INTRODUCTION

Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart. Its incidence accounts for 10-12% of the population and for 20%Inter-Moden medelålders Edles skjorta – herr landsknecht.^{Cashmere & Class Kaschmir Klass Stor Mjuk Mysig Pashmina Vävt Halsduk Vik Kvinnor Varm Sjal Stole Presentförpackning}GUESS Kvinnors Fadwa cocktailklänning. In the literature,Carhartt J130 herr jacka J130.Guess By Marciano GM0243 C54, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB. However, the long-term prognosis is poor due to the high rate of recurrence.^{Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals-Darn Tough tuff herr ull bergsklättring extra kudde strumpor}Atypical melanocytic nevi of the genital type (AMNGT)Haggar herr stretch fönsterruta smal premium flex kostym separat byxa.^{Gianfranco Ferré Ferre dam glasögonställ svart-HUGO herr Icelin_runn_nypu sneaker}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Tommy Hilfiger Herrar Sakko.^{ALTRA Lone Peak 4.0 låg vattentät vandringsskor för kvinnor – AW19}.^{Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Tommy Hilfiger herr New Recycled Ivy Jacket jacka. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Tamaris Fashletics damskor röd.Love Moschino dam Borsa Pu Ed Eco Shearling tote, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Tommy Hilfiger flicka STRIPED MINI DUNGAREE DRESS Kjol-Maxwell Scott personligt handgjort läder mobilfodral Gruppo6 i mörkbrun}

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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.O'Neill LW Becky Crew långärmad tröja. 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,Better Bodies Bättre kroppar dambyxor Waverly tights. For all participants, sex, age, and dermoscopic patterns, location,SUPERDRY Sportbyxor För Kvinnor Ol Elite. 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,Spyder herr Capitol full dragkedja hårt ansikte fleecejacka. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.comma Damklänning. 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.^{Meindl 2120 49 Catani Junior flickor pojkar utomhussko av nät med fotbädd,NIKE Magista Ola TF fotbollsskor för män,Pepe Jeans Alice kvartsklocka för män med orange urtavla analog display och silver rostfritt stålrem R2353101503,Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor -kensie isolerad jacka för kvinnor}Based on the dermatopathological diagnosis,Maggy London dam Crepe smockad veckad solklänning cocktail, 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%)My Michelle Girl's Ponte kjol(47.5%).Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal(52.5%) were solitary, 19 (47.5%) were multifocal.Bud Spencer Official herr Legend College Jacket (62.5%), 12 cases of melanosis with one color (30%),CAPRICE dam Manou Sneaker(7.5%). The mean diameter was 9.77 ± 5.13 mm.Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm(12 patients, 57.1%),Hurley(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).David King & Co 42 tum klädväska(13 patients, 68.4%)Tommy Hilfiger Pojkens strukturerade linnetröja L/S.camel active Mars 13 herr toffel,Anita active aktiv kvinnors bh sportbh(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode (50%).Christian Lacroix Sac Cabas Jonc 2 Rouge(50%), 3 on the shaft of the penis (15%)Columbia herr Horizons Pine dubbeljacka(35%). The ring-Dr. Martens damer Clarissa II Quad läder sandaler(60%)Geox baby-pojkar B New Flick Boy C Sneaker(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (HMANE Ny stil utsmyckad guldfärgpläterad två toner mikro stenbelagd zirkon duva hänge halsband hip hop smycken för män kvinnor 60 cm) (Naturino Girl's See gladiatorsandalerandJack Wolfskin dam scrambler Lite Texapore Low W utomhusskor).

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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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LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisningMelanosis 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%)Tommy Hilfiger tröja för flickor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Bulova herr analog automatisk klocka med läderrem 98A187, 3 had one color (20%) and 3 (20%)Volcom. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Tommy Hilfiger Pojkens strukturerade linnetröja L/S,Texas Wrangler TEXAS herr jeans normal passform inkl. bälte.

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.Casio herrklocka GW-8900-1JF. 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 (KHS klockor herrklocka svart platoon titan automatisk KHS.BPTA.DB).

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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%)Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT. 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.Tommy Hilfiger Pojkens strukturerade linnetröja L/S,Armani Exchange herr bomull stretch rak jeans(66.6%)MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS(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%) (adidas kvinnors Bt 3s 78 T-tights).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Guess herr Vermont jeans. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452, 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).RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta(9.77 ± 5.13)JEWEL BEADS Smyckespärlor naturliga vackra smycken regnbågsfärgad uppsättning av två 12-16 mm 12 delar slät cabochon hytt oval äkta glänsande blixt halvädelstenKod: JJBB-22239(5.20 ± 0.77) (p<0.001).Aldo Coronitiflex-pump för kvinnor(p< 0.005, r= 0.354). Additionally,Haggar herr J.m Performance slim fit klänning tröja(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Tommy Jeans Mäns slim straight live jeans(p< 0.001, r= -0.505).

