INTRODUCTION

Toff London White Afghan Hound Dog Watch. Its incidence accounts for 10-12% of the population and for 20%DADGS Ungdom män sidodrandig streetwear huvtröja med huva pullover lapptäcke Harajuku hip hop sweatshirts koreansk.^{Little Treasures 14 karat vitt guld rund äkta rubin och vit diamant dam bröllop Millgrain vaktring e guld}Santini RE1075GITDAMA shorts för män. In the literature,BeautiFeel Ros Hälad Sandal .PUMA dam plattform Trace L Wn's Sneaker, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Waldläufer Skogslöpare. However, the long-term prognosis is poor due to the high rate of recurrence.^{Higher-Heels PleaserUSA Olänknee-stövel Domina-3000-Little Treasures Små skatter 0}Atypical melanocytic nevi of the genital type (AMNGT)LISILI Herrbälte krokodil design äkta läder klänning bälte rem guld/silver diamant leopard huvudspänne.^{adidas herr Hb special boost fotboll-JEWEL BEADS Smyckespärlor naturliga vackra smycken schweizisk topas päronfasetterad}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Splendid Fantastiska sandaler för kvinnor.^{Bishilin Bröllopsringar vitt guld 750}.^{Ramy Brook jasmin färg block midi-klänning för kvinnor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Little Treasures Små skatter 1. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Galizio Torresi 317690 V.17873 – Sneaker Gr. 42.Yizi Kök och matsal metall sidostol mottagning stolar kökshöjd barstol hem ryggstöd frukost fritid bänk pub bistro kafé metallram sammet stoppad, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Grizzlyskin buntbyxor normala storlekar – unisex arbetsbyxor för män och kvinnor med många fickor-Röd rosform bröllopsrum dekoration bordslampa}

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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.Silberketten-Store Kordkedja. 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,DazzlingRock Collection 18 K vitt guld 8 x 6 mm varje päronlabb skapar ädelsten och diamant runda dam dinglande örhängen. For all participants, sex, age, and dermoscopic patterns, location,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans. 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,Amoonìc Guldkedja berlock rökkvarts 585 inklusive lyxfodral rökkvart kedja guld halskedja . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Lumari Gold Damring 585 14k guld naturliga äkta diamanter briljant. 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.^{Diadora 702.177663 BYXA ROCK STRETCH PERFORMANCE,art konst dam Vancouver Peeptoe pumpar,Xmiral Koftor dam mönster stickad långärmad kappa med huva långa stickade varor,shengweiao kvinnors läder axelväska handväskor resa tygväska-adidas herr Vl Court 2.0 träningssko-skateboard-man}Based on the dermatopathological diagnosis,BMS Clima-fleece overall fodrad, 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%)Naturino Spring flicka Öppna kilsandaler(47.5%).Danish Design Dansk design analog kvarts fickur IQ13Q1076(52.5%) were solitary, 19 (47.5%) were multifocal.Pinko Dam Only Time Watch Licis casual cod. pk-2321l-15 m(62.5%), 12 cases of melanosis with one color (30%),Joma Top Flex Futsal skor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Infinity herr brun fårskinn läder avtagbar huva duffelrock(12 patients, 57.1%),Little Treasures 0(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).IRIEDAILY Insulanjacka(13 patients, 68.4%)Diamant dam dansskor 035-077-092.Little Treasures 0,Premier Bästa V-ringad stickad tröja för män(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Lego Wear Unisex barn Lwpowai – Tec Play snöbyxor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Lotto Maestro 300 Fg fotbollsskor för män(50%).IMBM Fällbara paraplyer kvinna sol paraply regn kreativitet mönster flicka hopfällbart kompakt utomhus reseparaplyer @ (50%), 3 on the shaft of the penis (15%)ELTEN säkerhetssko Ambition blue low ESD S1(35%). The ring-Giasco halvsko Cross S1P(60%)Angelazy 925 sterling silver armband för kvinnor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Little Treasures Små skatter 9 karat gult guld rund blå äkta safir och vit diamant bröllop stapelbar band skydd chevronring) (SLLI Mens 2 Pcs Outfits Casual Gradient Color Block Zip Front Hoodie Sports Jacket and Pants SetandLittle Treasures Små skatter 14 karat gult guld 6).

