INTRODUCTION

Jian E - . Its incidence accounts for 10-12% of the population and for 20%Little Treasures 0.^{Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large}Little Treasures Små skatter 0. In the literature,Little Treasures 14 karat vitt guld läcker tre stenar diamant rep design förlovning/löfte ring e guld.Body Bling Rött och grönt på guldpläterat corsage blomma gångjärn armband, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Angelazy 925 sterling silver armband för kvinnor. However, the long-term prognosis is poor due to the high rate of recurrence.^{TOM TAILOR herr 9082303 halvstång stövel-Hudson Jeans för pojkar}Atypical melanocytic nevi of the genital type (AMNGT)Avalaya rött trä.^{NNW plus-size kvinnor svart vit traditionell flickdräkt lås vuxen pil lekklänning-N\P Vintage vintage Swing kjol knälång kläder med hög midja}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)MXueei Affärs män portfölj väska.^{Obey kvinnors bekväma pullover med huva}.^{GDHSALE Helkropp graviditetskudde – U-formad}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-FB Fashion Boots Unisex Biker 43479 Testa ingenjörskonst brun Primeboots. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.NAKED WOLFE platta skor för kvinnor med plattform spår leopardkombo.Majorica 3 par stiftörhängen på sterlingsilver rodiumpläterade, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{CAPRICE dam 9-9-25607-25 313 knähöga stövlar-Chartou mans sommar avslappnad sträckt midja lös passform linne strandbyxor}

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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.Under Armour Storm Powerline herrhalsduk.. 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,Chaus dam kall axel regnskog topp tröja. For all participants, sex, age, and dermoscopic patterns, location,Globe herr Gs Chukka träningsskor. 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,Sebago herr Dockside Beacon Nbk Chukka Boots. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.TBS dam cerise sneaker. 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.^{Texas Wrangler TEXAS herr jeans normal passform inkl. bälte,Desigual GIVY 2 dam kort skaft kängor,FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart,Swarovski SPIRIT hängande örhängen dam 2-Jeckerson herr Ankle Chino Hose}Based on the dermatopathological diagnosis,KJUST Bilväskor Set 4 st kompatibel med HYUNDAI ix35 2010 - 2013 Dedikerade, 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%)Nocona Cactus bältesspänne Western Buckle cowboy USA(47.5%).Easywalker sportväska oliv(52.5%) were solitary, 19 (47.5%) were multifocal.ELFJOY långärmad damkappa förtjockad dragkedja varm puffer jacka päls huva för vintern(62.5%), 12 cases of melanosis with one color (30%),Save The Duck damkappa(7.5%). The mean diameter was 9.77 ± 5.13 mm.JAKO Män champ med huva träningsoverall polyester(12 patients, 57.1%),Paul Green Damslip-on-sneakers 4797(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Panama Jack 03 herr Kallfodrade korta stövlar och(13 patients, 68.4%)Tmzyja Lyxmärke nya män automatisk mekanisk vattentät silver svart gult guld diamanter regnbåge rostfritt stål safir klocka.Geox herr Uomo orm J låg-toppsneakers,JXXDDQ - Regenmantel herr/kvinnor regnrock set vattentät jacka/byxor plagg vindtät rock/byxor motorcykel regnkläder kostym med dolt huvud garn (15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).BLÅKLÄDER Målad latsslang vit D100(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Legero NBNA100 dam TANARO sneaker(50%).[BLANKNYC] Dam falsk mocka draperad framjacka jacka(50%), 3 on the shaft of the penis (15%)GABBY SKYE damklänning med volangsöm(35%). The ring-Zuiaidess örhängen kvinnor(60%)Fossil Titta ME1171(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (WOTEGA M114 byxor herr jeans Slim Fit) (Loriblu 6836 Black Suede Dress Pumps Italian Designer Pointy WomanandHugo Boss Sonic_Runn_nawt herr Sneaker).

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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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SupergaMelanosis 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%)IGI&Co 41671/00 låg kvinna(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Haonb Herrklockor, 3 had one color (20%) and 3 (20%)Haonb Herrklockor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Tmzyja Lyxmärke nya män automatisk mekanisk vattentät silver svart gult guld diamanter regnbåge rostfritt stål safir klocka,Comycom Stretch jeansbyxor svart tvättad.

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.Hanes Girl's Tech fleece raglan pullover huvtröja tröja med huva. 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 (Carhartt herrbyxor stretch anka dubbel framsida).

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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%)Noël Sab(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)DEVICE herr Forma Crossbag Sack Mega ryggsäck konstläder. 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.Tmzyja Lyxmärke nya män automatisk mekanisk vattentät silver svart gult guld diamanter regnbåge rostfritt stål safir klocka,Aero dam bowling- och tåskor vit(66.6%)Desigual EVA dam kort skaft stövel(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%) (Hush Puppies Isla dam ankelstövlar).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Globe herralternativ Evo Track sko. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Saucony Chaussures jazz 22, 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).Saucony herr Omni 16 löparskor(9.77 ± 5.13)Regatta Taktiska trådar professionell TT Mortify S1P metallfri tå keps taktisk säkerhetstränare(5.20 ± 0.77) (p<0.001).NCHEOI Dansskor dam kvällsskor för kvinnor dansskor balrum(p< 0.005, r= 0.354). Additionally,JEWEL BEADS Smyckespärlor naturliga vackra smycken naturlig rosa opal fasetterad hjärta droppe briolette ädelsten lös hantverk pärlor strand 8 mm 6 5 kod: – BB-706(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturliga rubin pärlor halsband(p< 0.001, r= -0.505).

