INTRODUCTION

EDS Jewels 9ct karat gult guld dam ringörhängen - 10. Its incidence accounts for 10-12% of the population and for 20%Timberland Euro Sprint för män – vandrarstövlar.^{LOVEKUSH LKBEADS 1 naturligt snöre 43 cm tråd}alife & kickin Alife and Kickin damkappa CharlotteAK D. In the literature,GOERTPO Men's Jacket Wool and Genuine Red Leather Sleeves College Bomber.Viceroy Reloj 42373-36, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Breil Armbandsur BREIL kvinna åtta quadrante vit mesh armband i stål rosa gyllene. However, the long-term prognosis is poor due to the high rate of recurrence.^{Converse Chucks 555905C svart Chuck Taylor All Star läckert OX pärla vit-LOVEKUSH LKBEADS AAAAA Naturlig multi turmalinskivor}Atypical melanocytic nevi of the genital type (AMNGT)Little Treasures 0.^{Little Treasures Små skatter 9 karat vitt guld ovalt skuren äkta rubin & rundskuren diamant brud förlovningsring-Hackett London herr Garment Dye Ln Bs Businesshemd}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Little Treasures 0.^{Spelsäng inkl. räv med textilset gardin och tunnel "Princes"}.^{Little Treasures 1}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Little Treasures 0. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.DazzlingRock Collection Dazzlingrock kollektion 0.Stella Maris dam halskedja – berlock i hjärtform 925 sterlingsilver och premium keramik vetskap ädelsten zirkoniastiner diamanter 45 cm STMJ6-180w, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{SALOMON Herrkontur Gtx spår och fältsko-Geox herr Uomo orm J låg-toppsneakers}

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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.Amaryllis Ädelstensberlock slinga vit labradorit med blomster 17 x 42 mm 925 silverring. 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,XNAurora herr läder affärsportfölj handväskor 40 cm bärbar axelväska affärsväska kurirväska. For all participants, sex, age, and dermoscopic patterns, location,Derhy godisklänning 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,WeWOOD solglasögon The Crater – Black av bomullsfiber typ 3. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.JINSUO Bounty Hunter hjälm. 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.^{Centered Sakko män modern och sportig – som Casual Jacket eller blazer ,adidas Mens EF7136_46 sneakers,U-power SAFARI S3 SRC,adidas Aadidas herr Terrex Agravic träningssko-surell Faux Rabbit Pom tröja stickad mössa med visir – vinterskidmössa}Based on the dermatopathological diagnosis,Trespass herr Nillsee fleecejacke, 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%)V.C. 5 st. festliga pojkar kostym mörkblå(47.5%).DazzlingRock Collection 18 K vitguld 6 x 4 mm varje päronlabb skapad ädelsten och rund diamant damer halo knoppörhängen(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures Små skatter sterling silver hänge och örhängeset(62.5%), 12 cases of melanosis with one color (30%),Sunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP (7.5%). The mean diameter was 9.77 ± 5.13 mm.BRIXTON herr Wheeler Intl(12 patients, 57.1%),MINKPINK Bandit Bandeau bikini för kvinnor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).RACHEL Rachel Roy Bad-BH för kvinnor med Knnot Center Bandeau Självhäftande Bikini(13 patients, 68.4%)LOVEKUSH LKBEADS naturlig granat fasetterade klimpar 35 cm långa/storlek: 15 x 20 mm .SINKITA barnsoffa hopfällbar pojkar flickor liten barn förskola barnstol skum multifunktionell barnfåtölj-D,InChengGouFouX Andningsbara strandskor halkfri botten design män och kvinnor vattensport strand pool snabbtorkande halkskyddssko barfota sport (15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Les Tropéziennes par M. Belarbi dam rena mode stövlar(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Fergie dam enigma stövel(50%).Think! Tänk! Damer Humana_585071 Desert Boots(50%), 3 on the shaft of the penis (15%)Lola Jeans kvinnor Anna dra på leggings(35%). The ring-Unbekannt Shoes sneakers unisex original USA personliga skor (60%)Hydrowear 042503 Rimini Simply No Sweat Pilotjacka(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Helikon herr Outdoor taktiska byxor svart) (Pepe Jeans herr callen crop avsmalnande passform jeansandTommy Hilfiger dam Fw0fw01958 Chelsea stövlar).

