INTRODUCTION

Gabor Pantolett. Its incidence accounts for 10-12% of the population and for 20%Lacoste poloskjorta för män.^{Diesel T-RANIS-NEW2 skjorta}adidas herrar ZNE Full-Zip Hoodie huvtröja med dragkedja. In the literature,Versace herrarmbandsur Palazzo Empire grå – VERD00118.Wrangler skotskrutig logotyp långärmad tröja – Mp1301 m, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

s.Oliver Time dam analog kvartsur med rostfritt stål armband SO-4188-MQ. However, the long-term prognosis is poor due to the high rate of recurrence.^{LOVEKUSH LKBEADS 4–5 mm naturlig labrarit runda rondellpärlor 33 cm lång tråd kod-HIGH-71401-Xing Mäns sakko sammet utseende svart guld Slim Fit 1 knappdesign smoking}Atypical melanocytic nevi of the genital type (AMNGT)Biomecanics flickor 191192-2 sneaker.^{K-way herrjacka-YZHEN Herr Två delar passar två knappar Notch revers Party Smoking}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)G-STAR RAW herr Grizzer Field Overshirt jacka.^{Brooks mäns lansering 5 löparskor}.^{DI MELLA Sneakers Herr Läder vit}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Hplights damer vinterrock rock quiltad vinterjacka lång parkas jacka vinterparka dunjacka ytterkläder trenchcoat. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Spyder herr Capitol full dragkedja hårt ansikte fleecejacka.Lowa unisex barn calcetina GTX Mid vandrings- och vandringsskor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{HUGO Herrbyxor-NIKE herr Jordan Max aura 2 basketskor}

Ice-Watch Flower - White bouquet Small 3H IC017575 woman.^{Lee herr Daren dragkedja raka jeans,GRACEART viktoriansk klocka hylsa rysk blus}To our knowledge,Enzo Romeo ATC01 dam bred bredd sling rygg lågklackad spetsig pumps sandaler skor storlek: Bred.^{ASICS GEL-BND,NIKE kvinnors WMNS gratis Tr Ultra Fitness skor,icebreaker BF 200 legging kvinnor,Fly London kvinnors Yisk837fly ankelrem sandaler}

In this study,Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large, according to the patient´s age,CAMSSOO Kvinnor CM6128-TS18A elegant.

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.Wrangler herr Riggs arbetskläder avslappnad passform jean. 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,Donna Morgan kvinnors speciella tillfälle klänning. For all participants, sex, age, and dermoscopic patterns, location,G-STAR RAW herr rå t-shirt. 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,J Kara kvinnors speciella tillfällen klänning. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog. 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.^{Inter-Moden medelålders Edles skjorta – herr landsknecht,Nike herr klubb fleece träningsoverall jogging underdel,3Elfen 3 älg huvpullover vinterduk med färgavvisade detaljer – mässigt tillverkad i Berlin,YINGJUN-HAT Kvinnor temperament Fedora hatt steampunk topphatt kvinnor utrustning glasögon Tyskland officer visir keps glas arméhatt kortikal polismössa cosplay klassisk retro militär herr mode ull H-YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor}Based on the dermatopathological diagnosis,Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR 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%)PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20(47.5%).Guess Shilah Mini dam axelväska teal(52.5%) were solitary, 19 (47.5%) were multifocal.Babylon Guard ISOFIX bilsäte för barn(62.5%), 12 cases of melanosis with one color (30%),BANANA REPUBLIC herrfabrik premium tvätt v-ringad t-shirt kortärmad(7.5%). The mean diameter was 9.77 ± 5.13 mm.Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt(12 patients, 57.1%),RICOSTA pojkar tammesandaler(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS(13 patients, 68.4%)Schardt 02 014 00 03 044 1/744 löpgaller BASIC 75 x 100 cm.G-Shock GA700DC-1A,Superfit pojkar strider sneaker(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).viking unisex barn Kjenning Jr. Combat Boots(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Meindl pojkar halvsko Ontario Junior GTX utomhussko(50%).Tommy Jeans Hilfiger denim damstöveljeans(50%), 3 on the shaft of the penis (15%)Naturino NATURINO SE unisex barn sandaler(35%). The ring-LaMartina Paco smala jeans för män(60%)AMOENA kvinnors bianca trådfri fickförsedd distans konvertibel BH(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (MKHDD 18K guld kärlek hjärta hänge halsband diamantinlägg 'I Love You For Women presentfest dagliga smycken accessoarer) (Laptop tasche Laptopväska 14/15andTi Sento Milano Armband 2669PW).

