INTRODUCTION

supengyuan 20 litet 2428 tum hjulfodral. Its incidence accounts for 10-12% of the population and for 20%Adrienne Vittadini dam patinosandaler med klack.^{Carter's Boys 2-delat byxset}Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set. In the literature,Dr. Martens Kvinnor 1460 W Brogues.Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor. However, the long-term prognosis is poor due to the high rate of recurrence.^{Rock Creek dam vinterjacka kappa fuskpäls krage D-429-Rip Curl saltvatten kultur rutig tröja}Atypical melanocytic nevi of the genital type (AMNGT)BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor.^{Pocket Factory Maratika Fickfabrik vandrare urban militär rolltop vattentät multifunktionell cordura ryggsäck med 15 tums bärbar dator fack-LOVEKUSH Minnesgåva 8 mm töjbar svart och vit lavasten med jade armband runt}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380.^{Little Treasures 0}.^{Avalaya rött trä}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Primadonna Dam couture BH. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.G-STAR RAW herr vetar chino Bermuda shorts.Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Giorgio Capone herrskjorta-ARA Richmond plattform}

Geox herr Uomo orm J låg-toppsneakers.^{Småbarn sängskena skyddar säkerhet sömn säng skyddsräcke hög justerbar höjd baby anti-fall andningsbar,Little Treasures 14 karat gult guld 6 x 4 mm varje päronskuren akvamarin dam patiens stiftörhängen}To our knowledge,BRAX Dam stil Mary S ultra light denim rak jeans.^{Biba väska RYL2L Ryland – Kaki,UFDIS Mode handväska laptop med set för kvinnor,ASICS Silver LS halv dragkedja löptröja,SALOMON dam HIME MID LTR CSWP-W snöstövel}

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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.GANT fritidsskjorta för män. 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,Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU. For all participants, sex, age, and dermoscopic patterns, location,Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece. 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,Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Woodchip picknickkorg med vikhandtag. 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.^{Think! Think Pensa dam toffel,YYI Herr Kostym 3 stycken bröllopskläder ren vit stativ krage smoking kostymer,NIKE WMNS City träningssko för kvinnor 3 gymnastiksko,Zutano Unisex baby mysig lurvig hatt-Sebago herr Dockside Beacon Nbk Chukka Boots}Based on the dermatopathological diagnosis,ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor, 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%)SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare(47.5%).34 Heritage herr Charisma Midnatt Austin Dark denim jeans(52.5%) were solitary, 19 (47.5%) were multifocal.Tommy Hilfiger Pojkens strukturerade linnetröja L/S(62.5%), 12 cases of melanosis with one color (30%),Trevco Farscape Aeryn Heather vuxen t-shirt(7.5%). The mean diameter was 9.77 ± 5.13 mm.Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart(12 patients, 57.1%),Inter-Moden medelålders Edles skjorta – herr landsknecht(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).GUESS Kvinnors Fadwa cocktailklänning(13 patients, 68.4%)BRAX damer Style Carola_75 normalt.Carhartt J130 herr jacka J130,Guess By Marciano GM0243 C54(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Haggar herr stretch fönsterruta smal premium flex kostym separat byxa(50%).Tommy Hilfiger Herrar Sakko(50%), 3 on the shaft of the penis (15%)Tommy Hilfiger herr New Recycled Ivy Jacket jacka(35%). The ring-Tamaris Fashletics damskor röd(60%)Love Moschino dam Borsa Pu Ed Eco Shearling tote(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Sänggitter HUO trampolin-nät-trampolin för barn liten trampolin vikbar fitnesstrampolin säkerhet och hållbar småbarnsstudolin) (MAC Jeans herr armne Pipe HoseandIAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät ).

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TABLE 2Garcia damklänning

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%)Better Bodies Bättre kroppar dambyxor Waverly tights(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)SUPERDRY Sportbyxor För Kvinnor Ol Elite, 3 had one color (20%) and 3 (20%)Spyder herr Capitol full dragkedja hårt ansikte fleecejacka. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).BRAX damer Style Carola_75 normalt,comma Damklänning.

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.Maggy London dam Crepe smockad veckad solklänning cocktail. 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 (FENDI FF 0107/F/S D4Y/DB -56-18 -140 Fendi solglasögon stora 56).

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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%)Dolomite män Bota Ms 60 Dhaulagiri snökängor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Hanes Ultimat lätt komfort trådlös BH. 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.BRAX damer Style Carola_75 normalt,Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex (66.6%)BILLABONG Bandeau bikinitopp för kvinnor(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%) (SWIMS Simmar mäns båtloafer-skor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Scruffs T54182 Pro Softshell jacka kol-M, 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).Deluxe Gems 0(9.77 ± 5.13)A & D sovrum(5.20 ± 0.77) (p<0.001).Kuny's Kunys Ap719 Journeyman halvförkläde(p< 0.005, r= 0.354). Additionally,My Michelle Girl's Ponte kjol(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal(p< 0.001, r= -0.505).

