INTRODUCTION

Lodi dam Habi-x sandaler med klack. Its incidence accounts for 10-12% of the population and for 20%Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm .^{Ouzhoub Barn pojkar vinter dunjacka tjockare varm huva dunkappa medellång puffer jacka barn parkas ytterkläder kläder} XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå . In the literature,DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set.RAINS Unisex Msn Bag dagryggsäck, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

DazzlingRock Collection Gia-certifiering 1. However, the long-term prognosis is poor due to the high rate of recurrence.^{Babylon Guard ISOFIX bilsäte för barn-Art Gecko 4}Atypical melanocytic nevi of the genital type (AMNGT)adidas Originals Adidas Falcon RX W.^{Bailey kvinnors kärlekiga duvan tröja klänning-Lee herr knapp ner ledig skjorta}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)ESPRIT Collection kollektion dam kjol.^{Paul Green Paul-Green AG 9643 kuvertväska / dragkedja. Stövel sportbotten}.^{Under Armour Storm Powerline herrhalsduk.}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Porsche Design glasögon P8250 K. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Mi Moneda – kvinnor mynt hänge SW-BELI-11-L.Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Liebeskind Berlin Damhjälen Satchel shoppinger-Mascot Maskot}

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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.Superfit baby flicka rush sneaker. 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,Saltwater Sandals Salt Water by Hoy Shoe Original Sandal . For all participants, sex, age, and dermoscopic patterns, location,Superfit unisex barn sport7 mini sneaker. 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,Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Hydrowear 072455 Usselo Simply No SweatCoverall. 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.^{Nike herr Renew retaliation Tr 2 löparsko,Generic 9 Karat Rosen Guld Modern Halo Engagemang/Ring,JenLn Strategiska byxor herr urbana vanliga kläder torr utforskning utomhus militär fans flera fickor vardagliga overaller skalkgrön lätt stadsops taktiska lastbyxor ,EVIDNT Dam tvåfärgad färgblock långärmad stickad topp tröja-MAC Jeans herr Arne Straight}Based on the dermatopathological diagnosis,DazzlingRock Collection 14 K vitt guld 7, 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%)Little Treasures 0(47.5%).Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures 0(62.5%), 12 cases of melanosis with one color (30%),Little Treasures 0(7.5%). The mean diameter was 9.77 ± 5.13 mm.Primadonna Forever hel kopp sidostöd behå(12 patients, 57.1%),Portwest C467 Hi-Vis 3-i-1 jacka Bombardero(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).DC Shoes dam sneaker Trase Platform SE sneakers kvinnor(13 patients, 68.4%)Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack.DC Shoes Boxy – parkas för män ADYJK03063,Cecil Lång tröja i djupblått(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).NIKE Damer Epic Lux Top(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Designer Sterling Silver 925 sterlingsilver (50%).WESC Huvtröja för män(50%), 3 on the shaft of the penis (15%)Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker(35%). The ring-Hit Notion Optiska glasögon för kvinnor – rektangulär form(60%)Saucony herr jazz original Cross-Trainer(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Froddo Pojkar G3150146-1 pojkar peep-tåsandaler) (adidas Unisex Nite jogger klättringsskorandYaunli Dam crossbody väska retro populär sommar halvcirkulär axel vild diagonal 23 x 17 7).

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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%)HEAD herr Sprint Pro 3.0 Clay tennissko(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Cole Haan Grandpro Turf Tränare för män, 3 had one color (20%) and 3 (20%)Lottusse herr L6902 mokassin. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack,Yellow Box Gul låda dam Soleil flip-flop.

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.DC Shoes herr Pure High-top Wr Boot snökängor. 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 (MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS).

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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%)Mizuno kvinnors våg belysning Z5 mitt volleybollskor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)NIKE herr Phantom Gt Pro Fg fotbollsskor. 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.Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack,NIKE herr Legend 8 Academy Fg/Mg Futsalsko(66.6%)Base damer/män säkerhet halvsko B496 "AIR" S1P SRC(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%) (AMOA AMOA-SHOES Amoa Bhyeres platta sandaler – läder).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning, 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).Froddo unisex barn G3110168 Child Fashion Boot(9.77 ± 5.13)Tommy Jeans herr SLIM SCANTON SNSDK raka jeans(5.20 ± 0.77) (p<0.001).G-STAR RAW herrar G-Bleid slim jeans(p< 0.005, r= 0.354). Additionally,MAC Jeans Lennox Straight jeans för herrar(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor(p< 0.001, r= -0.505).

