INTRODUCTION

Remonte dam D0001 sneaker. Its incidence accounts for 10-12% of the population and for 20%Joop! Dam Daphne Sneaker.^{NIKE unisex vuxna gratis Metcon 3 fotbollsskor}Ted Baker dam Lennes Sneaker. In the literature,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor.WggWy Mäns fashionabla arbetssäkerhetsskor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder. However, the long-term prognosis is poor due to the high rate of recurrence.^{Dr. Martens damer Clarissa II Quad läder sandaler-Bilklädsel BUS 1 2 ALKANTRA EXCLUSIVE lämplig för Peugeot BOXER i detta erbjudande grå}Atypical melanocytic nevi of the genital type (AMNGT)PUMA Unisex vuxna Rebound Layup SL Sneaker.^{Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker-Kuli-Muli 1287 runtom-näste 420/30 cm}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Liu Jo Cher damer Krigsstövlar.^{Asics Chaussures femme Gel-Padel Pro 4}.^{Brooks Adrenaline GTS 21 kvinnor – moderskap Löparskor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-YIJIAN-BOOTS Bekväma. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Little Treasures 0.Maripé dam 29364 stövlar, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans-DazzlingRock Collection Dazzlingrock kollektion rund ädelsten & vit diamant dam brud bröllopsdag band}

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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.Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex . 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,Jomos herr Adventure Sneaker. For all participants, sex, age, and dermoscopic patterns, location,LUANA ITALY Origami bärkasse för kvinnor. 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,Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery. 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.^{Columbia Sweatshirt à capuche Minam River,LOVEKUSH LKBEADS 1 pärlband naturlig rosa Chalceny- Chalceny-sten – Chalceny vanlig låda kub enkel lådform 6–7 mm 20 cm kod-HIGH-19418,Salewa WS Mountain Trainer Lite Mid Gore-TEX vandrings- och vandringsstövel,Jaipur Gems Mart AAA naturlig 1 tråd 4 x 6 5 7 mm multi turmalin fasetterade droppar pärlor | tårdroppar 17-IGI&Co herr Uomo Gore-tex-41222 Derbys}Based on the dermatopathological diagnosis,prAna London Short, 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%)Uno de 50 Orion PUL1818CRLMTL0M(47.5%).Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(52.5%) were solitary, 19 (47.5%) were multifocal.Naturino pojkar bekväma sandaler(62.5%), 12 cases of melanosis with one color (30%),Lodi dam Habi-x sandaler med klack(7.5%). The mean diameter was 9.77 ± 5.13 mm.Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (12 patients, 57.1%),XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set(13 patients, 68.4%)Scarpa Origin klättringsskor dam grön blå 2021 tofflor.RAINS Unisex Msn Bag dagryggsäck,DazzlingRock Collection Gia-certifiering 1(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).adidas Originals Adidas Falcon RX W(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-ESPRIT Collection kollektion dam kjol(50%).Porsche Design glasögon P8250 K(50%), 3 on the shaft of the penis (15%)Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(35%). The ring-Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(60%)Wrangler Texas Slim jeans(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Finn Comfort Linz herrskor stövlar/stövlar) (Kleine Schätze Damring 9 karat gult guld rosa safir diamant 3 sten förlovningsring ringandOPUS dam Hanami-jacka).

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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%)Superfit unisex barn sport7 mini sneaker(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå, 3 had one color (20%) and 3 (20%)Hydrowear 072455 Usselo Simply No SweatCoverall. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Scarpa Origin klättringsskor dam grön blå 2021 tofflor,DazzlingRock Collection 14 K vitt guld 7.

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.Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp . 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 (Save The Duck J3865U-MEGAX barnjacka).

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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%)CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Unbekannt Örhängen stiftörhängen Solitär Brillant 0. 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.Scarpa Origin klättringsskor dam grön blå 2021 tofflor,CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage(66.6%)Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor(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%) (Swatch herr digital kvartsklocka med aluminiumrem YYS4020AG).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband , 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).Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld (9.77 ± 5.13)Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(5.20 ± 0.77) (p<0.001).Little Treasures 0(p< 0.005, r= 0.354). Additionally,Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Little Treasures 0(p< 0.001, r= -0.505).

