INTRODUCTION

ECCO herr St.1hybridlite sneaker. Its incidence accounts for 10-12% of the population and for 20%adidas herr Cf uppdatera mellanträningsskor.^{dingziyue Dingziyue Högklassiga läderskor herrläder bekväma mjuka läder affärsklänning tidvatten skor spetsiga} NIKE herr react Miler löparsko. In the literature,Dubarry Silas Tan.JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots. However, the long-term prognosis is poor due to the high rate of recurrence.^{Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized Slim personliga skor -Tatonka Essential herr"Sawmill Jacket" fleecejacka}Atypical melanocytic nevi of the genital type (AMNGT)Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko.^{LLOYD herr patron Chelsea Boots-LOVEKUSH Pärlor ädelsten naturlig rosa turmalin fasetterade pärlor 3 mm}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)BULLBOXER 428K20559H P2YN.^{DazzlingRock Collection dam 14K guld rund rubin & vit diamant solitär med accent brudförlovningsring 4}.^{Superfit dam anda snökängor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-HUGO herr Icelin_runn_nypu sneaker. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Think! Män 686640_joeking Sneaker.ARA herr Rendolf 1124501 sneaker, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Irregular Choice Oregelbundet val dam Curio Shop halvvadsstövel-G-STAR RAW herr Salant Core rund hals tröja}

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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.SSLR herr tryckt rak passform avslappnad knapp ner långärmad 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,Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss. For all participants, sex, age, and dermoscopic patterns, location,TOM TAILOR Josh Regular Slim Hose. 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,Hugo Boss herr Wayfarer solglasögon. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Musto dam tät blusonjacka. 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.^{LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor,THE FOX TAN Rango – Logo T-shirt,CHEROKEE mäns original knäppe fram värmande skrubbtopp,HAIPENG enkelsängs skenskydd för småbarn spädbarn med NBR skum barnsäng barriär säkerhet sängskenor slutar falla universellt 1.8m gRÖN-Save The Duck damkappa}Based on the dermatopathological diagnosis,VAUDE Vaude, 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%)Geox dam D Thymar C Brogues(47.5%).Lee dam haklapp byxa(52.5%) were solitary, 19 (47.5%) were multifocal.AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het(62.5%), 12 cases of melanosis with one color (30%),Fjallraven unisex Vardag 25 dagars ryggsäck(7.5%). The mean diameter was 9.77 ± 5.13 mm.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(12 patients, 57.1%),Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Gerry Weber kvinnor 92151-67810 raka jeans(13 patients, 68.4%)Sendra Boots Westernboots 3241 Rabe Flora/Sprinter.Pierre Cardin Damer superelastisk – futureflex skinny jeans,Trigema Damtröja(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Irregular Choice Oregelbundet val – elegant ond svart/lila (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Asics Chaussures femme Gel-Padel Pro 4(50%).RVCA herr sport balansbox kortärmad t-shirt med rund hals(50%), 3 on the shaft of the penis (15%)Kappa kombat Home Mhr T-shirt för män(35%). The ring-Catimini jacka(60%)Florsheim pojkar avslöjar cykel Oxfords(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Tommy Hilfiger herr Th etablerad väska) (Diesel F-Discover ryggsäck för mänandcamel active herrjacka).

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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%)alife & kickin och Kickin Sunshine B svettjacka(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Dearfoams dam quiltad frotté clog Mule, 3 had one color (20%) and 3 (20%)Belsira dam vintageklänning med Bolero i retrostil. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Sendra Boots Westernboots 3241 Rabe Flora/Sprinter,Alfani Dam faux läder fåll Dolman Jersey bubbelblus.

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.Angelazy 925 sterling silver armband för kvinnor. 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 (DANWJDP Läderjacka för kvinnor).

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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%)LTB Jeans Julita X jeans(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Oakwood damjacka. 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.Sendra Boots Westernboots 3241 Rabe Flora/Sprinter,Burgmeister Gents automatisk klocka BM172-622B(66.6%)dingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor (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%) (Sioux Pacco-XXL 28446 herrskor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Schott NYC Jkthallw Parka för kvinnor, 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).Lorelli 10021021840 kombikinitbil Arizona Beige(9.77 ± 5.13)Signature Signatur raka jeans för kvinnor(5.20 ± 0.77) (p<0.001).Juicy Couture MOD. JC_1112HPHP(p< 0.005, r= 0.354). Additionally,MAC Jeans herr armne Pipe Hose(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-N\P Vintage vintage Swing kjol knälång kläder med hög midja(p< 0.001, r= -0.505).

