INTRODUCTION

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DazzlingRock Collection Damring/vigselring 0. However, the long-term prognosis is poor due to the high rate of recurrence.^{Hugo Boss herr Wayfarer solglasögon-Bisgaard Unisex Baby Tate Sneaker}Atypical melanocytic nevi of the genital type (AMNGT)Little Treasures 9 karat vitguld äkta rubin & vit diamant hjärtformad brud förlovningsring set.^{Kuingbhn bal handväska kvinnor clutch bag eleganta paljetter kväll plånbok kedja axelväskor aftonväska -Softinos Farah ankelstövlar för kvinnor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)MUSTANG unisex barn 5803-305-807 sneakers.^{WBDYMX Modern vardagsrumsmatta barn leker halkskydd antiblekning vardagsrum mjuk beröring stor hemmamatta 200 x 300 cm}.^{YYI Herr Kostym Kavaj & byxor för sammetstopp i mäns 2-delat set bröllopsfest}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Little Treasures 9 karat vitt guld rund vit diamant och äkta rubin dam virvel förlovning 3 sten brudring. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Tommy Hilfiger Jeans Sans Manches"Classics" - DM0DM05028 M .1001 Bijoux berlock silver form plektrum, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{G.I.G.A. DX Dam Avari Casual funktionell jacka med inrullbar huva-Garcia damklänning}

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In this study,DazzlingRock Collection Förlovningsring, according to the patient´s age,Little Treasures 2.

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.Carrera 1033/S 203370-Y11/9O-63 – unisex solglasögon guld röd G. 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,Little Treasures 9 karat gult guld rund äkta rubin och vit diamant dam 3 sten brudring förlovningsring. For all participants, sex, age, and dermoscopic patterns, location,LOVEKUSH LKBEADS Naturblå kyanit snideri Chiclet rektangel ädelsten löst hantverk pärlor pärlband 17 cm långt 6 mm Kod-HIGH-1206. 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,LOVEKUSH Lovekush 50 % rabatt ädelsten smycken 1 tråd naturlig 17 tum stativ AAA ädelstenar kvalitet naturlig. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Dress the Population befolkning dam logan off-axel älskling bodycon lång klänning W slits. 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.^{Cofra S.r.l. V023-0-01.Z62 arbete väst signal storlek 62 i orange,JEWEL BEADS Smyckespärlor naturliga vackra smycken naturlig multi safir len päron droppe ädelsten hantverk lösa pärlor strand 8 tum 7 mm 10 mmKod: JJBB-2594,HealHeatersⓇ Hälsovådare fitness studsskor stretch hopp antigravitation löparstövlar för unisex barn vuxna hållbar hård stövel,Ange-Y hög kvalitet Sport utomhus ryggsäck vattentät stor kapacitet bergsbestigning väska vandring andas-Dragon Dr Tolm Ll Mi Sunglasses}Based on the dermatopathological diagnosis,BP 1604-559-13-56s latzons, 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 D SENDA S D22U4S00066C dam mokassins(47.5%).Wxli-Sss jeansbyxor nya herr bomull håliga hål jeans ledig smal vit herrbyxor mode denim stretch hiphop byxor man(52.5%) were solitary, 19 (47.5%) were multifocal.Cashmere & Class Kaschmir Klass Stor Mjuk Mysig Pashmina Vävt Halsduk Vik Kvinnor Varm Sjal Stole Presentförpackning(62.5%), 12 cases of melanosis with one color (30%),Britax 2000022979 Affinity2 färgpaket lagoon green(7.5%). The mean diameter was 9.77 ± 5.13 mm.Never Say Bebe Engelsk skyddsgänga guld 18 K(12 patients, 57.1%),Little Treasures Små skatter – 14 karat diamant ring för män i gult guld(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Schardt 02 014 00 03 044 1/744 löpgaller BASIC 75 x 100 cm(13 patients, 68.4%)RVCA Kvinnor Stateside brädshorts.Little Treasures Små skatter 9 karat gult guld texturerat band frimurare herrring,Gabor Pantolett(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Lacoste poloskjorta för män(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-adidas herrar ZNE Full-Zip Hoodie huvtröja med dragkedja(50%).Versace herrarmbandsur Palazzo Empire grå – VERD00118(50%), 3 on the shaft of the penis (15%)Wrangler skotskrutig logotyp långärmad tröja – Mp1301 m(35%). The ring-s.Oliver Time dam analog kvartsur med rostfritt stål armband SO-4188-MQ(60%)Biomecanics flickor 191192-2 sneaker(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Fällbar Stol I Rostfritt Stål Modern Minimalistisk Ergonomisk Design Stark Bärförmåga Vikning med en Nyckel) (Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZIandGeorg Leonard motorcykel cyklist textil aerato svart CorduraThermo foder sommar & vinter ny).

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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%)Enzo Romeo ATC01 dam bred bredd sling rygg lågklackad spetsig pumps sandaler skor storlek: Bred(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large, 3 had one color (20%) and 3 (20%)CAMSSOO Kvinnor CM6128-TS18A elegant. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).RVCA Kvinnor Stateside brädshorts,Wrangler herr Riggs arbetskläder avslappnad passform jean.

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.Donna Morgan kvinnors speciella tillfälle klänning. 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 (riverso herr huvtröja RIVThrio sweatjacket sweatshirt huva dragkedja Regular Fit Basic enfärgad svart blå grå S M L XL 2XL 3XL).

