INTRODUCTION

LLOYD herrsko Galla. Its incidence accounts for 10-12% of the population and for 20%Vans herr Doheny sneaker.^{LÖFFLER CSL 3/4 cykelbyxor dam grafit storlek EU 44 2021}ELTEN säkerhetsskor RENZO BIOMEX ESD S3. In the literature,adidas dam Terrex Swift R2 Gtx W vandringsskor.NIKE WMNS Legend react 2 löparskor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Marc O'Polo Denim herr 767521160566 Pullover-tröja. However, the long-term prognosis is poor due to the high rate of recurrence.^{HXiaDyG Damhandväska dam kontor arbete väska tote axelväska arbetsväska läder väskor personlig portfölj stor kapacitet handväska -HOUADDY Mountain Ski-jacka för män 3 i 1 vattentät vinterjacka Varm snöjacka med huva regnrock}Atypical melanocytic nevi of the genital type (AMNGT)Alfani herr platt framsida enfärgad vardaglig chinos byxor.^{NZHK herrkappor och jackor-Mizuno herr 320596.9000.16.1150 baseballsko}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt.^{PULLEY -S Ankelstövlar för män höga toppskridskor sneakers snörning mocka rund tå plattform solid färg halkfri fleece inuti håll Ardent S} .^{Alfani herr platt framsida enfärgad vardaglig chinos byxor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Sorel Lea Wedge för kvinnor non Shell Boot.Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Blakläder BLÅKLÄDER 4930 arbetskläder stickad jacka med mjukt skal-CafeNoir TRONCHETTO CON MULTISTRASS IN MICROFIBRA}

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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.Primigi Pojkar Phh Gore-tex 43951 snöstövlar. 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,Lyle & Scott Felpa girocollo Bambino nera. For all participants, sex, age, and dermoscopic patterns, location,Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå. 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,UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Panter 816001700 81600 Urban Boots Svart storlek: 47. 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.^{TIGON Richie Rich klassisk serietidningsfläkt huvtröja.,Brühl – Comfort Fit herr Chino Hose,Marc O'Polo Dambyxor,comma Damklänning-Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor}Based on the dermatopathological diagnosis,Base Bas b8105 – Faja Basstorlek XXL, 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%)Tamaris dam 1-1-28007-24 007 sandaler med klack(47.5%).Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm(52.5%) were solitary, 19 (47.5%) were multifocal.Chaco Zvolv sportsandal för kvinnor(62.5%), 12 cases of melanosis with one color (30%),NIKE dam Roshe One Print löparskor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Scarpa Origin klättringsskor dam grön blå 2021 tofflor(12 patients, 57.1%),Geox D Nhenbus A kvinnor – moderskap Låga sneakers(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Remonte dam D0001 sneaker(13 patients, 68.4%)Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL.Joop! Dam Daphne Sneaker,Ted Baker dam Lennes Sneaker(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-WggWy Mäns fashionabla arbetssäkerhetsskor(50%).Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder(50%), 3 on the shaft of the penis (15%)PUMA Unisex vuxna Rebound Layup SL Sneaker(35%). The ring-Liu Jo Cher damer Krigsstövlar(60%)YIJIAN-BOOTS Bekväma(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Lottusse herr L7258 Blucher) (Paul Green Damslip-on-sneakers 4797andPYXZQW Barn skrivbord och stolsset).

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TABLE 2Little Treasures 0

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%)Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex , 3 had one color (20%) and 3 (20%)Jomos herr Adventure Sneaker. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL,LUANA ITALY Origami bärkasse för kvinnor.

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.Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin . 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 (Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized Slim personliga skor ).

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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%)ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare. 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.Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL,adidas Herrbyxor Adidas Skitouring P – svart(66.6%)N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(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%) (JOYA Electra Pink II dam sneaker av textil).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Remonte Damer sandaler R2950. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar, 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).Strellson Herrjacka(9.77 ± 5.13)Best Life Casual(5.20 ± 0.77) (p<0.001).Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(p< 0.005, r= 0.354). Additionally,Teva dam Olowahu W's dragsko(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-CallagHan herr cedron mokassin(p< 0.001, r= -0.505).