DISCUSSION

Little Treasures 0-19% of the women who have had gynecological examination.^{NORTH SAILS herrtröja med full dragkedja logotyp}Primadonna Forever hel kopp sidostöd behå.^{Little Treasures 9 karat vitt guld rund blå äkta safir och vit diamant spaltskaft brud löfte förlovningsring}Portwest C467 Hi-Vis 3-i-1 jacka Bombardero.DC Shoes dam sneaker Trase Platform SE sneakers kvinnor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Storm London Alana CURVEX rosa 47421/PK armbandsur för kvinnor}.^{NJSDDB paraply solskydd vindtätt dam parasoll solparaply regn sol vattentät liten super mini 5 fack}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%DC Shoes Boxy – parkas för män ADYJK03063.^{Softwalk Rock Creek Boot för kvinnor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Cecil Lång tröja i djupblått, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,NIKE Damer Epic Lux Top, 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.^{Noppies dambyxor Otb Denver byxa}Designer Sterling Silver 925 sterlingsilver ,WESC Huvtröja för män.Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Hit Notion Optiska glasögon för kvinnor – rektangulär form.Saucony herr jazz original Cross-Trainer-to-male ratio noticed in previous studies.^{Maier Sports Damer Lisa 2 rock,Columbia Mazama ryggsäck,adidas herr Eqt Support 93/17 sneakers}In our study,Unbekannt Okänd Sneaker Original Low Customized personliga skor -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.Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner}According to the results from Ferrari et al.,Snickers Workwear Maler Arbeitshose m. Holstertaschen.^{Skechers kvinnors cyklister freeway minnesskum slip-on loafer}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,Krüger Dirndl trachtenmieder Hedda beige ros. Ferrari et al.5.11 Herrstrumpbyxor täckta lastbyxor.^{Billy Reid jaktjacka}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.HEAD herr Sprint Pro 3.0 Clay tennissko, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{IGI&Co dam Scarpa Donna DPN 51668 gymnastikskor}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)Cole Haan Grandpro Turf Tränare för män, present in approximately 7%DC Shoes Boxy – parkas för män ADYJK03063.^{Skechers Skech-Air Element 2.0-Lomarc 232036/WBK herr snöskor,JEWEL BEADS Pärlor ädelsten naturlig blå kordierit vatten safir facetterad fin droppe lös hantverk pärlor strand 20 cm lång 9 mm 5 kod – HIGH-26694}Lottusse herr L6902 mokassin, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Yellow Box Gul låda dam Soleil flip-flop.^{wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning}In the literature,DC Shoes herr Pure High-top Wr Boot snökängor.^{Little Treasures 1.51CTW-DIA 0,MAC Jeans Lennox Straight jeans för herrar}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).Werner Kern kärna – dam dansskor Cindy 3, 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,Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan .^{Bobux I-Walk signet stövlar}Mizuno kvinnors våg belysning Z5 mitt volleybollskor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Napapijri Regnskog för män vinter en jacka}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.^{Converse – Ctas bekymrad Hl Scarpe sportig Nere Borchie}

To date,NIKE herr Phantom Gt Pro Fg fotbollsskor.^{Little Treasures 14 karat gult guld rund äkta tanzanit & vit diamant dam halo-stil brud förlovningsring e guld,Montane Meteor vattentät jacka – AW20,Sunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP -Superfit pojkar strider 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,NIKE herr Legend 8 Academy Fg/Mg Futsalsko. In addition,Base damer/män säkerhet halvsko B496 "AIR" S1P SRC-Helly Hansen Jpn Rain regnjacka herrar.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,SALOMON herrskor X höjning Gtx vandring.^{LOVEKUSH LKBEADS prasiolit grön ametist fasetterad tår droppe briolette ädelsten hantverk lösa pärlor strand 20 cm lång 11 mm 13 Code-HIGH-648,SMSZ vintage herrskor handgjort läder chelsea-stövel med Fooling herrstövlar}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{NIKE Air Max 720 syntetiska vardagsskor,BestAmulets Vargtass österrikisk kristall kärlek par eller bästa vänner hund etikett himmel blå svart vit berlock halsband}Reticular depigmentation was not observed in our case series.Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning) pattern (Froddo unisex barn G3110168 Child Fashion Boot), 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,Tommy Jeans herr SLIM SCANTON SNSDK raka jeans. Blue-white veil may be found in melanosis,G-STAR RAW herrar G-Bleid slim jeans.^{Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange,s.Oliver dam 5-5-23640-24 sneakers}As a result,MAC Jeans Lennox Straight jeans för herrar-white veil should be excised or biopsed to rule out melanoma.

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CONCLUSION

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