dermoscopic and clinical features of pigmented skin lesions of the genital area background the dermoscopic features of vulvar melanosis lesions are well known to our knowledge there are only a few case reports about dermoscopic features of pigmented genital lesions in male patientsobjective to evaluate dermoscopic and clinical characteristics of benign lesions of the genital area in both males and females and to assess the distinguishing dermoscopic criteria of vulvar melanosis and atypical melanocytic nevi of the genital typemethods 68 patients with pigmented genital lesions were included in this observational study 28 male and 40 female a punch biopsy was taken from all pigmented lesions and histopathological examination was performed on all specimensresults we histopathologically diagnosed genital melanosis in 40 lesions atypical melanocytic nevi of the genital type in 15 lesions melanocytic nevi in 9 lesions seborrheic keratosis in 4 lesions the most frequent locations were the glans penis 19 patients 679 in males and the labia minora 19 patients 475 in females the mean age of patients with atypical nevi 286 1136 was significantly lower than the mean age of patients with genital melanosis 4707 1533conclusions parallel pattern is prominent in genital melanosis ringlike pattern is only observed in genital melanosis most pigmented lesions on the genital area are solitary bluewhite veil and irregular dots are only observed in amngt according to these results we propose that histopathological examination is performed especially if bluewhite veil and irregular dots are found by dermoscopy