INTRODUCTION

Cosabella Nsn Maternity Hotpant Korta Trosor. Its incidence accounts for 10-12% of the population and for 20%NKlaus 0.^{Columbia dam kinetic Lite spetsskor}GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila. In the literature,Tamaris dam toffel 1-1-24226-32.Générique Brandman högsynlighetsväst med grå ränder – storlek L, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Angeline Girls Boutique kläder vår alla hjärtans dag set. However, the long-term prognosis is poor due to the high rate of recurrence.^{XNAurora herr läder affärsportfölj handväskor 40 cm bärbar axelväska affärsväska kurirväska-DFGH Hårsalong barbershop öppna tecken}Atypical melanocytic nevi of the genital type (AMNGT)Clarks Originals original dam öken stövlar.^{Comfort Sport dam 52.894.41 mode stövel-Salewa Dam Lagazuoi 3 Dwn W Jkt jacka}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare.^{Marvel Spiderman Action barnbagage}.^{Frank Lyman Stil 203174U svart topp}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-34 Heritage herr Charisma Midnatt Austin Dark denim jeans. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Tommy Hilfiger Pojkens strukturerade linnetröja L/S.Trevco Farscape Aeryn Heather vuxen t-shirt, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Paul Green dam stövlar-Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko}

Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart.^{Henry London unisex analog kvartsklocka med läderarmband HL39-S-0031,Tommy Hilfiger ekologisk bomullsblandning dragkedja genom tröja}To our knowledge,Inter-Moden medelålders Edles skjorta – herr landsknecht.^{ESPRIT herrarmbandsur XL Pace Black Analog läder ES102521002,Filt rosa spargris mönster handduk var lakan barn kontor luftkonditionering flanell skotskrutig nu,J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta,XJJ88 12 delar Shutterstock_1218283948 1 förvaringsväska – mönster tryckt tvättbar leksak påse väskor för Thanksgiving party presentförpackning}

In this study,GUESS Kvinnors Fadwa cocktailklänning, according to the patient´s age,Carhartt J130 herr jacka J130.

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.Guess By Marciano GM0243 C54. 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,ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB. For all participants, sex, age, and dermoscopic patterns, location,Haggar herr stretch fönsterruta smal premium flex kostym separat byxa. 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,Tommy Hilfiger Herrar Sakko. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Tommy Hilfiger herr New Recycled Ivy Jacket jacka. 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.^{Pierre Cardin herr Lyon Byxor,MUSTANG Damshorts Jasmin Capri-shorts,LOVEKUSH LKBEADS Naturblå kyanit snideri Chiclet rektangel ädelsten löst hantverk pärlor pärlband 17 cm långt 6 mm Kod-HIGH-1206,Little Treasures Små skatter 2-My Michelle Girl's Ponte kjol}Based on the dermatopathological diagnosis,Tamaris Fashletics damskor röd, 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%)Dolomite män Bota Ms 60 Dhaulagiri snökängor(47.5%).Hanes Ultimat lätt komfort trådlös BH(52.5%) were solitary, 19 (47.5%) were multifocal.Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex (62.5%), 12 cases of melanosis with one color (30%),BILLABONG Bandeau bikinitopp för kvinnor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa(12 patients, 57.1%),GUESS Johara-klänning för kvinnor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor(13 patients, 68.4%)adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU.Scruffs T54182 Pro Softshell jacka kol-M,Deluxe Gems 0(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).A & D sovrum(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Kuny's Kunys Ap719 Journeyman halvförkläde(50%).My Michelle Girl's Ponte kjol(50%), 3 on the shaft of the penis (15%)Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal(35%). The ring-Bud Spencer Official herr Legend College Jacket (60%)CAPRICE dam Manou Sneaker(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Bugatti damtröja) (Little Treasures 14 karat gult guld diamant initial I ring e kt guldandLOVEKUSH Pärlor ädelsten 20 cm tråd).

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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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HurleyMelanosis on the glans penis showing a globular pattern

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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%)FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode , 3 had one color (20%) and 3 (20%)Christian Lacroix Sac Cabas Jonc 2 Rouge. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU,Columbia herr Horizons Pine dubbeljacka.

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.Dr. Martens damer Clarissa II Quad läder sandaler. 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 (JEWEL BEADS Pärlor ädelsten röd spinell släta pärlor).

