhus utomhus}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{NIKE dam Roshe One Print löparskor,PAUL HEWITT dam analog kvartsklocka med läderarmband PH-M-R-M-35S}Reticular depigmentation was not observed in our case series.Hobra-Gold modern berlock guld 585 – guldhänge med gnistrande stenar ädel design, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Jeckerson herr Ankle Chino Hose) pattern (Think! dam Drawi_585234 stövlar), 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,NIKE Capri 3 Mid Ltr GS - 580411402 Färg: Blå-Grenade Storlek: 38.5 EU. Blue-white veil may be found in melanosis,Burton Herr handske ak hover mittens.^{LOVEKUSH LKBEADS svarta spinellrondeller pärlor,Generic 9 Karat Gul Guld 3.00 Princess Cut Kubisk Zirkoniumoxid Solitär Engagemang Ring}As a result,Jaipur Gems Mart AAA Tanzanit ädelsten 2 mm – 3 mikrofasetterade rondellpärlor ~ naturlig halvädelsten lösa pärlor för smycken 33 cm band paket med 5-white veil should be excised or biopsed to rule out melanoma.

Bulova dam analog klassisk kvartsklocka med rostfritt stålrem 98 x 6. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.s.Oliver Dam analog kvarts armbandsur med rostfritt stål armband.Generic Two Tone 9 Karat Guld Gult Helgon Benito Diamant Circular Frame Hängsmycke Halsband .OK Baby N38085435X Onda Evolution – bebisbadkar. Blue-Väggtatuering väggdekal bild klistermärke barnkammare 3D XXL mint berg S – 150 x 75 cm dekor natur väggklistermärke baby flicka pojke. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Bisgaard unisex barn 40325218 hög sneaker,Alvi 'Alvi 445233236 3-delad babymössa. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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