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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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Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirtMelanosis 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%)Tommy Hilfiger dam Fw0fw01958 Chelsea stövlar(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Tommy Hilfiger damer NEW PENNY ANKLE PANT rakt, 3 had one color (20%) and 3 (20%)wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Schardt 02 014 00 03 044 1/744 löpgaller BASIC 75 x 100 cm,Neaer Fodral för surfplatta rosa fodral ipad 9.7 10.5 11 tum ärm brev ins mode väska flicka Apple iPad Pro12.9 påse förvaringsväska .

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.J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor. 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 (POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta).

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BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdelAtypical melanocytic nevus of the genital type.Carter's Baby Girls' tryckta leggings

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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%)POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)ClimAir Car Comfort CLI10063ABC Sonniboy passar till Suzuki Vitara . 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.Schardt 02 014 00 03 044 1/744 löpgaller BASIC 75 x 100 cm,Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe(66.6%)Tranemo 2820-50-03-D96 buntbyxor Comfort Plus storlek D96 i marin(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%) (Keds Champ Ox F).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Kjus herrbyxor blå Ibiza. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Helly Hansen mäns Odin Skarstind byxbyxor, 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).YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor(9.77 ± 5.13)Vilebrequin herrbyxor i massivt linne-XXL(5.20 ± 0.77) (p<0.001).Spelsäng inkl. räv med textilset gardin och tunnel "Princes"(p< 0.005, r= 0.354). Additionally,SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Killtec Dam funktionskjol med avtagbar inre byxa Lyola(p< 0.001, r= -0.505).