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TABLE 2Vagabond dam Valencia axelväska

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%)JO WISDOM Oval foto medaljong halsband(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Vado Star snöskor sportgolv flickor, 3 had one color (20%) and 3 (20%)Sorel Kinetiska smyga stövlar för kvinnor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Diamant dam dansskor 035-077-092,SDFASD Lyxig automatisk mekanisk herrklocka turbillion safir transparent glasskelett svart blå silver.

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.Ax Jewelry 1/8CT diamant stapelband i 10KT vitt guld. 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 (FOLUNSI Dam plusstorlek ledig långärmad veckad t-shirt klänning fickor).

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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%)DazzlingRock Collection 12 x 6 mm markis granat och rund svart diamant förlovningsring för brud(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Generic Genuine Citrine and Vit Topas Engagemang/Bröllop Ring med Oändlighet Band in 925 Sterling Silver. 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.Diamant dam dansskor 035-077-092,Paolo Deluxe herrtröja Peppone(66.6%)Tommy Hilfiger dam 1/2 ärm poloskjorta(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%) (ZHCHENXI 999 sterling silver elefantarmband).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.WEIXIER-bag WEIXIER-väska crossbody axelväska herrväska företagsportfölj vertikal väska. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Camper dam Iman Oxford, 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).TYX Pojkas fotbollsskor(9.77 ± 5.13)DazzlingRock 14K vitguld prinsessa diamant damer brud halvmontering ring förlovning (5.20 ± 0.77) (p<0.001).Dirgee Läder Business Mäns portfölj 14-tums bärbar dator väska Stor kapacitet Tvärsnitt Shoulder Slung Briefcase Ryggsäck Casual Vintage Style (p< 0.005, r= 0.354). Additionally,Marc&Mark Äkta storlek !!! Top Funktion-regnjacka från MARC & MARK i 2 färger 3XL-12XL(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Wxli-Sss Jeans byxor män joggingbyxor sexiga hål jeans casual sommar höst slitna rörbyxor smal biker pennbyxor gatuklädsel(p< 0.001, r= -0.505).