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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%)Giasco TO017L S3 CI Orlando säkerhetsskor med Windtex membran(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)ALBATROS Ultratrail svart låg S3 ESD HRO SRC, 3 had one color (20%) and 3 (20%)PREMIATA Män Eric svart. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).LOVEKUSH LKBEADS naturlig granat fasetterade klimpar 35 cm långa/storlek: 15 x 20 mm ,Vivienne Westwood analog kvartsklocka för män med läderrem VV185SLBR.

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.WGKUMMQN dam ryggsäck dragkedja hjärtform enkel mode tygväska linger axel college vind resväska. 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 (tomBrook Gummistövlar för kvinnor med separat foder).

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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%)Lee herr 5 POCKET SHORTS MIDNIGHT BLUE Shorts(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)WYH Baby Playpen barn aktivitetscenter säkerhet lek gård hem inomhus utomhus ny penna hållbar . 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.LOVEKUSH LKBEADS naturlig granat fasetterade klimpar 35 cm långa/storlek: 15 x 20 mm ,PLAER kvinnors svart spets cocktail aftonklänning(66.6%)Lee herr Malone jeans(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%) (Z-Zero Klocka Green Time Square herr trä sandelträ Timewood kvadratisk mellan 004 C).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Little Treasures Små skatter 14 karat vitt guld 7. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Vogue dam 0Vo5152 glasögonställ, 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).Helly Hansen Unisex barn berg regndräkt 40360(9.77 ± 5.13)Little Treasures Små skatter 14 karat gult guld 6(5.20 ± 0.77) (p<0.001).Regatta Barn hydrate V 3 i 1 veste En Jacket(p< 0.005, r= 0.354). Additionally,Subobo Pojke shorts och topp-set(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Haonb Herrklockor(p< 0.001, r= -0.505).