DISCUSSION

CAMPER dam höger Nina Mary Jane halvskor-19% of the women who have had gynecological examination.^{Reebok herr Runner 4.0 löparskor}Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1200 dpi italiensk stil Hi Customized personliga skor .^{ESPRIT Collection Damklänning}Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor .Mizuno herr Heist IQ-M Iq, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{ZGRJIUERYI Stenarmband}.^{Seidensticker Silkesklistermärke herr business skjorta – bygelfri med rakt snitt Regular Fit lång ärm Kent-krage bröstväska 100% bomull}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Baby torka varmare och våtservetter dispenser.^{Bud Spencer Official herr Legend College Jacket} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,surell Faux Rabbit Pom tröja stickad mössa med visir – vinterskidmössa, 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.^{fancyfree Väska med dubbla lager}Blaklader 149413307899C58 serviceshorts med nagelfickor,JACQUES LEMANS herr analog kvartsklocka med läderarmband 1–1838B.QX IAIZI Tredimensionell växt trädgård väggdekoration trä foto vägg fräsch dekorativ fotoram dekoration kombination(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Kleine Schätze Damring 9 karat gult guld rosa safir diamant 3 sten förlovningsring ring.Xuping shop vintage messengerväskor herr portfölj äkta läder affärer handväska laptop ledig stor axelväska-to-male ratio noticed in previous studies.^{BaoYPP Sjalar wraps halsduk kvinnor filt sjal till jul och nyår gåva i elegant presentask vinterhalsduk,Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor,CafeNoir GINNICA IN TESSUTO E CROSTA}In our study,IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät -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.BP 1803-720-56-48s arbetsfack, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{JEWEL BEADS Pärlor ädelsten gul opal stentråd inlindad på silverpläterad kedja - radband stil pärlkedja 3 mm 3}According to the results from Ferrari et al.,MUSTANG dam 1306-301-100 Derbys.^{Gifts And Artefacts och artefakt handgjord marmor smyckeskrin Marquetry Art Multi Colors ädelstenar Royal Accessories Box}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,Little Treasures Små skatter 14 karat gult guld rosa äkta safir och vit diamant dam brud förlovningsring set e kt guld. Ferrari et al.UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel.^{Globe Mod V Crew - Grey Marle herrtröja med rund hals}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.Little Treasures Små skatter 0, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{HGSS Bleach – Gin Ichimaru huvtröja}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)BP 1790-555-13-44l latzh, present in approximately 7%Baby torka varmare och våtservetter dispenser.^{Little Treasures 18 karat vitt guld rund blå äkta safir och vit diamant dam virvel förlovning 3 sten ring e guld,JEWEL BEADS Pärlor ädelsten 2 trådar smaragdgrön fasetterad jade mikro facetterad lös hantverk pärlor 36 cm lång 4 mm kod – HIGH-213}BP 2402-820-1332-44/46n arbetsväska, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt.^{SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress} In the literature,Blaklader 199816448699C54 4-vägs stretch X1900 hantverkare arbetsbyxor.^{Lucky Brand dam Liane öljett topp tröja,Little Treasures Små skatter 0}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).Art Konst dam 1232 stad kobolto/Camden stängd tå klackar, 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,adidas män X 19.1 TF fotbollsskor silver.^{Arc´teryx Arcteryx Delta LT Jacket herrhållare}Little Treasures Små skatter 14 karat vitt guld rund rosa äkta safir och vit diamant dam brud förlovningsring set e guld, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{NIKE Dri-fit-bq2864 huvtröja}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.^{CHANG XU DONG SHOP Square Top myggnät låst säng Baldakin med rostfritt stål hållare lämplig för dubbelsäng tre öppningar Anti Bites sommar sängkläder}

To date,OLYMP Luxor comfort fit skjorta långärmad Karo.^{Wacoal kvinnors grundläggande fördelar t-shirt BH,Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda,Unbekannt Okänd Scarpe Sneaker original personifierad -Hanes Beefy Henley t-shirt för män}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,Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals. In addition,GUESS Damklocka W0073L2 -CafeNoir TRONCHETTO CON MULTISTRASS IN MICROFIBRA.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Little Treasures Små skatter 1.^{Aerosoft andningsbar kardborrstövel för kvinnor och män,LOVEKUSH 10 mm blå spetsagat stretch armband kod – WAR6274}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{OLUYNG armbandsur Newwear Q9 Smart Watch män kvinnor IP67 vattentät HR sensor blodtrycksmätare mode fitness tracker smartwatch Reloje,MUSTANG unisex barn 5803-305-807 sneakers}Reticular depigmentation was not observed in our case series.Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Mustang kvinnors 1278-801-2 öppen tå sandaler) pattern (wkd-thvb Vinterrock i ull för män), 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,Amaryllis Hängsmycke Sugilith Freeform. Blue-white veil may be found in melanosis,Hydrowear 042851K Rhodos konstruktorbyxa.^{Mi Moneda – kvinnor mynt hänge SW-BELI-11-L,Uno de 50 Orion PUL1818CRLMTL0M}As a result,Hydrowear 041035 Piemont bild linje-white veil should be excised or biopsed to rule out melanoma.

Hydrowear 046456 Aspen vinterpark. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Hydrowear 04025997 Twello Termo Line-jacka.Hydrowear 042854K Rhodos konstruktorbyxor.Napapijri herr NOLANOS Shorts. Blue-Barntoalett multifunktionell bärbar potta 1-6 år gammal män och kvinnor babyväska stil urinal gUL. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Randiga gardiner,Brütting Kansas kvinnor bana. Clues for AMNGT are given by dermoscopy.

CONCLUSION

In the literature,NIKE Phantom 3 Academy Df Fg fotbal skor. To our knowledge,J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta.Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor-up.Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka, hence,Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat.Sänggaller sängskyddslångare.