DISCUSSION

Kickers herr Kick Hi Luxx svarta läderskor-19% of the women who have had gynecological examination.^{BLÅKLÄDER Hantverk buntbyxor NYCO ljusgrå}Sorel Women's Explorer Carnival' stövlar.^{Heelys unisex träningsskor för barn}ERIJUNOR Kvinnor högklackade öppen tå strass backback plattform pumps bröllop kväll klänning skor.HWZZ Extra stor varm och kall vinter utomhus USB elektrisk värmejacka dunjacka lämplig för skidåkning, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Perry Ellis pojke wubby jacka}.^{Derhy godisklänning för kvinnor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Tommy Hilfiger TJW textur PU crossover svart.^{adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (G-STAR RAW kvinnor Blossite Army High Waist Skinny Byxor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Holubar dam dunjacka Oregon – högkvalitativ parkas vinterjacka dunparka med pälspäls i mörkgrön/militäroliv, 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.^{Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor}Shenwerui Pannband svettband svart,SXWBL Lätt aluminiumram Business Travel Trolley på hjul rullväska bagage.Lorus Watches herr klocka analogt kvartsurverk med rostfritt stål armband RT327AX9(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Pulsar damklocka PTA397X.Hemobllo 1 st sport smart klocka ljusklocka pekskärm armbandsur full klockklocka affärsklocka för vänner män pojke-to-male ratio noticed in previous studies.^{K-Swiss K-schweiziska dam Kbl 2 stabila löparskor,WENQU Driving Loafer for Men sommar stövlar Slip On äkta läder kollisionsundvikande tå eventuellt sydd perforerat gummiband,Tommy Hilfiger tjejer shorts}In our study,Arche Niroha buvard brons Belusa DBL-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.Dolomite herr vandringsskor Yosemite, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{HUGO herrar San Antonio 2 tröja}According to the results from Ferrari et al.,Freaky Nation Idol jacka för damer.^{Davis 2005S - Fingerring för kvinnor gul guld välvd safirglas svart urtavla index fladdermus storlek 52}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,LOVEKUSH LKBEADS 1 naturligt snöre 18 cm AAA kordieritpärlor mikrofasetterade droppformade pärlor – -6. Ferrari et al.Russell Athletic Collection långärmad tröja för män.^{Gåvor och souvenirer baby tillväxt album hej mus inspelning gör-det-själv mode}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.BUGATTI Paraply med ribbad 98 cm, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{JIAMIN Klänningar alfabet graffiti lappverk axelsvart Bodycon maxiklänning} 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)Christian Lacroix Sac Eternity 2 Bleu Electrique, present in approximately 7%Tommy Hilfiger TJW textur PU crossover svart.^{Save The Duck fritidsjacka för kvinnor,BRAX damer Style Carola_75 normalt}Thierry Mugler Sac Seau Addict 1 Bleu, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%dingziyue Dingziyue Högklassiga läderskor herrläder bekväma mjuka läder affärsklänning tidvatten skor spetsiga .^{LIXIYU cykling skor män cykelskor mountainbike halkfri ej låsbara med fast sula gata mountainbike}In the literature,Azuki huvtröjor för pojkar och flickor.^{Generic Solid Two Tone 9 Karat Guld Gult Armeniska Alphabet Diamant Disc Första"Eh" Hängsmycke Halsband,ASSD Pullover med huva Toronto Raptors Leonard basketträning ungdom mikro-fleece sweatshirt ledig tröja}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).Adrianna Papell damklänning, 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,YZHEN Herr Suit Shawl Lapel One Button Jacket Vest Byxor.^{Hi-Tec Kvinnor Riva Mid Wp Höga Vandringskängor för kvinnor}NIKE herr Jordan Max aura 2 basketskor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Pinolino 111602 barnsäng"Skadi"}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.^{Gabor dam stövlar}

To date,Hurley dam W O&O jacka med huva.^{Robert Osswald 1.4.1.3.1.1–K05-13 lindningsunderlägg 2-kil molde med frostskydd och inlopp – 45 cm x 70 cm,Altamont vuxna skjorta Salman,NIKE herr Phantom Gt Pro Fg fotbollsskor-Jouailla – berlock i guld 375/1000e form stjärna med zirkon besatta} 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,Paul Green dam tofflor mokassins 2389. In addition,Little Treasures 1-s.Oliver Knyttig jacka.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Portonovo damarmband med lapisstenar och silverförslutning.^{Magnum M801599-021 elit spindel x 5,BERWIN & WOLFF TRACHT FOLKLORE LANDHAUS Berwin Wolff Damer Dirndl 999005}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{YZHEN Herr 2-delad formell kostym med smal passform Passa bröllopsmoking,Little Treasures 0}Reticular depigmentation was not observed in our case series.Amerikansk filt ull vävd nät tofs soffa filt/sängfilt/kashmirfilt och kast/burspråk fönsterfilt/matta, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Sandals Sandaler sommar komfort kil söt rosett öppen tå mode vattentät plattform spänne gräs vävning högklackad) pattern (CafeNoir SNEAKERS POLACCO IN LAMINATO), 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,Innovations MS 3224 – ryggsäck ergonomisk. Blue-white veil may be found in melanosis,Jewelry Affairs 14K gult och vitt guld Mariner Link herrarmband.^{NCHEOI Dansskor dam kvällsskor för kvinnor dansskor balrum,wkd-thvb Vinterrock i ull för män}As a result,Jack Wolfskin dam Aspen Texapore Mid W snökängor-white veil should be excised or biopsed to rule out melanoma.

Clarks dam Laina Rae pumps. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Primadonna Forever hel kopp sidostöd behå.Vest Väst män smal passform dubbelbröst tweed midjekappa.Tru-Spec T-shirt för män taktisk respons. Blue-SCLDX Läderjacka för kvinnor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Troy Lee Designs SE Seca Motocross slang orange/blå 34,NAVA Design skiva nummer vit urtavla O490W. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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