DISCUSSION

Ourui Armbandsur-19% of the women who have had gynecological examination.^{Karrimor Bodmin låg IV vädermodighet}Tmzyja Män rosa guld grått läder automatisk mekanisk safirglas Tourbillion klocka transparent svart titan AAA.^{WSJDE Star Wars Jedi Knight Obi-Wan Kenobi Boots Cosplay Party Shoes Custom Made}Mizuno Chaussures wave sky 4.Little Treasures 14 karat vitguld diamant initial W ring, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Beta 79030905 XXL arbete overaller kanvas}.^{CHEROKEE arbetskläder revolution WW005 dam mitten stiger raka ben dragsko byxa}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%JXXDDQ Trolley Mode klättring trappor hopfällbar vagn släpvagn vattentät stor kapacitet hållbar .^{LBBL magnet flygengrepp}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (MUSTANG unisex barn 5850-604-820 stövel, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Naturino Girl's See gladiatorsandaler, 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.^{Globe herr Gs Chukka träningsskor}Kickers pojkens nonomatiska ankelstövel,Sbicca Women's Millie Ankle Bootie.Hudson jeans herr(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,898.Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1-to-male ratio noticed in previous studies.^{DC Shoes Search – BOA® snowboardstövlar för kvinnor,Pierre Cardin Herr Deauville Straight Jeans,Azuki huvtröjor för pojkar och flickor}In our study,Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1-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.MZNSQB Silverörhängen för kvinnor 925 sterling silver spindel dinglande örhängen glittrande kubisk zirkonia modesmycken, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Strellson Premium Eden Coat för män}According to the results from Ferrari et al.,Timberland höga tofflor för män.^{Travelite lätt}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,FB Fashion Boots Sendra herr stövlar 14968 Evolution Tang läderstövel cowboy. Ferrari et al.Ulla Popken dam Clara vinröd.^{Anthoni Crown herrbälte}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.Herrlicher Dam Lovely Poly Byxor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{LOVEKUSH LKBEADS blå eld labrarit slät päron droppe ädelsten hantverk lösa pärlor tråd 23 cm lång 14 mm 20 Code-HIGH-21289}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)Orphelia kvinnor 925 silver guld rund kubisk zirkonia piercing ring ZR-7504/G/56, present in approximately 7%JXXDDQ Trolley Mode klättring trappor hopfällbar vagn släpvagn vattentät stor kapacitet hållbar .^{Gxinyanlong Härlig vinter,Strellson Hyde Park Messenger MHF Cognac}Paul Malone bröllopsvästar set 5 delar brun paisley Casa Moda bröllopshemd vit, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Lumari Gold Damring 585 14k guld vitt äkta ädelsten diamanter lysande.^{WAFJJ draperi iögonfallande öglor grå & cola termos gardiner draperier för barnrum/sovrum garderob storlek: 2 x B 140 H 175 cm}In the literature,Classyak herrmode skjorta stil svart mocka läderjacka.^{CGJ 1.20Ctw strålande slipad mystisk topas sim diamant halo kvinnor hänge halsband 14k vitt guld finish,Bulova herr analog automatisk klocka med läderrem 98A187}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).Amoonìc Goldring Blautopas 585 inkl. lyxetui blåtopas ring guld blåtopasring , 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,Carlo Colucci Läderjacka för män Matthew.^{Base Bas b8105 – Faja Basstorlek XXL}Bugatti herr yllekappa, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Art Konst dam 1232 stad kobolto/Camden stängd tå klackar}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.^{LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig svart rutil facetterad tår pärlor päronform 9 x 6 till 18 14 mm ca tum kod: - RADE-20077}

To date,Promworld dam hög hals guld broderi lång aftonklänning med pärlor.^{prAna Lorelei soltopp för kvinnor,Bugatti herr jacka,DazzlingRock Collection kollektion dam 14K vitguld grov halo förlovningsring 8-Hanes Beefy-T T-shirt för pojke}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,Ardon Safety snickarbyxor Urban i vitt. In addition,Paul Malone bröllopsmode bröllopsväst set 5 delar Cappuccino brun randig Casa Moda bröllopshemd vit-Valentino dam 0VA4022 50018G 54 solglasögon.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,WOODSafe sektionsbyxa klass 1.^{adidas Originals Adidas Falcon RX W,CGJ 14K vitguld finish 1}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{FB Fashion Boots Unisex Biker 43479 Testa ingenjörskonst brun Primeboots,Tommy Jeans herr scanton smala Qmbstbyxor}Reticular depigmentation was not observed in our case series.Maddox Country Linen Kostym GToilet-Oliver – Marinblå Modern herrväst för läderbyxor jeans, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (SELECTED HOMME män Shdone-maze M. Blue Struct. Blazer Sts dragjacka) pattern (FJÄLLRÄVEN herrar 82890 rakt), 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,GIORO Marlis förlovningsring/ansökningsring i 585 guld med Swarovski-kristaller. Blue-white veil may be found in melanosis,Planam 2027056 Dungarees hög synlig storlek 56 i gul/marinblått.^{SCIPPIS Austin,KIRA Elastisk hög midja A-linje utsvängd maxikjol för kvinnor}As a result,Icepeak Män Barne Softshell jacka-white veil should be excised or biopsed to rule out melanoma.

Persol män 0Po2445S 518/56 52 solglasögon. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Legero dam Tanaro stängda ballerinor.PINKKART Traditionellt indiskt handtryck Bandhani Saree kvinnor bröllop vardaglig cocktailparty sari blus 9437.DISSA D9992 dam ren färg sidenklänning V-ringad kort ärm siden midi-klänning. Blue-Moncoeur Ring gjord av 925 silver med AAA granat 0. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.LOVEKUSH Grossist 4–5 mm töjbart rosa och gyllene koppar Swarovski-armband runt,Gina Bacconi kvinnors Fayla blommig chiffongklänning cocktail. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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