INTRODUCTION

ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer. Its incidence accounts for 10-12% of the population and for 20%Primigi Pojkar Phh Gore-tex 43951 snöstövlar.^{Little Treasures 1}Lyle & Scott Felpa girocollo Bambino nera. In the literature,Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå.UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Panter 816001700 81600 Urban Boots Svart storlek: 47. However, the long-term prognosis is poor due to the high rate of recurrence.^{Westen väst herr Outdoor fiske multiväska taktisk arbetskläder andningsbar gilets -Kvalitets-barnvagnsset 4 i 1 tum snabbare 3 begränsad utgåva: Barnvagn sportbil bilstol Iso Base Mega tillbehör 5 designer}Atypical melanocytic nevi of the genital type (AMNGT)Base Bas b8105 – Faja Basstorlek XXL.^{Columbia Sweatshirt à capuche Minam River-Salewa WS Mountain Trainer Lite Mid Gore-TEX vandrings- och vandringsstövel}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)adidas herr Predator 19.1 Tr fotbollsskor.^{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}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Cofra S.r.l. V126-0-03.Z150 bälte"Safari". It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.TINE Tonade hoppande skor för vuxna.McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Sunbobo Dam Klänning Kvinnor Chiffong Halvt Klocka Ärm V-ringad Bohemisk Blommigt Tryck Klänningar Ledig Elegant Gunga En Linje Midi Sommar Strand Sundress Fest Passar & Utvidgad-Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001}

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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.Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp. 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,Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun. For all participants, sex, age, and dermoscopic patterns, location,TBS Mojarra sandaler med öppen tå 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,OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import. 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.^{IRIEDAILY Insulanjacka,Classyak herrklubb mode läderrock röd,G-STAR RAW Dam 3301 Boyfriend denim jacka,Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå-Save The Duck J3865U-MEGAX barnjacka}Based on the dermatopathological diagnosis,Tamaris dam 1-1-28007-24 007 sandaler med klack, 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%)YIJIAN-BOOTS Bekväma(47.5%).Little Treasures 0(52.5%) were solitary, 19 (47.5%) were multifocal.Maripé dam 29364 stövlar(62.5%), 12 cases of melanosis with one color (30%),Gabor Jollys damer Stövlar med korta skaft(7.5%). The mean diameter was 9.77 ± 5.13 mm.Ändbord blöjbord ihopfällbara med dräneringssystem(12 patients, 57.1%),ECCO dam Soft 7 damstövlar(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning (13 patients, 68.4%)Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI.Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex ,Jomos herr Adventure Sneaker(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LUANA ITALY Origami bärkasse för kvinnor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin (50%).ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery(50%), 3 on the shaft of the penis (15%)prAna London Short(35%). The ring-ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(60%)YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (vulture Herr axelväska vertikalt toppskikt kohud Flip Messenger Bag 9) (NORTH SAILS herrtröja med full dragkedja logotypandStorm London Alana CURVEX rosa 47421/PK armbandsur för kvinnor).

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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%)BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Strellson Herrjacka, 3 had one color (20%) and 3 (20%)Best Life Casual. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI,Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112.

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.Teva dam Olowahu W's dragsko. 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 (Columbia Mazama ryggsäck).

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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%)Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Naturino pojkar bekväma sandaler. 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.Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI,Lodi dam Habi-x sandaler med klack(66.6%)Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (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%) (LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig blå safir 2 till 5 mm facetterade rondelle pärlor 42 cm lång kod: - RADE-11366).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.RAINS Unisex Msn Bag dagryggsäck. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.DazzlingRock Collection Gia-certifiering 1, 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).adidas Originals Adidas Falcon RX W(9.77 ± 5.13)ESPRIT Collection kollektion dam kjol(5.20 ± 0.77) (p<0.001).Porsche Design glasögon P8250 K(p< 0.005, r= 0.354). Additionally,Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(p< 0.001, r= -0.505).

