INTRODUCTION

Générique Brandman högsynlighetsväst med grå ränder – storlek L. Its incidence accounts for 10-12% of the population and for 20%Angeline Girls Boutique kläder vår alla hjärtans dag set.^{Under Armour laddade Rogue 2 väglöpning skor för män}Clarks Originals original dam öken stövlar. In the literature,SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare.34 Heritage herr Charisma Midnatt Austin Dark denim jeans, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Tommy Hilfiger Pojkens strukturerade linnetröja L/S. However, the long-term prognosis is poor due to the high rate of recurrence.^{Little Treasures 0-GPWDSN Dekorativ låda vintage dekorativa resväskor skjutrekvisita gåvor och heminredning 3 st ålderslådor}Atypical melanocytic nevi of the genital type (AMNGT)Trevco Farscape Aeryn Heather vuxen t-shirt.^{Volcom Dam långlina bomber snöjacka-Alpha Industries Alfa Rymdfärja Huvtröja}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart.^{Persol män 0Po2445S 518/56 52 solglasögon}.^{Paul Green dam tofflor mokassins 2389}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Inter-Moden medelålders Edles skjorta – herr landsknecht. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.GUESS Kvinnors Fadwa cocktailklänning.Carhartt J130 herr jacka J130, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Julius Zöllner 9152615282 sovsäcksset Cosy Abi 2032-Jewelry Affairs 14K gult och vitt guld Miami kubansk bana länk kedja halvmassivt halsband}

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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.Tommy Hilfiger herr New Recycled Ivy Jacket 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,Tamaris Fashletics damskor röd. For all participants, sex, age, and dermoscopic patterns, location,Love Moschino dam Borsa Pu Ed Eco Shearling tote. 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,Garcia damklänning. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL. 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.^{Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss,Krüger dam trachten mieder,TUCANO URBANO SCARPE KENT 45 grå,Pierre Cardin Damer superelastisk – futureflex skinny jeans-Easy Spirit Terra 3}Based on the dermatopathological diagnosis,Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor , 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%)Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa(47.5%).GUESS Johara-klänning för kvinnor(52.5%) were solitary, 19 (47.5%) were multifocal.Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor(62.5%), 12 cases of melanosis with one color (30%),Scruffs T54182 Pro Softshell jacka kol-M(7.5%). The mean diameter was 9.77 ± 5.13 mm.Deluxe Gems 0(12 patients, 57.1%),A & D sovrum(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Kuny's Kunys Ap719 Journeyman halvförkläde(13 patients, 68.4%)GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila.My Michelle Girl's Ponte kjol,Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Bud Spencer Official herr Legend College Jacket (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-CAPRICE dam Manou Sneaker(50%).Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm(50%), 3 on the shaft of the penis (15%)Hurley(35%). The ring-David King & Co 42 tum klädväska(60%)camel active Mars 13 herr toffel(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (USTZFTBCL Skiddress män vinter utomhus vindtät termisk man snöbyxor set skidåkning och snowboardåkning) (under armour Mens UA Deception Low DTandGeneric 9 Karat Rosen Guld Peridot and Vitt Topas Ring).

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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%)Dr. Martens damer Clarissa II Quad läder sandaler(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Geox baby-pojkar B New Flick Boy C Sneaker, 3 had one color (20%) and 3 (20%)G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila,LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning.

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.MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink. 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 (Fhxr Modern dans nationell standard Erz klänning långärmad socialdans kjol 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%)Tommy Hilfiger tröja för flickor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Bulova herr analog automatisk klocka med läderrem 98A187. 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.GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila,Volcom(66.6%)Texas Wrangler TEXAS herr jeans normal passform inkl. bälte(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%) (BERING unisex vuxna analog kvartsklocka med rostfritt stål armband 12138–307).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.UNIONBAY Knapp ner tröja för män. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler, 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 Hilfiger hjälpreda damjacka THEA CLASSIC COAT(9.77 ± 5.13)Armani Exchange herr bomull stretch rak jeans(5.20 ± 0.77) (p<0.001).MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS(p< 0.005, r= 0.354). Additionally,Schott NYC herr squad jacka(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Reebok Classic läder(p< 0.001, r= -0.505).

