INTRODUCTION

Enzo Romeo ATC01 dam bred bredd sling rygg lågklackad spetsig pumps sandaler skor storlek: Bred. Its incidence accounts for 10-12% of the population and for 20%Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large.^{Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece}CAMSSOO Kvinnor CM6128-TS18A elegant. In the literature,Wrangler herr Riggs arbetskläder avslappnad passform jean.Donna Morgan kvinnors speciella tillfälle klänning, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

G-STAR RAW herr rå t-shirt. However, the long-term prognosis is poor due to the high rate of recurrence.^{Dearfoams kvinnors ögonfrans kabel stickad träsko toffel-BOSS Schino-moderna byxor för män}Atypical melanocytic nevi of the genital type (AMNGT)J Kara kvinnors speciella tillfällen klänning.^{JO WISDOM Kvinnor Claddagh örhängen-Tommy Hilfiger Herrar Sakko}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog.^{BancarellaOnLine Vriden med en sköldpaddeeffekt kurva sko horn sköldpadda effekt spade bekväm elegant modetillbehör skohjälp utmärkt presentidé !!!}.^{DazzlingRock Collection förlovningsring/förlovningsring}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Premier Bästa stickad väst för kvinnor med knapp.Alex Evenings kvällar kvinnor speciella tillfällen klänning, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Le Coq Sportif herr Prodige Sneaker-Mizuno Chaussures Wave Lightning Neo}

UPOWER BLANCO S2 SRC.^{NIKE herr react Miler löparsko,Geox herr Uomo orm J låg-toppsneakers}To our knowledge,Haggar Casual byxor för män.^{LOVEKUSH LKBEADS Malakit släta plattade diamanter,NIKE herr Air Force 1 Mid '07 High-Top,Valin V0068 dam kashmir tröja huva långärmad stickad topp enfärgad relaxed tunn ullpullover,LOVEKUSH LKBEADS 5 strängar naturlig rosenkvarts släta ovala ädelstenar rondeller pärlor - pärlorna mäter ungefär 7 x 9 8 10 mm 33}

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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 Jeans dam skinny jeans. 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,Guess herrarmbandsur analog kvarts läder W18540G1. For all participants, sex, age, and dermoscopic patterns, location,Tissot t070.405.16.411.00 – armbandsur män. 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,Reloj Guess unisex vuxen kvartsklocka 8434103388192. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Guess – VIPER herrklockor W0659G4. 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.^{Tommy Hilfiger pojkar Essential Th Flex Skinny Chinos byxor,WMAN -CHAO Snörning,Dickies kvinnors användbarhet lastbyxor,FOLOBE Dam' vinter varm falsk päls jacka-Bohmberg Värdig herrläderjacka av fullnarvläder/urbanwe/Heavy/Classic 100 % äkta läder% SOMMERSALE% tidlös klassiker i obeskrivlig maskulin cykellook/}Based on the dermatopathological diagnosis,Guess kvinnors analoga kvartsur glitter flicka, 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%)Naturino NATURINO SE unisex barn sandaler(47.5%).LaMartina Paco smala jeans för män(52.5%) were solitary, 19 (47.5%) were multifocal.AMOENA kvinnors bianca trådfri fickförsedd distans konvertibel BH(62.5%), 12 cases of melanosis with one color (30%),Tommy Hilfiger kvinnors MARIN VENICE LW-byxor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirt(12 patients, 57.1%),Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma kvinnor (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Feixunfan smyckesfodral PU smycken förvaringsbox örhänge halsband låda ring klocka gåva för flickor mamma kvinnor (13 patients, 68.4%)Lowa unisex barn calcetina GTX Mid vandrings- och vandringsskor.Tommy Hilfiger kvinnors Venedig RW Bermuda bikinitopp,Tommy Hilfiger dam Fw0fw01958 Chelsea stövlar(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Tommy Hilfiger damer NEW PENNY ANKLE PANT rakt(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning(50%).Neaer Fodral för surfplatta rosa fodral ipad 9.7 10.5 11 tum ärm brev ins mode väska flicka Apple iPad Pro12.9 påse förvaringsväska (50%), 3 on the shaft of the penis (15%)J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor(35%). The ring-BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel(60%)Carter's Baby Girls' tryckta leggings(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (samaki originals – Engelsring berlock turkos ädelsten sterlingsilver för kvinnor) (SOUTHPOLE Dam Sakura Track JackaandONEWORLD-MPJ ONEWORLD nytt mode affärer läderbälte brittiska män populära bälte).

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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%)M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Kjus herrbyxor blå Ibiza, 3 had one color (20%) and 3 (20%)Helly Hansen mäns Odin Skarstind byxbyxor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Lowa unisex barn calcetina GTX Mid vandrings- och vandringsskor,YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor.

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.Vilebrequin herrbyxor i massivt linne-XXL. 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 (Angelazy 925 sterling silver armband 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%)Killtec Dam funktionskjol med avtagbar inre byxa Lyola(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)CAMPER dam höger Nina Mary Jane halvskor. 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.Lowa unisex barn calcetina GTX Mid vandrings- och vandringsskor,Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1200 dpi italiensk stil Hi Customized personliga skor (66.6%)Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor (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%) (Liebeskind Berlin Damhjälen Satchel shoppinger).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.surell Faux Rabbit Pom tröja stickad mössa med visir – vinterskidmössa, 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).Blaklader 149413307899C58 serviceshorts med nagelfickor(9.77 ± 5.13)JACQUES LEMANS herr analog kvartsklocka med läderarmband 1–1838B(5.20 ± 0.77) (p<0.001).QX IAIZI Tredimensionell växt trädgård väggdekoration trä foto vägg fräsch dekorativ fotoram dekoration kombination(p< 0.005, r= 0.354). Additionally,Kleine Schätze Damring 9 karat gult guld rosa safir diamant 3 sten förlovningsring ring(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Xuping shop vintage messengerväskor herr portfölj äkta läder affärer handväska laptop ledig stor axelväska(p< 0.001, r= -0.505).