DISCUSSION

LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300-19% of the women who have had gynecological examination.^{Jockey Kvinnor Aktivkläder Naturlig Skönhet Sömfri Gjuten kopp Bralette}LOVEKUSH LKBEADS 1 snöre naturlig himmelsblå topas färg hydro kvarts fasett tårformade brioletter pärlor 15 cm lång full slinga djupt blå färgkvalitet 16-32 mm kod-HIGH-22383.^{ASICS Silver LS halv dragkedja löptröja}Chaco Män Zcloud 2 Sport Sandal.icebreaker BF 200 legging kvinnor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel}.^{adidas herr Predator 19.3 Fg fotbollsskor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216.^{FALKE Damsportbyxor 1/1 tights"Iowa"}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LOVEKUSH LKBEADS 6, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,LOVEKUSH LKBEADS 2 matchande par, 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.^{JXXDDQ - Regenmantel herr/kvinnor regnrock set vattentät jacka/byxor plagg vindtät rock/byxor motorcykel regnkläder kostym med dolt huvud garn} LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor,LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063.LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,ASICS dam Gt-2000 5 gymnastikskor.MOMA Pumps Dam Mockaskinn Lila-to-male ratio noticed in previous studies.^{Led Night Light Touch Control laddbar högtalare laddning LED-lampa färg nattlampa sängbordslampa mini Bluetooth,Remonte dam D0001 sneaker,LOVEKUSH LKBEADS Naturlig krom grön turmalin fasetterad Rondelle mikro ädelsten hantverk lösa pärlor pärlband 35 cm långt 3 mm Code-HIGH-1098}In our study,Timezone Regular Ryantz straight jeans-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.Capezio danssneaker, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Hudson Nico Mid Rise Slim Fit Rak Ben Ankel Jean}According to the results from Ferrari et al.,s.Oliver BLACK LABEL damklänning.^{Lacoste Mäns polotröja}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,s.Oliver Damklänning. Ferrari et al.adidas herr Hb special boost fotboll.^{LFIM - Flip Flops & Thongs flops herr sommar strand flip-flops PU-läder bekväma tofflor snabbtorkande dusch och poolskor}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.viking unisex barn slöja sneaker, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Freebily sexiga underkläder ihåliga öppen skrev tights stretchiga strumpbyxor långa strumpor}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)Chie Mihara dam Icaro37 pump, present in approximately 7%LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216.^{Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat,CafeNoir TRONCHETTO IN VITELLO CON PASSALACCI}Obsessive Police Set beklädnad, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Gabor dammode pumps.^{Reebok unisex vuxna Royal Ec Ride 3 löparskor}In the literature,Caitefaso överdimensionerade tröjor för kvinnor långa ärmar ribbad pullover jumprar höst kläder toppar.^{Skechers herr 65221 träningsskor,X-Bionic för kvinnor Invent 4.0 Run Speed Shorts}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).TYPO G-formad graviditetskudde, 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,Bearpaw flicka tallula kängor.^{TOM TAILOR Pojkjacka}LGYCB Deadpool cosplay-kostym, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Diadora T-shirt för män S Spectra}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.^{Generic 9 Karat Vit Guld"C" Första in Rope Cirkel Hängsmycke Halsband}

To date,O'Neill Lw Frozen Wave Crew-3990 Röd Aop W.^{Nero Giardini E010471D 671 damsneaker av slätt läder och nät med läderfoder,Cat Footwear män Sire Wp stövlar,Graviditetskudde sidokudde förvaringskudde med överdrag av bomull-adidas Chaussures femme Rockadia Trail 3}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,HOAPL nya latinska dansskor för kvinnor guld svart klack 6-10 cm balrum latin samba kubansk tango mocka balsskor danssandaler. In addition,HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder -Munich Münch dam Alpha 33 träningsskor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,luckyW Sexiga kvinnor spets slät Cheongsam genomskinlig polokrage ihålig ut klänning danskläder nattkläder dam babydockor.^{MEYER herr Roma Hose,Chaco Kvinnor Zx2 Klassisk Atletisk Sandal}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Generic 9 Karat Guld Gult Guld"BEST FRIENDS" Three Breakable Hjärtas Hängsmycke Halsband ,Oakwood Yoko-jacka för kvinnor}Reticular depigmentation was not observed in our case series.ruNNex säkerhetsskor S3 LightStar extra lätta halvskor storlek 44, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar) pattern (camel active herr light 11 sneaker), 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,Neerupam Collection kollektion naturlig röd rubin 5. Blue-white veil may be found in melanosis,CJK Förvaringslådor av tyg.^{s.Oliver Dam analog kvarts armbandsur med rostfritt stål armband,Sorel unisex barnungdomsflygning snöstövel}As a result,Speed kartoverall regn svart-white veil should be excised or biopsed to rule out melanoma.

PEARL IZUMI UNISEX- Maillot Pi M/C Elite Speed Turq elithastighet turkos. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.MAC Jeans Damer smala jeans.Yaunli Duschsandaler för män halkfria äldre strandsandaler tofflor två användningssätt mäns vardagliga lätta utomhus hem sandaler bekväm dusch strand sko .Xiix Barnvagn barnvagn justerbar konvertibel trehjuling med markis mumie väska lämplig för 1~6 år gammal . Blue-Bytesbord bärbar baby. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Lee pojksäker smal passform avsmalnande ben jeans,QIANDA dörrgaller trappskydd galler vägg metall expandera Push to Shut/lätt att stänga passar för avstånd 61–215 cm – vit . Clues for AMNGT are given by dermoscopy.

CONCLUSION

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