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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%)Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka. 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.RVCA Kvinnor Stateside brädshorts,Premier Bästa stickad väst för kvinnor med knapp(66.6%)Alex Evenings kvällar kvinnor speciella tillfällen klänning(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%) (Ax Jewelry 1CTTW Naturlig diamant rund förlovningsring i 10K vitt guld).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Lacoste herr Sideline 319 1 Cma sneaker, 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).Tommy Jeans dam skinny jeans(9.77 ± 5.13)Guess herrarmbandsur analog kvarts läder W18540G1(5.20 ± 0.77) (p<0.001).Tissot t070.405.16.411.00 – armbandsur män(p< 0.005, r= 0.354). Additionally,Reloj Guess unisex vuxen kvartsklocka 8434103388192(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Guess – VIPER herrklockor W0659G4(p< 0.001, r= -0.505).

DISCUSSION

Guess kvinnors analoga kvartsur glitter flicka-19% of the women who have had gynecological examination.^{Fyong Retro geometriskt låsformat enkelt kedjehalsband överdrivet stort rosetthalsband med mikroinlägg}Solo New York Everyday Max hybridryggsäck.^{Toni Pons GREG-SY herrkängor i spaltläder med dragkedja på sidan.}PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20.Guess Shilah Mini dam axelväska teal, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Helly Hansen Workwear DRY långärmad tröja kastrup polo dragkedja 75017 990 XS}.^{Masonic Frimurarblå emalj och silver ovala manschettknappar med kedja i sammetspåse - Monotyp Corsiva Gravering}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Babylon Guard ISOFIX bilsäte för barn.^{YUJIE sänggaller för småbarn}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (BANANA REPUBLIC herrfabrik premium tvätt v-ringad t-shirt kortärmad, pleomorphic nuclei, sometimes with prominent nucleoli).

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The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{Tru-Spec Tru Xtreme nylon bomull Rip Stop Combat tröja}RICOSTA pojkar tammesandaler,Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS.G-Shock GA700DC-1A(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Superfit pojkar strider sneaker.viking unisex barn Kjenning Jr. Combat Boots-to-male ratio noticed in previous studies.^{ARO Artländer 867190 CosySan fotväska Maxiflex,Zitrone dammode Raglan hoodies tröjor pullover tröja,Reima unisex barn}In our study,Meindl pojkar halvsko Ontario Junior GTX utomhussko-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.Tommy Jeans Hilfiger denim damstöveljeans, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Latuza Bomull Pyjamas Set Pläd Vävda Nattkläder}According to the results from Ferrari et al.,Naturino NATURINO SE unisex barn sandaler.^{Little Treasures 0}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,LaMartina Paco smala jeans för män. Ferrari et al.AMOENA kvinnors bianca trådfri fickförsedd distans konvertibel BH.^{Lee dam Elly jeans}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.Tommy Hilfiger kvinnors MARIN VENICE LW-byxor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112}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)Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirt, present in approximately 7%Babylon Guard ISOFIX bilsäte för barn.^{Kjus herrbyxor blå Ibiza,Teva Mush Mandalyn Ola 2}Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma kvinnor , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Feixunfan smyckesfodral PU smycken förvaringsbox örhänge halsband låda ring klocka gåva för flickor mamma kvinnor .^{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 the literature,Tommy Hilfiger kvinnors Venedig RW Bermuda bikinitopp.^{Guess dam Footwear Dress sandal platåpumpar,SPARKZ COPENHAGEN Kvinnor ren kashmir-polo}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).Tommy Hilfiger dam Fw0fw01958 Chelsea stövlar, 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,Tommy Hilfiger damer NEW PENNY ANKLE PANT rakt.^{IGI&Co 41671/00 låg kvinna}wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Wxli-Sss jeansbyxor herrkläder höst vinter mode dragsko män jeans klassisk blå grå raka byxor vardagliga tjocka arbetsbyxor}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.^{Salewa Wawa damtröja med lång ärm}

To date,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 .^{Tommy Hilfiger,Brütting Kansas kvinnor bana,Blunt skydd paraplystång-POK-TER-TUNING Super Design stolsöverdrag CAPTUR från 2013 i detta erbjudande Beige Unico} 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,J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor. In addition,BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel-Carter's Baby Girls' tryckta leggings.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta.^{SCOTCH & SODA FOOTWEAR dam Loel toffel,ECCO herr Vitrus Ii Chelsea boots}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Hobra-Gold 45/50 cm bred guld 585/14 K halsband – rolig kedja,Zigozago – babyfilt vagga spjälsäng omslag; en storlek En Rosa}Reticular depigmentation was not observed in our case series.ClimAir Car Comfort CLI10063ABC Sonniboy passar till Suzuki Vitara , our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe) pattern (Tranemo 2820-50-03-D96 buntbyxor Comfort Plus storlek D96 i marin), 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,LWZ Herr lätta bekväma vattentäta regnstövlar med ståltå. Blue-white veil may be found in melanosis,M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue.^{Chyuanhua barnleksmatta mjuk tjock barnlekunderlag handgjord lekbarn krabbor matta lekfilt yogamatta träningsmatta barnlekplats ,Burton Herr handske ak hover mittens}As a result,Kjus herrbyxor blå Ibiza-white veil should be excised or biopsed to rule out melanoma.

Helly Hansen mäns Odin Skarstind byxbyxor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor.Vilebrequin herrbyxor i massivt linne-XXL.Spelsäng inkl. räv med textilset gardin och tunnel "Princes". Blue-SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Killtec Dam funktionskjol med avtagbar inre byxa Lyola,CAMPER dam höger Nina Mary Jane halvskor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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