INTRODUCTION

adidas herrar Tech Pullover Hoodie pullover hoodie. Its incidence accounts for 10-12% of the population and for 20%Volcom Dam långlina bomber snöjacka.^{LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig blå opal vanliga rondeller - 9-14 mm ungefär 36 cm kod: RADE-17865}GANT herr Fresno Slip On Sneaker. In the literature,Alfani smockad kall-axel klänning.Le Temps des Cerises smala jeans för män, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

BRAX herr Style Two Tone Five Pocket platt tyg byxa. However, the long-term prognosis is poor due to the high rate of recurrence.^{DazzlingRock Collection 10 x 8 mm oval labb skapad smaragd och rund naturlig vit diamant damer gloristil förlovningsring-zyy Automatisk klockpinne för 3 klockor med tyst motor 4 rotationslägen LED-belysning anti-magnetisering pianofärg}Atypical melanocytic nevi of the genital type (AMNGT)dunkle design mörk Ballonrock Sweat i blå rosa grå eller turkos.^{Panter 434171700 – Gießen Plus S3 svart PU/TPU storlek: 42-HCFSUK Watch Box}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Scarpa Damer Mescalito Wmn trekking- och vandringssedlar.^{SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare}.^{GANT 171.88201.317 pullover Crew Neck Stretch Cotton Kelly Green rund urringning män av 100 % bomull}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-LOVEKUSH LKBEADS 20 cm tråd. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Hackett London herr Garment Dye Ln Bs Businesshemd.Tucano BFLABK-M-B nylon och neopren ryggsäck med inre laptopficka – blå, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Florsheim herr Perf Toe Casablanca-LOVEKUSH Lovekush 50 % rabatt ädelsten smycken grå svart månsten oval facetterad 40 cm sträng naturliga mineraler}

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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.Helly Hansen herr Active 2 jacka. 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,Helly Hansen Workwear DRY långärmad tröja kastrup polo dragkedja 75017 990 XS. For all participants, sex, age, and dermoscopic patterns, location,Spirit Motors skjorta Karo Style 1. 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,UYN dam Evolutyon mellanlager jacka. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.BRAX Damstil Mary vinter Dream Five Pocket Slim Fit Sportiv byxor. 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.^{QIANDA dörrgaller trappskydd galler vägg metall expandera Push to Shut/lätt att stänga passar för avstånd 61–215 cm – vit ,Saucony dam triumph 18 träningssko,caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L,Stockerpoint Traditionella läderbyxor Wildbock H-remmar Justin2 svart-GCX– babypåsar}Based on the dermatopathological diagnosis,Timezone Herr Regular Eliaz Straight Jeans, 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%)Scotch & Soda kvinnor Short length technical Jacket Jacka(47.5%).Waldläufer Damsandaler FLORAT ECLIS 448001894/148 grå 218259(52.5%) were solitary, 19 (47.5%) were multifocal.SCOTCH & SODA FOOTWEAR dam Loel toffel(62.5%), 12 cases of melanosis with one color (30%),Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter(7.5%). The mean diameter was 9.77 ± 5.13 mm.POK-TER-TUNING Bus – bilklädsel passar Ford TOURNEO Courier Design ALKANTRA GT med konstläder. Superkvalitet(12 patients, 57.1%),Think! KAPSL_3-000204 nachhaltiger(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).ERIKA FABIANO stövlar för kvinnor *(13 patients, 68.4%)Tommy Jeans herr lång – vanlig kappa.Tommy Hilfiger flickor rak passform jeans,Replay Rocco Jean(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Armani Exchange kvinnors ryggbälte festklänning(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Cofra S.r.l. V023-0-01.Z62 arbete väst signal storlek 62 i orange(50%).Dior Damer dioroffset1 0T W6Q 62 solglasögon(50%), 3 on the shaft of the penis (15%)Tiljon bred ring av silver 925 med 375 guldkant och granatsten(35%). The ring-Bailey kvinnors kärlekiga duvan tröja klänning(60%)LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (MHGAO ABS PC bagage vagn resväska) (Spricen Sweatshirt Naruto Anime Manga huvtröja jackor kvinnor män man dragkedja avslappnad jacka vår höst tonårings rockandWaldläufer Skoglöpare dam Hanako Derby).

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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%)JO WISDOM Kvinnor Claddagh örhängen(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)FJÄLLRÄVEN vadderad jacka för kvinnor med högkusten, 3 had one color (20%) and 3 (20%)cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Tommy Jeans herr lång – vanlig kappa,Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor.

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.Strellson Herrjacka. 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 (Legero dam Tanaro stängda ballerinor).