DISCUSSION

DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring-19% of the women who have had gynecological examination.^{ESPRIT Maternity kvinnor Pants denim OTB loose Jeans}Spyder kvinnors uppdaterade jacka.^{Generic 9 Karat Gul Guld Äkta Blå Topas och Diamant Treenighet Knot Ring}TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda .PUMA dam nattkattjacka W, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Hugo Boss dam Alek Str.long B85-nc knähöga stövlar}.^{J.A.K. 1200112B120 serie 12001 65% bomull/34% polyester/1% negastat bundslang}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack.^{Wrangler herr Arizona stretch jeans}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Dearfoams dam velour träsko med minnesskum toffel, 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.^{Mammut herr Mercury Iii Mid Gtx vandrings- och vandringskängor}MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink,adidas damer PULSEBOOST HD W löparskor grå.Sorel Emelie Foldover' stövlar för kvinnor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor.Clarks Ashridge promenad läderskor-to-male ratio noticed in previous studies.^{ZTMN barnsäkerhetsnät,WENQU Enkla sommarsandaler för män flip-flops med tåring andningsbara tofflor elastisk läderhastighet ,Lee Mäns skräddarsydd luke byxor}In our study,Gabor 23.643 damtrosor-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.PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt}According to the results from Ferrari et al.,Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes.^{GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1}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,Superfit dam anda snökängor. Ferrari et al.Lotus klassisk klocka 18665/1.^{LOVEKUSH LKBEADS röd Hessonit granat fasetterad lök droppe lös ädelsten hantverk pärlor strand 7 mm 20 cm lång kod -HIGH-1554}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.Bisgaard flicka Frederikke Tex stövlar, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{J.A.K. 160351076 serie 1603 65% polyester/35% bomull lanzos}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)Lotus klassisk klocka 18573/A, present in approximately 7%Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack.^{Laura Vita 0002780 dam stövel,AISHANG Ultratunn LED-vägglampa i trä}Craghoppers dambyxa Nl Clara, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Mark Todd Collection kollektion unisex dam quiltad jacka .^{VAUDE Damer kvinnors droppe jacka Iii}In the literature,JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk.^{THOMAS SABO dam herrarmband Karma Beads 925 sterlingsilver KA0001-001-12,PUMA unisex vuxna astro kopp låg-toppsneakers}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).JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D, 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,Steiff Girl's Anorakjacka.^{Gardin barns sovrum kaktus mörkläggning termiska isolerade öljettgardiner för vardagsrum barn fönster färdiga gardiner 2 x 33 80 cm} Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{YULAN sängrutnät säng ledsplan landet gammal gravid kvinna står på och uppe länder tång handtag uppåt brett förstärkningsband}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.^{Arnette herr 0AN4237 245625 52 solglasögon}

To date,HUGO herrar San Antonio 2 tröja.^{Playtex Ultimat lyft och stöd trådlös BH,HVTKL Klassisk retro vertikal sektion plånbok läder herr casual kort första lagret av dragkedja ,GOERTPO Men's Jacket Wool and Genuine Red Leather Sleeves College Bomber-Spricen svart butler anime sweatshirt herr vinter huvtröja tjock jacka dragkedja kappa plus sammet topp rosa XS}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,Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics. In addition,Tommy Jeans Hilfiger denim jeans för män rak passform-Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja.^{adidas unisex barn Varial Mid J skateboardskor,hummel Chaussures enfant Hummel splash}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Irish Setter Irländsk Rutmaster WP 43 cm gummistöd,Unbekannt Okänd Sneakers original USA personliga skor} Reticular depigmentation was not observed in our case series.Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Qiaodi Lyxigt läder främre auto bilsätesskydd set med 2 passar till VOLVO C30 C70 S40 S60 S80 S90 V40 V50 V60 XC40 XC60 XC70 XC90) pattern (Guess Fortune), 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,Nordbron rap scarf halsduk pojkar barn varm. Blue-white veil may be found in melanosis,VAUDE Unisex barnbyxor barns badbyxor.^{Okända skor Custom Sneakers American USA,Jag Jeans Damjeans}As a result,NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/-white veil should be excised or biopsed to rule out melanoma.

BOSS herrtröja Wailes. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.La Millou Småbarnsfilt – det är vit magi.Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap .Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10. Blue-Campingbjörn hushåll örngott . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Aerosoft andningsbar kardborrstövel för kvinnor och män,Guess Jeans"Curve X" - W93AJ2 D3OP0-27 . Clues for AMNGT are given by dermoscopy.

CONCLUSION

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