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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%)LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink. 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.adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU,Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp(66.6%)Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt(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%) (New Balance herr PROCTSEM Trailrunning-sko).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Volcom. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Texas Wrangler TEXAS herr jeans normal passform inkl. bälte, 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).Casio herrklocka GW-8900-1JF(9.77 ± 5.13)Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte(5.20 ± 0.77) (p<0.001).UNIONBAY Knapp ner tröja för män(p< 0.005, r= 0.354). Additionally,Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT(p< 0.001, r= -0.505).

DISCUSSION

Armani Exchange herr bomull stretch rak jeans-19% of the women who have had gynecological examination.^{Unbekannt Okänd Sneaker All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor} MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS.^{OLYMP herr skjorta modern passform extra lång arm}Schott NYC herr squad jacka.Reebok Classic läder, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{TAYIBO mysiga halkfria flip-flop-tofflor}.^{YZHEN Herr Suit Plaid Byxor med två knappar}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Guess herr Vermont jeans.^{Kappa Mäns träningsoverall Ephraim Tracksuit}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta, 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.^{LOVEKUSH LKBEADS Naturblå Chalceny runda pärlor 45}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,Aldo Coronitiflex-pump för kvinnor.Haggar herr J.m Performance slim fit klänning tröja(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Tommy Jeans Mäns slim straight live jeans.DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring-to-male ratio noticed in previous studies.^{YPDM badrock,Tommy Hilfiger herr Bleecker Cargo Fin PD-struktur byxa,BOOM Watches Nalka Blush}In our study,Spyder kvinnors uppdaterade jacka-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.TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver}According to the results from Ferrari et al.,PUMA dam nattkattjacka W.^{Planam buntbyxa värme/svetsskydd}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,Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack. Ferrari et al.Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack.^{DC Shoes herr Court Graffik SE mäns sko skateboardskor}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.Dearfoams dam velour träsko med minnesskum toffel, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Salewa WS Dropline träningsskor}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)MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink, present in approximately 7%Guess herr Vermont jeans.^{wrangler Men's George Strait Cowboy Cut Original Fit Jean ,Sols herr Rallye softshellwest/bodywarmer/weste}adidas damer PULSEBOOST HD W löparskor grå, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Sorel Emelie Foldover' stövlar för kvinnor.^{Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor}In the literature,YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor.^{Skechers ARCH FIT BIG APPEAL kvinnor – moderskap Sneaker,Little Treasures 14 karat vitguld äkta rubin & vit diamant damer vintage stil brud förlovningsring e vitt guld}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).Clarks Ashridge promenad läderskor, 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,Gabor 23.643 damtrosor.^{Little Treasures Små skatter 14 karat vitt guld rundskuren äkta rubin och vit diamant dam brud 3 sten förlovningsring e guld}PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Lily Bloom Satchel tygväska | axel topphandtag handväskor stor kapacitet}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.^{GHqY Personliga handgjorda skor}

To date,Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes.^{YGB Ny fickur,MGW Kvinnors ultrahögklackade plattform sandaler Nitar plattformar Stilettklackar Dam sommarklackade partyklänningsko Lämplig för fest,Mammut herr longsleeve Alvra-PRIMIGI flickor Psa 34338 sneaker}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,Superfit dam anda snökängor. In addition,Lotus klassisk klocka 18665/1-Bisgaard flicka Frederikke Tex stövlar.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Lotus klassisk klocka 18573/A.^{Subobo Pojke shorts och topp-set,LOVEKUSH 50 % rabatt ädelsten smycken naturlig peruansk opal fasetterade kubpärlor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Generic RoaRing Lejon Ring in 9 Karat Rosen Guld,LOVEKUSH 50 % rabatt ädelsten smycken 10 trådar}Reticular depigmentation was not observed in our case series.Craghoppers dambyxa Nl Clara, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Mark Todd Collection kollektion unisex dam quiltad jacka ) pattern (JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk), 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,JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D. Blue-white veil may be found in melanosis,Steiff Girl's Anorakjacka.^{Portwest C467 Hi-Vis 3-i-1 jacka Bombardero,BRAX Dam stil Mary S ultra light denim rak jeans}As a result,Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem-white veil should be excised or biopsed to rule out melanoma.

HUGO herrar San Antonio 2 tröja. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics.Tommy Jeans Hilfiger denim jeans för män rak passform.Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste . Blue-State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.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. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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