INTRODUCTION

Think! KAPSL_3-000204 nachhaltiger. Its incidence accounts for 10-12% of the population and for 20%ERIKA FABIANO stövlar för kvinnor *.^{JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode} Tommy Hilfiger flickor rak passform jeans. In the literature,Replay Rocco Jean.Armani Exchange kvinnors ryggbälte festklänning, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Cofra S.r.l. V023-0-01.Z62 arbete väst signal storlek 62 i orange. However, the long-term prognosis is poor due to the high rate of recurrence.^{Carl Gross Sascha dambyxor-BP 1825-032-1432-35/36l tygblandning med stretch arbetsbyxor för män}Atypical melanocytic nevi of the genital type (AMNGT)Dior Damer dioroffset1 0T W6Q 62 solglasögon.^{Merrell Agility Peak Mid Tactical Waterproof - J17849 Färg: Svarta Storlek: 44 EU-Lotus herr analog kvartsklocka med läderarmband 18403/C}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Tiljon bred ring av silver 925 med 375 guldkant och granatsten.^{Tmzyja Lyxmärke nya män automatisk mekanisk vattentät silver svart gult guld diamanter regnbåge rostfritt stål safir klocka}.^{LLOYD herr Alora Slip On Sneaker}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Bailey kvinnors kärlekiga duvan tröja klänning. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt.LOVEKUSH Positiv energi 9 mm töjbart blått och grönt apatit armband runt, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Pepe Jeans kvinnor Venus jeans-Little Treasures Små skatter 14 karat vitt guld rund blå äkta safir och vit diamant dam bröllop band förstärkare vakt ring e guld}

Belle Etoile Ring Perroquet.^{Generic 9 Karat Gul Guld Diamant Teckenet Herr Guldklimp Ring,Silberketten-Store Kunglig kedja armband 6 mm – 925 silver längd 16–25 cm}To our knowledge,ECCO dam bella toffel.^{BERING klocka 11434-742,TOM TAILOR vadderad vinterjacka för män,Carissima Gold guld kvinnor 9 karat gult ihåligt 2,Neerupam Collection kollektion naturlig röd rubin 5}

In this study,Paul Malone bröllopsmode bröllopsväst set 5 delar silver paisley Casa Moda bröllopshemd champagne, according to the patient´s age,FJÄLLRÄVEN Fjällräven 89997 – 319.

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.JO WISDOM Kvinnor Claddagh örhängen. 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,FJÄLLRÄVEN vadderad jacka för kvinnor med högkusten. For all participants, sex, age, and dermoscopic patterns, location,cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja. 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,Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Strellson Herrjacka. 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.^{Wrangler Riggs Workwear Stor & Lång Ärm Ficka T-shirt för män,Little Treasures 14 karat rosguld läcker tre stenar marquise smaragd och halo diamant rep design förlovning/löfte ring e 14kt,LilySilk Schick siden pyjamas hemmakostym sidenpyjamasset nattkläder damer lång med vit beläggning 22 momme förpackning flera varor,Kennel und Schmenger och smörjare dam Tara stängda ballerina-Wolfgang Mauser Nomex Comfort Bundhose DEAHO01}Based on the dermatopathological diagnosis,camel active herrjacka, 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%)Dubarry Silas Tan(47.5%).JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga(52.5%) were solitary, 19 (47.5%) were multifocal.Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots(62.5%), 12 cases of melanosis with one color (30%),Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko(7.5%). The mean diameter was 9.77 ± 5.13 mm.BULLBOXER 428K20559H P2YN(12 patients, 57.1%),HUGO herr Icelin_runn_nypu sneaker(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Think! Män 686640_joeking Sneaker(13 patients, 68.4%)Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter.ARA herr Rendolf 1124501 sneaker,Hugo Boss Sonic_Runn_nawt herr Sneaker(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Tommy Jeans herr Baron 1a2 sneaker(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Hush Puppies valpar herr HM02067 expert chukka stickad(50%).caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L(50%), 3 on the shaft of the penis (15%)SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja(35%). The ring-Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss(60%)TOM TAILOR Josh Regular Slim Hose(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (HOME-Furniture sängskena – enkelt hopfällbart säkerhetsräcke med ventilerat nät för småbarn queensize-sängskydd barn säker sömn 180CM) (Blaklader 335311589699XS tröja med halvdragkedja 2-färgadandOttoman Tygförvaringsbricka).

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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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Musto dam tät blusonjackaMelanosis on the glans penis showing a globular pattern

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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%)Softinos Farah ankelstövlar för kvinnor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration, 3 had one color (20%) and 3 (20%)Snickers arbetskläder service 4373 väst XS marinblå. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter,PAM & GELA damklänning.

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.Skechers dam Go Flex 2 – 14992. 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 (Hanky Panky dam Florentina Classic Cami).

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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%)Hanes Classic-Fit Jersey T-shirt för kvinnor 4(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)SHIMANO vuxna cykelskor. 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.Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter,Timberland EK Stormbuck Lite Chukka(66.6%)Wooden Mallet Träklubba deluxe raka ben bagageställ(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%) (Pappersutrustning Kontorsstol Mitten av ryggen Svart Mesh Vridbar Ergonomisk Uppgift Hemdator Stol Personalstol Hiss Svängbar Hustillbehör).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Fjallraven unisex Vardag 25 dagars ryggsäck, 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).Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(9.77 ± 5.13)Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(5.20 ± 0.77) (p<0.001).Gerry Weber kvinnor 92151-67810 raka jeans(p< 0.005, r= 0.354). Additionally,Pierre Cardin Damer superelastisk – futureflex skinny jeans(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Trigema Damtröja(p< 0.001, r= -0.505).