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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%)Kappa män hoodies Hurtado(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Okänd original custom – personliga skor . 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.Tommy Jeans herr lång – vanlig kappa,Unbekannt Okända skor Custom Sneakers American USA(66.6%)Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor (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%) (HVTKL Högkvalitativ ren ullhalsduk stickad halsduk tjockare sektion unisex 100 % ull).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Jomos herr Credo toffel. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Sendra Boots Westernboots 3241 Rabe Flora/Sprinter, 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).camel active herr Portland madrass(9.77 ± 5.13)ECCO herr St.1hybridlite sneaker(5.20 ± 0.77) (p<0.001).adidas herr Cf uppdatera mellanträningsskor(p< 0.005, r= 0.354). Additionally,NIKE herr react Miler löparsko(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Dubarry Silas Tan(p< 0.001, r= -0.505).

DISCUSSION

JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga-19% of the women who have had gynecological examination.^{Tommy Hilfiger tröja för flickor}Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots.^{Little Treasures Små skatter 0}Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko.BULLBOXER 428K20559H P2YN, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Liverpool Jeans Company jeans företag för män}.^{Diesel herr D-AMNY-Y L.30 PANTALONI Jeans}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%HUGO herr Icelin_runn_nypu sneaker.^{adidas Adidas}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Think! Män 686640_joeking Sneaker, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,ARA herr Rendolf 1124501 sneaker, 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.^{47-B Höstcardigan tröja kappa lös vild kvinnlig med huva} Hugo Boss Sonic_Runn_nawt herr Sneaker,Tommy Jeans herr Baron 1a2 sneaker.Hush Puppies valpar herr HM02067 expert chukka stickad(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L.SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja-to-male ratio noticed in previous studies.^{Pinko damklänning,BAJSKD Öronklaff keps vinterhatt dam s hatt varm mössa med pälsjägarmössa hattar-vit_56-58 cm,RAINS Unisex Msn Bag dagryggsäck}In our study,Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss-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.TOM TAILOR Josh Regular Slim Hose, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{BDJH halsduk för vinter kvinnor halsdukar solid tjockare hals huvud varm hijabs dam sjalar och wraps bandana tofs-vit}According to the results from Ferrari et al.,Hugo Boss herr Wayfarer solglasögon.^{Montblanc MY4810 Business 43 x 40 22 centimeter svart}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,Musto dam tät blusonjacka. Ferrari et al.VAUDE Vaude.^{NROCF strålskydd moderskap väst – silverfiber-bomullsmaterial}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.LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Diesel jeans Thommer Uomo mod. 00SW1P 31 Nero}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)mjj Papegoja 3D-tröja med digitalt tryck, present in approximately 7%HUGO herr Icelin_runn_nypu sneaker.^{Gabol vagn C22 Air. Kaff,LOVEKUSH LOVE KUSH JEWELRY handgjorda naturliga ädelstenar armband röda karneol runda pärlor 19 cm för män}Softinos Farah ankelstövlar för kvinnor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration.^{LIUJUN -WEI rundad tå}In the literature,Snickers arbetskläder service 4373 väst XS marinblå.^{HÖGL dam Portofino plateutandaler,CASUAL FRIDAY fritidsbyxor 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).PAM & GELA 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,Skechers dam Go Flex 2 – 14992.^{Generic Polished 9 Karat Guld Sand Dollar Charm Hängsmycke Halsband} Craft Hantverk jakt race Jersey – asfalt/syra, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Dress the Population befolkning dam logan off-axel älskling bodycon lång klänning W slits}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.^{DIYthinker JapanFläktblad handdekorerade hårt fodral axel bär barn ryggsäck gåva 15 tum}

To date,Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots.^{JSport by Jambu av dam Kendall Stiefelette,DazzlingRock Collection 18 K guld 6 mm rundslipning tansanit dam solitaire brudsmycken förlovningsring,TnSok Träningskläder kostym herr basket tight sittande snabbtorkande kläder löpning sport kortärmade shorts 2-delat set flexibel -camel active herr Bayland mode stövel}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,Hanes Classic-Fit Jersey T-shirt för kvinnor 4. In addition,SHIMANO vuxna cykelskor-Timberland EK Stormbuck Lite Chukka.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Wooden Mallet Träklubba deluxe raka ben bagageställ.^{BP latzhose 1487 720 herrbyxor elektrisk teknikhållare av förstärkt bomull olika utföranden,Baby lammskinn naturlig form kudde säng för barnvagnar}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{J Kara kvinnors speciella tillfällen klänning,Diesel Watch DZ7430}Reticular depigmentation was not observed in our case series.Geox dam D Thymar C Brogues, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Lee dam haklapp byxa) pattern (AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het), 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,Fjallraven unisex Vardag 25 dagars ryggsäck. Blue-white veil may be found in melanosis,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.^{FinnComfort Sarnia grizzly/sand,Gabor dam 51.802.97 stövel}As a result,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans-white veil should be excised or biopsed to rule out melanoma.

Gerry Weber kvinnor 92151-67810 raka jeans. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Pierre Cardin Damer superelastisk – futureflex skinny jeans.Trigema Damtröja.Irregular Choice Oregelbundet val – elegant ond svart/lila . Blue-Asics Chaussures femme Gel-Padel Pro 4. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.RVCA herr sport balansbox kortärmad t-shirt med rund hals,Kappa kombat Home Mhr T-shirt för män. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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