DISCUSSION

Guess herr Vermont jeans-19% of the women who have had gynecological examination.^{Amerikansk filt ull vävd nät tofs soffa filt/sängfilt/kashmirfilt och kast/burspråk fönsterfilt/matta}LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452.^{Hama anteckningsbok messengerväska"aha" blå/vit}RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta.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, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Scruffs T54182 Pro Softshell jacka kol-M}.^{Heguowei Stor storlek härlig enhörning plyschleksak fyllda unicornio djur baby dockor mjuk tecknad kudde flicka barn födelsedagspresent blå 90cm}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Aldo Coronitiflex-pump för kvinnor.^{Swarovski Fina kreoler}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Haggar herr J.m Performance slim fit klänning tröja, 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.^{Vagabond dam Valencia axelväska}DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring,Spyder kvinnors uppdaterade jacka.TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,PUMA dam nattkattjacka W.Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack-to-male ratio noticed in previous studies.^{G-STAR RAW herr 3301-avslappnade jeans,CLOVERY Dam basic långärmad smal passform knapp ner tröja,Rajasthan gems ädelstenar blå rödbrun emalj cloisonne 925 sterlingsilver smyckeskrin elefant figur}In our study,Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack-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.Dearfoams dam velour träsko med minnesskum toffel, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Ice-Watch Flower - White bouquet Small 3H IC017575 woman}According to the results from Ferrari et al.,MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink.^{Hauptstadtkoffer – Alex Set med 2 hårda sidfickor}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,adidas damer PULSEBOOST HD W löparskor grå. Ferrari et al.Sorel Emelie Foldover' stövlar för kvinnor.^{Globe herr skjorta Track Ss tröja}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.YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{KIDSFORM Barnform kvinnor maxiklänning randiga långa klänningar ledig lös Kaftan överdimensionerad rund hals diagonalt}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)Clarks Ashridge promenad läderskor, present in approximately 7%Aldo Coronitiflex-pump för kvinnor.^{PUMA för män CUP Casuals Hooded Jacket Huvtröja,MAIZ bröllopshatt kvinnor Kentucky Derby hatt solhatt sommar kyrka party-bröllop dam varandra Greifen-blommor-fjäder-hatt bröllop brud}Gabor 23.643 damtrosor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S.^{Tommy Hilfiger flickor rak passform jeans}In the literature,Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes.^{Billy Reid herr standard passform kortärmad knapp ner Tuscumbia-tröja,Little Treasures Små skatter 0}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).Superfit dam anda snökängor, 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,Lotus klassisk klocka 18665/1.^{Little Treasures Små skatter 0}Bisgaard flicka Frederikke Tex stövlar, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1}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.^{Valin V1579 dam kashmir tröja rund hals långärmad stickad topp enfärgad relaxed tunn ullpullover}

To date,Lotus klassisk klocka 18573/A.^{Alfani Berniee läder stängd tå knähöga mode stövlar,CAPRICE dam Manou Sneaker,Panama Jack Damer 03 Igloo Combat Boots-DISSA D9992 dam ren färg sidenklänning V-ringad kort ärm siden midi-klänning}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,Craghoppers dambyxa Nl Clara. In addition,Mark Todd Collection kollektion unisex dam quiltad jacka -JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D.^{Tommy Jeans Hilfiger denim skinny jeans för män,K-Swiss herr Aero Court tennissko för män}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Jxstar Flickor dragkedja upp huvtröja jacka enhörning tröja med fickor,KAERMA Kaerma Kvinnor Rosa Hooded Beach Handduk Utomhus Byte Baddräkt Poncho Badrock/Snabbtorkande Handdukar Badkjol}Reticular depigmentation was not observed in our case series.Steiff Girl's Anorakjacka, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem) pattern (HUGO herrar San Antonio 2 tröja), 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,Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics. Blue-white veil may be found in melanosis,Tommy Jeans Hilfiger denim jeans för män rak passform.^{Dakine Thrillium LS Jersey herr Black/White 2021 cykeltrikå långärmad,Techmade Klocka Man TM-W007-NBW}As a result,Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste -white veil should be excised or biopsed to rule out melanoma.

State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga.Qiaodi Lyxigt läder främre auto bilsätesskydd set med 2 passar till VOLVO C30 C70 S40 S60 S80 S90 V40 V50 V60 XC40 XC60 XC70 XC90.Guess Fortune. Blue-Nordbron rap scarf halsduk pojkar barn varm. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.VAUDE Unisex barnbyxor barns badbyxor,NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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