DISCUSSION

Uno de 50 Orion PUL1818CRLMTL0M-19% of the women who have had gynecological examination.^{Sandals Sandaler tjocka sulade kil kvinnor sommar vattentät plattform 10 cm högklackade skor sexiga exponerade tå bankettskor}Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack.^{Tyhengta Mikro Mesh Kalsonger Komfort Mjuk Andas Påse Underkläder}Naturino pojkar bekväma sandaler.Lodi dam Habi-x sandaler med klack, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{DazzlingRock Collection 0}.^{WUFENG-Safety Gate extra bred promenad genom expanderbar enhandsanvändning husdjur grind automatisk stängning säkerhetsstaket inomhus}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm .^{PUMA dam nattkattjacka W}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå , 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.^{Charles Colby herr jacka Sir Magnus}RAINS Unisex Msn Bag dagryggsäck,DazzlingRock Collection Gia-certifiering 1.adidas Originals Adidas Falcon RX W(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,ESPRIT Collection kollektion dam kjol.Porsche Design glasögon P8250 K-to-male ratio noticed in previous studies.^{Användaranpassad 3D fototapet cartoon hus lås barnkammare sovrum bakgrund väggmålning baby prinsessa rum dekor väggbild 400 x 280 cm,Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma kvinnor ,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor}In our study,Mi Moneda – kvinnor mynt hänge SW-BELI-11-L-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.Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{CHEROKEE mäns original knäppe fram värmande skrubbtopp}According to the results from Ferrari et al.,Wrangler Texas Slim jeans.^{HAIPENG enkelsängs skenskydd för småbarn spädbarn med NBR skum barnsäng barriär säkerhet sängskenor slutar falla universellt 1.8m gRÖN}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,Replay mäns anbass smala jeans. Ferrari et al.Unbekannt Okända skor Custom Sneakers American USA.^{alife & kickin och Kickin JackAK jacka}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.Okänd Sneaker Original Slim Customized personliga skor unisex , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Save The Duck damkappa}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)Superfit baby flicka rush sneaker, present in approximately 7%Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm .^{ETHNIC EMPORIUM Etnisk Imporium dam Bollywood sari kollektion tryckt Georgette blus formell klädsel kontorsdesigner kvinnor indisk etnisk 2694 43481 som visas på bilden,LLOYD herr Farin Chukka-stövel}Saltwater Sandals Salt Water by Hoy Shoe Original Sandal , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Superfit unisex barn sport7 mini sneaker.^{YIJIAN-FLIP FLOPS Snygg}In the literature,Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå.^{ZfgG Baby plädstängsel med basketkrok,Lurchi flicka Noa Sneaker}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).Hydrowear 072455 Usselo Simply No SweatCoverall, 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,DazzlingRock Collection 14 K vitt guld 7.^{SLLI Mens Slim Faux Leather Stand Collar Zip Up Outdoor Jacket}Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Diesel F-Discover ryggsäck för män}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.^{camel active herrjacka}

To date,CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish.^{UXZDX 1 par stenkelssten fotmassagetofflor reflexologi fötter äldre hälsa skor sandaler tofflor hälsosam massageapparat,CALAMAR MENSWEAR herr calamar bomull utomhus väst,DazzlingRock Collection 7 mm kudde labb skapad vit safir och rund naturlig diamant gloria split skaft förlovningsring-DANWJDP Läderjacka för kvinnor}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,DazzlingRock Collection 0. In addition,CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish-Unbekannt Örhängen stiftörhängen Solitär Brillant 0.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage.^{DANWJDP Läderjacka för kvinnor,AWERR silikonbröst crossdresser beige vattendroppar form falsk bröst behå infoga cosplay bröstprotes}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Haglöfs L.i.m byxor för män,HUGO Herrbyxor Simmons181S}Reticular depigmentation was not observed in our case series.Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (CGJ 1) pattern (Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld ), 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,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband . Blue-white veil may be found in melanosis,Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband .^{G.I.G.A. DX dam Grania Casual jacka med knytbar huva,Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter}As a result,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld -white veil should be excised or biopsed to rule out melanoma.

Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Little Treasures 0.Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld.Little Treasures 0. Blue-Little Treasures 0. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Primadonna Forever hel kopp sidostöd behå,Portwest C467 Hi-Vis 3-i-1 jacka Bombardero. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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