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Further research is need to confirm this (4)

The anatomical and histological differences in male and female genital regions, such as the transition of mucosa and skin, glandular differences, follicular and non-follicular areas, make a regular recognizable lesions that are located on other parts of body sites, difficult to diagnose in the genital region, especially in women

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Structural features Reticular prominent pigment network Globular numerous globules or blots Homogeneous brown pigmentation Combinations of the above Unclassified Distribution of pigment Central hypo/hyperpigmentation Eccentric peripheral hypo/hyperpigmentation* (uneven hypo/hyperpigmentation that reaches the border of the lesion) Multifocal hypo/hyperpigmentation (patchy appearance) *Note: eccentric peripheral hypo/hyperpigmentation can be seen in both atypical naevi and melanoma