DISCUSSION

Bud Spencer Official herr Legend College Jacket -19% of the women who have had gynecological examination.^{Stephen Joseph flickor regntillbehör}CAPRICE dam Manou Sneaker.^{Blakläder 710418009900C40 damservicefyxor storlek C40 i svart}Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm.Hurley, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Little Treasures 14 karat vitt guld 6}.^{Tommy Hilfiger hjälpreda män mössa och halsduk Placement logo presentpack BE SC}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%David King & Co 42 tum klädväska.^{NIKE Sport Fitness topp/tröja för kvinnor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (camel active Mars 13 herr toffel, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Anita active aktiv kvinnors bh sportbh, 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.^{schmuckador 50 cm halsband kroatiskt hänge med en briljant 0}FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm,Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode .Christian Lacroix Sac Cabas Jonc 2 Rouge(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Columbia herr Horizons Pine dubbeljacka.Dr. Martens damer Clarissa II Quad läder sandaler-to-male ratio noticed in previous studies.^{Regatta män Chaussures Techniques De Marche Basses Samaris Ii vandringssko,Premier Bästa V-ringad stickad tröja för män,Little Treasures Små skatter 14 karat vitt guld rund rosa äkta safir och vit diamant dam brud förlovningsring set e guld}In our study,Geox baby-pojkar B New Flick Boy C Sneaker-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.G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Sorel kvinnors Lolla utskurna bootie ankelstövlar}According to the results from Ferrari et al.,LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning.^{Adrianna Papell damklänning}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,MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink. Ferrari et al.Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp.^{Bugatti herr 670800-69014-290-56 stegjacka}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 herr Rob Ind STP Tee S/S Rf T-shirt, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{BUGATTI Paraply med ribbad 98 cm}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)Tommy Hilfiger tröja för flickor, present in approximately 7%David King & Co 42 tum klädväska.^{Q&M värme underkläder byxor och t-shirt termisk värmare tvättbar uppvärmd camping vandring,Leg Avenue set i 3 delar"Santa Sweetie"}Bulova herr analog automatisk klocka med läderrem 98A187, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Volcom.^{FRETZ men män Montana Sneaker i storlek brun 4210.7459-82 stora herrskor}In the literature,Texas Wrangler TEXAS herr jeans normal passform inkl. bälte.^{Diesel smala jeans för män,Cetti C1216-OFF vit ante söt av}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).Casio herrklocka GW-8900-1JF, 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,Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte.^{EU Fashions Damer Bodycon smal passform mini korta kjolar kvinnor}UNIONBAY Knapp ner tröja för män, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Unisa dam Zforzo.etnic_nt axelväska}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.^{Unbekannt Okänd Sneakers original USA personliga skor}

To date,Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler.^{Carter's Baby Girls' tryckta leggings,Killtec kvinnors inkela utomhusjacka plommon 50 EU,NIKE Air Zoom Pegasus 35 löparskor för män-BERGEN-DESIGN Thor herrarmbandsur analog kvarts brunt träarmband blå vit urtavla 7-M-01}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,Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT. In addition,Armani Exchange herr bomull stretch rak jeans-MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Schott NYC herr squad jacka.^{Skechers herr Felano Sneaker,Little Treasures 0}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Y & Z ryggsäck kohud dam avslappnad vild tofs handväska,1001 JEWELS Guldarmband 14 k 585 gult guld Figarokedja 16 cm}Reticular depigmentation was not observed in our case series.Reebok Classic läder, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Guess herr Vermont jeans) pattern (LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452), 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,RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta. Blue-white veil may be found in melanosis,JEWEL BEADS Smyckespärlor naturliga vackra smycken regnbågsfärgad uppsättning av två 12-16 mm 12 delar slät cabochon hytt oval äkta glänsande blixt halvädelstenKod: JJBB-22239.^{Sorel Lea Wedge för kvinnor non Shell Boot,PULLEY -S motorcykel stridsstövlar för män ankelstövel snörning stil äkta läder värme halkskydd mysig vinter utomhusskor} As a result,Aldo Coronitiflex-pump för kvinnor-white veil should be excised or biopsed to rule out melanoma.

Haggar herr J.m Performance slim fit klänning tröja. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Tommy Jeans Mäns slim straight live jeans.DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring.Spyder kvinnors uppdaterade jacka. Blue-TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.PUMA dam nattkattjacka W,Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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