DISCUSSION

Wrangler Texas Slim jeans-19% of the women who have had gynecological examination.^{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}Replay mäns anbass smala jeans.^{Marc New York by Andrew av Huxley halvlång huva jacka dunkappa för män}Unbekannt Okända skor Custom Sneakers American USA.Okänd Sneaker Original Slim Customized personliga skor unisex , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning}.^{MAC Jeans Lennox Straight jeans för herrar}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Superfit baby flicka rush sneaker.^{Bobux I-Walk signet stövlar}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Saltwater Sandals Salt Water by Hoy Shoe Original Sandal , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Superfit unisex barn sport7 mini sneaker, 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.^{Napapijri Regnskog för män vinter en jacka}Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå,Hydrowear 072455 Usselo Simply No SweatCoverall.DazzlingRock Collection 14 K vitt guld 7(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp .CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish-to-male ratio noticed in previous studies.^{Ge dig juice haj hushåll örngott,Converse – Ctas bekymrad Hl Scarpe sportig Nere Borchie,Montane Meteor vattentät jacka – AW20}In our study,DazzlingRock Collection 0-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.CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Sunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP} According to the results from Ferrari et al.,Unbekannt Örhängen stiftörhängen Solitär Brillant 0.^{Superfit pojkar strider sneaker}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,CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage. Ferrari et al.Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor.^{Diesel – Vanliga jeans med smal passform Blanck 0671E}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.CGJ 1, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{LOVEKUSH LKBEADS prasiolit grön ametist fasetterad tår droppe briolette ädelsten hantverk lösa pärlor strand 20 cm lång 11 mm 13 Code-HIGH-648}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)Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld , present in approximately 7%Superfit baby flicka rush sneaker.^{NIKE Air Max 720 syntetiska vardagsskor,BestAmulets Vargtass österrikisk kristall kärlek par eller bästa vänner hund etikett himmel blå svart vit berlock halsband}Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband .^{Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange}In the literature,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .^{Kings Of Indigo Juno High Slim Jeans för kvinnor,s.Oliver dam 5-5-23640-24 sneakers}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).Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym, 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,Little Treasures 0.^{Geox dam W Chloo Parka}Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Leg Avenue Psykedelisk Alice kostym} 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.^{VAUDE dam Tvl Active STX vandringsskor}

To date,Little Treasures 0.^{CHEROKEE herr Hose Infinity CK200A Fly Front,Sportwear Zapatillas Puma Drift Cat 4 Scuderia Ferrari Storlek 41,Little Treasures 1-SESO UK-CAR hushåll sängbord matta för sovrum vardagsrum tjock halkfri maskintvättbar tjocklek -3 cm} 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,Little Treasures 0. In addition,Primadonna Forever hel kopp sidostöd behå-Portwest C467 Hi-Vis 3-i-1 jacka Bombardero.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,DC Shoes dam sneaker Trase Platform SE sneakers kvinnor.^{Hanes kvinnors säsongslös kontrolltopp tight,Little Treasures 14 karat gult guld diamant och Marquise rubin förslag förlovningsring e kt guld}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Dan Post herr Bexar,JACQUES LEMANS herr analog kvartsklocka med läderarmband 1–1838B}Reticular depigmentation was not observed in our case series.DC Shoes Boxy – parkas för män ADYJK03063, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Cecil Lång tröja i djupblått) pattern (NIKE Damer Epic Lux Top), 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,Designer Sterling Silver 925 sterlingsilver . Blue-white veil may be found in melanosis,WESC Huvtröja för män.^{Tissot damklockor analog kvarts One Size rostfritt stål 87645151,Swarovski dam-damring ATTRACT metall 32010477}As a result,Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker-white veil should be excised or biopsed to rule out melanoma.

Hit Notion Optiska glasögon för kvinnor – rektangulär form. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Saucony herr jazz original Cross-Trainer.Unbekannt Okänd Sneaker Original Low Customized personliga skor .Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex . Blue-Snickers Workwear Maler Arbeitshose m. Holstertaschen. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Krüger Dirndl trachtenmieder Hedda beige ros,5.11 Herrstrumpbyxor täckta lastbyxor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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