DISCUSSION

IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät -19% of the women who have had gynecological examination.^{ARA Ara}BP 1803-720-56-48s arbetsfack.^{Palladium unisex pallbukett vax stövlar}MUSTANG dam 1306-301-100 Derbys.Little Treasures Små skatter 14 karat gult guld rosa äkta safir och vit diamant dam brud förlovningsring set e kt guld, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Remonte Damer kilsandaler R6253}.^{Blaklader 149413307899C58 serviceshorts med nagelfickor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel.^{Hanes Ultimate No Show Freshiq luktkontroll för män}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Little Treasures Små skatter 0, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,BP 1790-555-13-44l latzh, 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.^{TOM TAILOR dam 7990804 stövlar}BP 2402-820-1332-44/46n arbetsväska,LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt.Blaklader 199816448699C54 4-vägs stretch X1900 hantverkare arbetsbyxor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Art Konst dam 1232 stad kobolto/Camden stängd tå klackar.adidas män X 19.1 TF fotbollsskor silver-to-male ratio noticed in previous studies.^{Generic 9 Karat Rosen Guld Modern Halo Engagemang/Ring,Signature Signatur raka jeans för kvinnor,Timberland dam Tillston 15 cm dubbel krage stövel}In our study,Little Treasures Små skatter 14 karat vitt guld rund rosa äkta safir och vit diamant dam brud förlovningsring set e guld-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.OLYMP Luxor comfort fit skjorta långärmad Karo, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{PUMA Safety Speed Green Low arbetssko säkerhetssko S1P ESD HRO SRC glasfiber keps genomträngningsskydd halkfri värmebeständig vegan unisex}According to the results from Ferrari et al.,Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals.^{D&L DL1961 Jeans för män}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,GUESS Damklocka W0073L2 . Ferrari et al.CafeNoir TRONCHETTO CON MULTISTRASS IN MICROFIBRA.^{Lucky Brand Damtryckt Peasant topp skjorta}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.Little Treasures Små skatter 1, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{THTHT Vintage S925 silverhalsband kvinnor män enkel etnisk stil de åtta Trigrams amulett mode kreativ gåva personlighet trend}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)Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning, present in approximately 7%UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel.^{Outburst – flicka jacka anorak vinterjacka slängjacka,Sbicca Women's Millie Ankle Bootie}Mustang kvinnors 1278-801-2 öppen tå sandaler, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%wkd-thvb Vinterrock i ull för män.^{Remonte Damstövlar}In the literature,Amaryllis Hängsmycke Sugilith Freeform.^{Froddo Pojkar G3150146-1 pojkar peep-tåsandaler,Florsheim mäns potenza klänning vardaglig mocka tå Penny Loafer}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).Hydrowear 042851K Rhodos konstruktorbyxa, 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,Hydrowear 041035 Piemont bild linje.^{Angelazy 925 sterling silver armband för kvinnor}Hydrowear 046456 Aspen vinterpark, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Little Treasures 1/20 total karatvikt diamant micro PAVE örhängen}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.^{Planam vinter gallerbyxa"varningsskydd"}

To date,Hydrowear 04025997 Twello Termo Line-jacka.^{Globe herr denim barre ryggsäck svart en storlek,Adrienne Vittadini dam patinosandaler med klack,Juicy Couture MOD. JC_1112HPHP-DazzlingRock Collection Damring/vigselring 0}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,Hydrowear 042854K Rhodos konstruktorbyxor. In addition,Napapijri herr NOLANOS Shorts-Barntoalett multifunktionell bärbar potta 1-6 år gammal män och kvinnor babyväska stil urinal gUL.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Randiga gardiner.^{Haonb Herrklockor,AMOA AMOA-SHOES Amoa Bhyeres platta sandaler – läder}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Generic 9 Karat Gul Guld Ametist and Vitt Topas Rope Design Engagemang/Ring,Hanes baby dragkedja byxor}Reticular depigmentation was not observed in our case series.Brütting Kansas kvinnor bana, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (NIKE Phantom 3 Academy Df Fg fotbal skor) pattern (J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta), 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,Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor. Blue-white veil may be found in melanosis,Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka.^{Little Treasures 9 karat vitt guld rund vit diamant & äkta rubin årsdag bröllop matchande band stapelbar ring,Aphratti långärmad vardaglig jultomte jul tryck flare gunga klänning}As a result,Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat-white veil should be excised or biopsed to rule out melanoma.

Sänggaller sängskyddslångare. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange.SPORT-TEK herr 1/2-dragkedja färgblock vindskjorta. JST75.Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor. Blue-Naturino pojkar sol sandaler. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Portwest - Bizflame Plus flambeständig lätt anti-statisk coverall panna 280 g orange 2XL/lång,Spanx dam 10178R-VERY M formande kropp. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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