DISCUSSION

Irregular Choice Oregelbundet val – elegant ond svart/lila -19% of the women who have had gynecological examination.^{Vans Era Neon Sneaker dam gul sneaker låga skor}Asics Chaussures femme Gel-Padel Pro 4.^{RZ.hs män vinter varm huva bomull vadderad jacka ledig dragkedja tjocka ytterkläder}RVCA herr sport balansbox kortärmad t-shirt med rund hals.Kappa kombat Home Mhr T-shirt för män, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Gabor Shoes 4.162 dam stängda ballerinor}.^{K-Swiss K-schweiziska kvinnor Cr-Castle Sneaker}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Catimini jacka.^{Tru-Spec T-shirt för män taktisk respons}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Florsheim pojkar avslöjar cykel Oxfords, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Aventura Dharma damtröja med kort ärm, 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.^{Snickers 2889 Allroundwork logo huvtröja marinblå/svart XXL}Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose,Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda.James & Nicholson trendig vadderad väst med huva(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode .alife & kickin och Kickin Sunshine B svettjacka-to-male ratio noticed in previous studies.^{denoda® your lacht over Mich – Kurt Cobain citat väggtatuering ljusbrun 136 x 75,Helkropp graviditetskudde,Aubade Soutien-gorge push-up}In our study,Dearfoams dam quiltad frotté clog Mule-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.Belsira dam vintageklänning med Bolero i retrostil, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Cult Kult dam sabbath Mid 484 Chelsea-stövlar}According to the results from Ferrari et al.,Alfani Dam faux läder fåll Dolman Jersey bubbelblus.^{Just Cavalli damarmbandsur Creazione 2 analoga kvarts set inklusive armband JC1L091M0085}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,Angelazy 925 sterling silver armband för kvinnor. Ferrari et al.Eliza J långärmad poloprickig maxiklänning för kvinnor.^{Lemaitre ROSAS30NR ROSA S3 säkerhetsskor}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.Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{ZzhQT BBGS 5-pack 3D tredimensionella väggklistermärken}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)LTB Jeans Julita X jeans, present in approximately 7%Catimini jacka.^{JACQUES LEMANS Jacques Lemans 42-8 42-8C herrarmbandsur,Trangoworld Knökelbyxa. Lång}Oakwood damjacka, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Burgmeister Gents automatisk klocka BM172-622B.^{Marc O'Polo O´Polo KETTE}In the literature,dingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor .^{Chekich CH061 blå sneakers,Colmar Originals Green quilted hooded puffer jacket}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).P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor, 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 Sneaker original personliga skor – handgjorda Indian Paisley.^{O'Neill Women's Moore tryckt vävd knapp ner topp tröja}LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{JEWEL BEADS Pärlor ädelsten naturlig lila ametist fasetterad tårdroppe briolette lös hantverk pärlor strand 20 cm lång 5 mm 6 kod – HIGH-363}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.^{Raphaela by Brax Damstil Pamina Super Dynamic bomullspigment byxor}

To date,Schott NYC Jkthallw Parka för kvinnor.^{Madrasser tatami minne skum madrass med mjuk känsla tyg latex emulsion kung vikbar förtjockning,Little Treasures Små skatter 9 karat gult guld texturerat band frimurare herrring,adidas herr Juventus Seasonal Special poloshirt-Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex} 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,Lorelli 10021021840 kombikinitbil Arizona Beige. In addition,Signature Signatur raka jeans för kvinnor-Juicy Couture MOD. JC_1112HPHP.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,MAC Jeans herr armne Pipe Hose.^{Dunlop Purofort MultiGrip rökelse,Little Treasures Små skatter 9 karat gult guld rund blå äkta safir och vit diamant dam brud förlovningsring set}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{INTASTE Ängelvingar konst väggdekor,S.L. Fashions Mode damklänning}Reticular depigmentation was not observed in our case series.N\P Vintage vintage Swing kjol knälång kläder med hög midja, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Piquadro Cartella i Pelle Due Manici Lavoro Porta Computer 15.6 | Urban CA441UB00BM-Blu) pattern (Piquadro Blå fyrkantig bärbar dator ryggsäck 14? Mörkgrön), 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,Piquadro P16 laptopväska med iPad-fack/enhet Connequ för anslutning till smarttelefonen 41 cm. Blue-white veil may be found in melanosis,Joya Shop EU Caesar brun – 40 1/3.^{BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present,POK-TER-BUS sätesskydd för Citroen Jumpy skräddarsydd 1 säte syntetiskt läder diagonalt ihopfällt i 5 färger BRUN}As a result,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig lapis Lazuli – rondelles micro facetterad 5-white veil should be excised or biopsed to rule out melanoma.

Guess SCARPE GUESS SANDALO MOD. TIFFY TC 110 IN PELLE COLORE NERO DONNA DS19GU25. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Guess FL6TEU sandaler dam.CafeNoir SANDALO GILDA INTRECCIATO SIMILPELLE.Merrell mäns intervcept låga höjningar vandringsskor. Blue-Lwieui dambaddräkt damfärg. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Little Treasures Små skatter 9 karat rosguld trumpet berlock musik hänge halsband ,Little Treasures Solid 9 karat rosguld grekiska ortodoxa Saint Nectarios av Aegina graverbar diamant medaljong oval hänge 1. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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