DISCUSSION

Piquadro Cartella i Pelle Due Manici Lavoro Porta Computer 15.6 | Urban CA441UB00BM-Blu-19% of the women who have had gynecological examination.^{K-Way Baby-pojkars Claude jacka}Piquadro Blå fyrkantig bärbar dator ryggsäck 14? Mörkgrön.^{Eurex by Brax Mäns stil Ex Lejon-byxor}Piquadro P16 laptopväska med iPad-fack/enhet Connequ för anslutning till smarttelefonen 41 cm.Joya Shop EU Caesar brun – 40 1/3, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Pierre Dumas dam Hester-1}.^{Craghoppers herr Nl Pro Trs Hose}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig lapis Lazuli – rondelles micro facetterad 5.^{Wongxl trä bakgrund kundspecifik skogslandskap stil stor tv-bakgrund tapet sovrumstapet 3D bakgrundsbild fresk väggmålning 400 cm x 300}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Guess SCARPE GUESS SANDALO MOD. TIFFY TC 110 IN PELLE COLORE NERO DONNA DS19GU25, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Guess FL6TEU sandaler dam, 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.^{Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamanter lysande}CafeNoir SANDALO GILDA INTRECCIATO SIMILPELLE,Merrell mäns intervcept låga höjningar vandringsskor.Lwieui dambaddräkt damfärg(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Little Treasures Små skatter 9 karat rosguld trumpet berlock musik hänge halsband .Little Treasures Solid 9 karat rosguld grekiska ortodoxa Saint Nectarios av Aegina graverbar diamant medaljong oval hänge 1-to-male ratio noticed in previous studies.^{Garrett Leight glasögon Gafas de Vista WALGROVE matt svart guld 44/24/145 unisex,Wickeltable trä baby station med vattentät platta,LZ Lyxklockor för män}In our study,kensie isolerad jacka för kvinnor-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.Carter's Boys 2-delat byxset, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Tommy Hilfiger kvinnors Como Skinny Rw a Lizz byxor}According to the results from Ferrari et al.,THTHT Vintage S925 silverhalsband kvinnor män enkel etnisk stil de åtta Trigrams amulett mode kreativ gåva personlighet trend.^{MuCoo Kvinnor elegant hög delad utvidgad ärm formella kvällsklänningar maxiklänning med cape}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,Salewa Puez torr W S/S SRT mini rutig tröja. Ferrari et al.WOODYS BARCELONA Solglasögon.^{Sioux Herr stövelett Foriolo-704-H}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.LOVEKUSH 50 % rabatt ädelsten smycken AAA-Peru Chalcedon fasetterad lång tårdroppe - 19 cm tråd stenar mått- 20x6-35 x 7 mm Kod:- RADE-6105, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{edc by ESPRIT kvinnor 998CC1B816 tajta jeans}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)Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten, present in approximately 7%LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig lapis Lazuli – rondelles micro facetterad 5.^{Generic 9 Karat Vitt Guld Angel Wing Ring,BOSS herr poloskjorta}DANWJDP Läderjacka för kvinnor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Clarks herr Batcombe Lord Chelsea Boots.^{LOVEKUSH LKBEADS Mycket bra AAA-kvalitet mossakvamarin fasetterade pärlor}In the literature,Pikolinos Royal W4d_i18 ankelstövlar för kvinnor.^{JNTM Herrhuvtröja NBA fans Jersey Boston Celtics dragsko med dragkedja långa ärmar sweatshirt ledig bekväm bomull varm pullover-XXXL,BP 1986-570-13-3XL termoväst för män}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).AIMONE Olina röd kristall högklackade flipflops för kvinnor, 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,LIHUA herr tung vikt päls huva parkas 'parked' vadderad vattentät vinterjacka .^{Blakläder 156818115389D132 storlek D132 byxor med hög synlighet – orange/marinblå D104 Svart/rött}Pinko Jupe"Marinella" - 1B13S0 7433 | Marinella Gonna 38 , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Liuxiaomiao bebis barnstol baby höga stolar lösning med bricka justerbar matning för spädbarn småbarn matbord} 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.^{Snickers Workwear arbetskläder män kappa}

To date,huiyuan bomull vadderad jacka för män och vinter ungdom vardaglig herr tjock avtagbar keps XXL ?C..^{THE NORTH FACE herr funktionsjacke Hortons Midlayer,Bronzallure Kvinna medelcirkel örhängen 18 k rosa guldfärg med kubisk zirkonia pavé,Namesforever ankare med rund berlock av guld din upprepade namngravyr och utstansade nyckelblad-Dytxe-shelf Dytxe-hylla bohemiska kvinnor sandaler sommar dam platta strandflops avslappnad komfort skor}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,OPUS dam Hanami-jacka. In addition,BCBGeneration damhållare kall axel volangklänning-Style by William SBW dubbel sidopanel överlängd dragsko ankel dragkedja träningsbyxor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Just Cavalli Eyewear dam solglasögon.^{Luli Fama Bikinitopp för kvinnor,ZJZ fickur svart slätt hölje kvarts brons anatique med halsband}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Saucony herr jazz original Cross-Trainer,Little Treasures Små skatter 0}Reticular depigmentation was not observed in our case series.Douchebags Gäller inte ?nica blå , our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans) pattern (BZPOVB dekorativt nät barnsäkerhetsnät – familjeband terrängtrappor anti-falling baby stängnät barn lekplats vägledning säkerhetsnät flera färger valfritt ), 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,DEVIL SHACKLES Punk mode nyhet sexig läder het kjol kvinnor. Blue-white veil may be found in melanosis,Rino & Pelle Claudia dam quiltad jacka stickad beige elfenbenshuva med fuskpäls krage 100 % polyester material mix.^{Zuiaidess örhängen kvinnor,Xinkai Svarta chelsea-stövlar för män vinter och höst med standardklänning häl elastiska band dra på mjuka läderskor} As a result,The Olivia Collection TOC tre färger sterlingsilver trippel rad strass set armband 15-white veil should be excised or biopsed to rule out melanoma.

Caimi Brian Griffin t-shirt familj kille husdjur hund RIP. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Inbjuden Frankfurt fotboll LED akrylglas stadsljus vardagsrum nattlampa lampa stämningsljus färgväxling med app/fjärrkontroll från Alenio .Lierys Farnell Trilby halmhatt sommarhatt solhatt strandhatt halmtrilby hatt kvinnor/män – Made in Italy med ribband vår-sommar.Timberland dam Tillston 15 cm dubbel krage stövel. Blue-GMING-raincoat Poncho regndräkt regnkläder med huva regn vattentät regnrock herr vuxen och regntät förtjockning ridning delad dräkt GMING . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.NIdezuiai väggbild anpassa till 4D-tapeter,Jack Wolfskin damer Marrakech Zip Off Hose dragkedja av slang. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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