DISCUSSION

Haonb Herrklockor-19% of the women who have had gynecological examination.^{Ilse Jacobsen Softshell Jacka 3/4 creme/pearl} Comete bracciale uomo acciaio PVD nero e blu UBR 936.^{Generic Solid 9 Karat Guld Gult Armeniska Alphabet Diamant Första"P" or"B" Hängsmycke Halsband}NIKE Sport Fitness topp/tröja för kvinnor.Maxi-Cosi Rodi XP Fix barnstol, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{MUSTANG herr 4095-602-301 klassiska stövlar}.^{LOVEKUSH PÄRLOR ÄDELSTEN 14 tum tråd}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Think! Tänk! Dam Turna_585046 hög sneaker.^{LOVEKUSH LKBEADS 2 mm naturlig Perit fasetterad runda rondellpärlor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LOVEKUSH LKBEADS Ful tråd, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Mondaine EVO2, 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.^{Liiyzy Klockor läder analog kvartsur lyxigt märke mode affärsklocka män sport vattentät lysande}Skechers herr equalizer deal maker hallskor,Ilse Jacobsen Softshell Jacka 3/4 creme/pearl .Valin V1579 dam kashmir tröja rund hals långärmad stickad topp enfärgad relaxed tunn ullpullover(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Remonte Damstövlar.Sandals Sandaler tjocka sulade kil kvinnor sommar vattentät plattform 10 cm högklackade skor sexiga exponerade tå bankettskor-to-male ratio noticed in previous studies.^{CafeNoir TRONCHETTO IN MICROFIBRA,FOLOBE vuxen balett tutu lager organza spets minikjol dam prinsessa underkjol för bal fest,Red Chili unisex – vuxna 350731102000 klättringsskor}In our study,Designer-Diamonds.net 10 K vitt guld äkta oval rubin och diamant twist halskedja-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.Clarks dam Tri Alexia Slingback sandaler, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Trollkids Flicka mjukt shell jacka kristiansand}According to the results from Ferrari et al.,Arinos Neil Breen Credits huvtröja.^{Armani Exchange herr sportjacka}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,Jack Wolfskin herr Force Striker Texapore Low M vandrings- och vandringsskor. Ferrari et al.Ragwear Chester B sweatpants damer.^{Columbia Sportswear flicka Powder Lite Girls Jacka}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.Lpinvin dam sparkbyxor mode ord krage spets utsvängd overall temperament byxor två färger passar vardagsliv , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Valin V0044 dam kashmir tröja huva långärmad stickad topp enfärgad relaxed tjock ullpullover}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)DazzlingRock Collection damer 14K guld 8 x 6 mm oval skuren blå topas solitär brudförlovningsring 8, present in approximately 7%Think! Tänk! Dam Turna_585046 hög sneaker.^{Lucky Brand Sugar Magic Wash Henley-tröja för män,Richter Kinderschuhe Pojkar Future1 Sneaker}Joyaria Dam PJ set viskos pyjamas kortärmad topp och byxa satin trim v-ringad nattkläder, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Tommy Hilfiger tjejer shorts.^{vo7 Sneaker läder träningsskor Roma White}In the literature,NIKE dam BA5242 dagryggsäck.^{Erumstol för barn vikbar multifunktionell barnstol bärbar matsalsstol C,Catimini jacka}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).adidas unisex barn Varial Mid J skateboardskor, 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,Lego Wear baby flickjacka.^{LOVEKUSH LKBEADS 1 tråd naturlig krysopras 7 till 10 mm fasett rondellpärlor 53 cm kod-HIGH-11505}PUMA herrar EVOSTRIPE Crew, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{ASICS män gel-excite 7 löparsko}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.^{For-Your-Little-One Ride Ombord Kompatibel med Mamas & Papas Resesystem}

To date,Clarks herr Tri Cove Trail slutna sandaler.^{ELEMENT män ryggsäck Jaywalker Bpk,LOVEKUSH Pärlor ädelsten Larimar Heishi-pärlor,adidas Unisexvuxna EF3531 friidrott skor-Volcom Rovia isolerad snöjacka för män}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,Tru-Spec Tru Xtreme nylon bomull Rip Stop Combat tröja. In addition,adidas Back2Basics träningsoverall för män-5.11 Taktiska herrbyxor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Sunbobo Kvinnor kvinnor klänning chiffong kort ärm djup V dam böhmiskt blomtryck kläder avslappnad elegant gunga en linje midi sommar strandklänning sommarklänning casual party fit & flare d.^{BULLBOXER 571K23793A,Front Row herr premium longsleeve/rugby-tröja/polotröja långärmad}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Stella Maris dam örhängen 925 silver rhodinerad keramisk diamant ,Ellesse Herr Cesanet jacka}Reticular depigmentation was not observed in our case series.LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cm, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (JXXDDQ barn baby fallskydd sängskenor säkerhetsskydd) pattern (Vobajf Dampyjamas loungewear pyjamas dam långärmad nattkläder dragkedja huva jacka loungekläder set ), 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,Remonte damsandaler SCH/sc/SCH svart. Blue-white veil may be found in melanosis,GDHSALE Helkropp graviditetskudde – U-formad.^{adidas herr Cf uppdatera mellanträningsskor,TIGON H.r. Giger Baphome huvtröja.}As a result,LOVEKUSH LKBEADS Perit fasetterad dagg droppformade brioletter-white veil should be excised or biopsed to rule out melanoma.

LOVEKUSH LKBEADS Naturblå safir släta droppformade pärlor 11 mm – 15 9 tum. Full tråd. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Matta löpare hall halkfri studsmatta matta.Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor.HKM unisex Reitweste -Cambridge-6900 Byxor. Blue-Kingsland Dam Riddleggins helt grepp KATJA. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Timezone Timzone dam smal tahilatz kvinnoform raka jeans,Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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