INTRODUCTION

TBS Mojarra sandaler med öppen tå för kvinnor. Its incidence accounts for 10-12% of the population and for 20%OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer.^{LOVEKUSH 50 % rabatt ädelsten smycken Welo eld etiopisk opal slät pärondroppe hantverk lösa pärlor strand 20 cm 5 mm 6 kod: - RADE-27879}G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import. In the literature,Tamaris dam 1-1-28007-24 007 sandaler med klack.Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Chaco Zvolv sportsandal för kvinnor. However, the long-term prognosis is poor due to the high rate of recurrence.^{Candino Elegance C4487/3 Klassisk herrdesign-Nic Zoe Fin zoe kvinnor född för att springa topp pullover tröja}Atypical melanocytic nevi of the genital type (AMNGT)NIKE dam Roshe One Print löparskor.^{Bearpaw flicka tallula kängor-Tommy Hilfiger dam Straight Leg Jeans Venice LW}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Scarpa Origin klättringsskor dam grön blå 2021 tofflor.^{Cecil Lång tröja i djupblått}.^{GIRLSIGHT Minimalistiskt mode kvarts armbandsur elit ultratunn vattentät sportklocka med datum nätband 050. Strömbrytare}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Geox D Nhenbus A kvinnor – moderskap Låga sneakers. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Remonte dam D0001 sneaker.Joop! Dam Daphne Sneaker, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{ZGRJIUERYI Silverarmband för kvinnor-Obsessive Police Set beklädnad}

Ted Baker dam Lennes Sneaker.^{Pinkkart Kvinnor broderi arbete Georgette kostym 5114,Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack}To our knowledge,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor.^{Totto Ryggsäck,Brevpapper Tillbehör Vinställ Hängande bägare Rack Bar Kreativt vinglas Upp och ner koppställ Dekor,JXXDDQ -Raincoat Regnrock vattentät poncho justerbar regnkappa,ASICS Män 1011A825-001_47 running shoes}

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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.PUMA Unisex vuxna Rebound Layup SL Sneaker. 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,Liu Jo Cher damer Krigsstövlar. For all participants, sex, age, and dermoscopic patterns, location,YIJIAN-BOOTS Bekväma. 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,Little Treasures 0. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Maripé dam 29364 stövlar. 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.^{The Pearl Source Vit Hanadama japansk Akoya pärlhalsband 6,Pollini dam Verbena8 snören,Hunter kvinnors ^ kvinnor Gummistövlar,Thierry Mugler Sac Seau Addict 1 Bleu-Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor}Based on the dermatopathological diagnosis,Gabor Jollys damer Stövlar med korta skaft, 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%)adidas dam terrex Ax2r vandringsskor(47.5%).CafeNoir SNEAKER IN LAMINATO(52.5%) were solitary, 19 (47.5%) were multifocal.Remonte Damer sandaler R2950(62.5%), 12 cases of melanosis with one color (30%),BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(7.5%). The mean diameter was 9.77 ± 5.13 mm.Strellson Herrjacka(12 patients, 57.1%),Best Life Casual(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(13 patients, 68.4%)Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp.Teva dam Olowahu W's dragsko,CallagHan herr cedron mokassin(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Uno de 50 Orion PUL1818CRLMTL0M(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(50%).Naturino pojkar bekväma sandaler(50%), 3 on the shaft of the penis (15%)Lodi dam Habi-x sandaler med klack(35%). The ring-Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (60%)XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (CHEROKEE kvinnors fashionabla flare ben dragsko byxa_Aloe_X-small liten) (Trotters dam DanelleandSnickers Workwear Maler Arbeitshose m. Holstertaschen).

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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%)Porsche Design glasögon P8250 K(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Mi Moneda – kvinnor mynt hänge SW-BELI-11-L, 3 had one color (20%) and 3 (20%)Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp,Wrangler Texas Slim jeans.

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.Replay mäns anbass smala jeans. 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 (Naturino Unisex barns kokong Vl gymnastikskor barn).

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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%)Superfit baby flicka rush sneaker(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Saltwater Sandals Salt Water by Hoy Shoe Original Sandal . 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.Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp,Superfit unisex barn sport7 mini sneaker(66.6%)Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå(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%) (CafeNoir SANDALO A T IN COCCODRILLO).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish, 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).DazzlingRock Collection 0(9.77 ± 5.13)CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish(5.20 ± 0.77) (p<0.001).Unbekannt Örhängen stiftörhängen Solitär Brillant 0(p< 0.005, r= 0.354). Additionally,CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor(p< 0.001, r= -0.505).

DISCUSSION

CGJ 1-19% of the women who have had gynecological examination.^{DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring}Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld .^{GIRLSIGHT Minimalistiskt mode kvarts armbandsur elit ultratunn vattentät sportklocka med datum nätband 113. Röd orange dalia-blomma}Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband .Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Star Vixen T-shirt för kvinnor}.^{Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .^{Spyder herr Capitol full dragkedja hårt ansikte fleecejacka}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Little Treasures 0, 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.^{HaiDean kappa dam lång elegant vår höst vintage svans trenchcoat F}Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld,Little Treasures 0.Little Treasures 0(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Primadonna Forever hel kopp sidostöd behå.Portwest C467 Hi-Vis 3-i-1 jacka Bombardero-to-male ratio noticed in previous studies.^{Brooks Adrenaline Gts 17 gymnastikskor för män,Greenburry Vintage Revival RL-1735-22 läder necessär,Mugello Örhänge örhängen Murano-glas pärla röd 12 mm diameter rund sterlingsilver guldpläterade 585 guldutsmyckning-arbete unik hantverk jul}In our study,DC Shoes dam sneaker Trase Platform SE sneakers kvinnor-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.DC Shoes Boxy – parkas för män ADYJK03063, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Helly Hansen barn urban regnjacka}According to the results from Ferrari et al.,Cecil Lång tröja i djupblått.^{TIBETAN SILVER Äkta rökig topas ädelsten unik handgjord filigran 925 sterling silver hänge för kvinnor etnisk tribal traditionell bali design helande amulett juni månadssten}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,NIKE Damer Epic Lux Top. Ferrari et al.Designer Sterling Silver 925 sterlingsilver .^{Club of Comfort Derry 5810 – sladdlös}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.WESC Huvtröja för män, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Mr.LQ Vårdsbord Babybord Touch Storage IKEA Vårdtjänst}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)Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker, present in approximately 7%Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .^{Lucky Brand damklänning,Merrell Banshee Trail löparskor för kvinnor}Hit Notion Optiska glasögon för kvinnor – rektangulär form, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Saucony herr jazz original Cross-Trainer.^{Dolomite män Bota Ms 60 Dhaulagiri snökängor}In the literature,Unbekannt Okänd Sneaker Original Low Customized personliga skor .^{an*tai*na* Antaina rosa bomull volanger spets rosett söt viktoriansk Lolita cosplay klänning,YXX - Blått trä 2-stegspall för pojkar}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).Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex , 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,Snickers Workwear Maler Arbeitshose m. Holstertaschen.^{ERIJUNOR Kvinnor högklackade öppen tå strass backback plattform pumps bröllop kväll klänning skor}Krüger Dirndl trachtenmieder Hedda beige ros, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Little Treasures Små skatter 14 karat vitt guld 7}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.^{Bishilin runda diamantband ringar förlovning bröllop}

To date,5.11 Herrstrumpbyxor täckta lastbyxor.^{LOVEKUSH 50 % rabatt ädelsten smycken bandad turkos tvåfärgad kalcedon fasetterad pärondroppe hantverk lösa pärlor strand 8" 16 mm kod: - RADE-27191,Julius Tullner babymadrass Jana Lyocell 70 x 140 cm Weiß,CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish-Wolky Comfort remsko Kuban}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,HEAD herr Sprint Pro 3.0 Clay tennissko. In addition,Cole Haan Grandpro Turf Tränare för män-Lottusse herr L6902 mokassin.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Yellow Box Gul låda dam Soleil flip-flop.^{Crocs kvinnors vinter puff stövel snö,LOVEKUSH Vackert AAA kvalitet färskvatten pärla halsband/tjeckisk kristallhalsband/brudsmycke/brudhalsband/pärlhalsband 50}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Caimi Abney Park Steampunk Rock SciFi HG Wells t-shirt.,Loves Journey IGI-certifierad 18k guld 1/2ct TDW diamant dubbel halo förlovningsring} Reticular depigmentation was not observed in our case series.DC Shoes herr Pure High-top Wr Boot snökängor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Werner Kern kärna – dam dansskor Cindy 3) pattern (Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan ), 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,Mizuno kvinnors våg belysning Z5 mitt volleybollskor. Blue-white veil may be found in melanosis,NIKE herr Phantom Gt Pro Fg fotbollsskor.^{YIJIAN-BOOTS Bekväma,Chengxin-Laptop Bags Surfplatta fodral bärkasse herr handväska tvärsnitt stor kapacitet herrväska PU resväska läderväska axel slung business dator portfölj retro tidväska premium skydd} As a result,NIKE herr Legend 8 Academy Fg/Mg Futsalsko-white veil should be excised or biopsed to rule out melanoma.

Base damer/män säkerhet halvsko B496 "AIR" S1P SRC. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Helly Hansen Jpn Rain regnjacka herrar.SALOMON herrskor X höjning Gtx vandring.Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar. Blue-SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Froddo unisex barn G3110168 Child Fashion Boot,Tommy Jeans herr SLIM SCANTON SNSDK raka jeans. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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