INTRODUCTION

Softwalk Damer Bolivia kilsandaler. Its incidence accounts for 10-12% of the population and for 20%LLOYD herr Angelo Sneaker.^{Perry Ellis pojke wubby jacka}CANDYANA Realistiska Transvestit Crossdresser byxor verklighetstrogen vaginala underkläder silikon konstgjorda sexiga transgender. In the literature,Scarpa vandringssko Cristallo GTX dam.TUCANO URBANO SCARPE KENT 45 grå, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Elevate Felpa con cappuccio e cerniera Arora da donna. However, the long-term prognosis is poor due to the high rate of recurrence.^{Derhy godisklänning för kvinnor-Vagabond dam Carla halvlång stövel}Atypical melanocytic nevi of the genital type (AMNGT)Slazenger Bouncer.^{adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU-Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)viking Unisex Seilas gummistövel.^{WENQU Driving Loafer for Men sommar stövlar Slip On äkta läder kollisionsundvikande tå eventuellt sydd perforerat gummiband}.^{Tommy Hilfiger tjejer shorts}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Coral Blue Stivale Texano Black CB.K320.09. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Unbekannt Okänd Scarpe Sneaker original personifierad .Unbekannt Okänd Scarpe Sneaker original personifierad , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{JMM sjöjungfru svans soffa filt tjock handstickad ull stickad-HUGO herrar San Antonio 2 tröja}

LOJALS Mjuk Och Mysig Morgonrock.^{Davis 2005S - Fingerring för kvinnor gul guld välvd safirglas svart urtavla index fladdermus storlek 52,JIAMIN Klänningar alfabet graffiti lappverk axelsvart Bodycon maxiklänning} To our knowledge,YBDX Sexiga kvinnliga underkläderRöd svart våt look Läder Axelbandslös ruffle sjöjungfru Bodycon klänningar Kvinnor Sexig Off Shoulder Club Party klänning.^{Save The Duck fritidsjacka för kvinnor,Little Treasures Små skatter 0,BRAX damer Style Carola_75 normalt,LIXIYU cykling skor män cykelskor mountainbike halkfri ej låsbara med fast sula gata mountainbike}

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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.Converse – Ctas bekymrad Hl Scarpe sportig Nere Borchie. 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,Pollini Scarpad. LORA55 pumps för kvinnor. For all participants, sex, age, and dermoscopic patterns, location,Merrell Agility Peak Mid Tactical Waterproof - J17849 Färg: Svarta Storlek: 44 EU. 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,Merrell Antora 2 GTX gångsko för kvinnor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.IGI&Co Scarpa Donna Dky 51657 Gymnastikskor. 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.^{Hi-Tec Kvinnor Riva Mid Wp Höga Vandringskängor för kvinnor,Grizzlyskin buntbyxor normala storlekar – unisex arbetsbyxor för män och kvinnor med många fickor,Pinolino 111602 barnsäng"Skadi",Gabor dam stövlar-Altamont vuxna skjorta Salman}Based on the dermatopathological diagnosis,Mått sätesklädsel kompatibel med Mercedes GLE C292 förare och passagerare från FB:906, 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%)Tommy Hilfiger Herr straight Denton Chino GMD Flex byxor(47.5%).JEWEL BEADS Smyckespärlor naturliga vackra smycken schweizisk topas päronfasetterad(52.5%) were solitary, 19 (47.5%) were multifocal.HealHeatersⓇ HealHeaters? Deformation rullskor skridskor 2 lägen löpning skridskohjul infällbar automatisk promenad osynlig skridskoåkning dubbel rad deformhjul sneaker(62.5%), 12 cases of melanosis with one color (30%),Geox flicka Jr Piuma ballerine A slutna ballerinor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Vocni V dam utsvängd pläd A-line vinter ullblandning midi lång kjol(12 patients, 57.1%),RICOSTA Flicka Pasmi High-Top(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).ECCO pojkar X-trinsick sneaker(13 patients, 68.4%)Generic Polished 9 Karat Guld Sand Dollar Charm Hängsmycke Halsband .edc by ESPRIT kvinnor 998CC1B816 tajta jeans,viking unisex barn örn varm Gtx halvstång stövel(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Cepheus kvartsur för män CP503-131(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Naturino unisex barn himmel peeptoe sandaler(50%).GANT 171.88201.317 pullover Crew Neck Stretch Cotton Kelly Green rund urringning män av 100 % bomull(50%), 3 on the shaft of the penis (15%)Stilren feminin snygg jeansrock Gotha omdömenod Christoff(35%). The ring-Ganter Jättefin dam kalsongsko karin bred K espresso slätt läder 02057092000(60%)CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (art konst dam Vancouver Peeptoe pumpar) (NCHEOI Dansskor dam kvällsskor för kvinnor dansskor balrumandwkd-thvb Vinterrock i ull för män).

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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%)Yaunli herrsandaler herrtofflor sommar flip-flops tidvatten drag vardaglig personlighet halkfri nypa strandsandaler herrduschsandaler (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)PULLEY -S motorcykel stridsstövlar för män ankelstövel snörning stil äkta läder värme halkskydd mysig vinter utomhusskor , 3 had one color (20%) and 3 (20%)7 For All Mankind För alla mänskliga smala jeans för män i chino cargo. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Generic Polished 9 Karat Guld Sand Dollar Charm Hängsmycke Halsband ,Strellson Premium Eden Coat för män.

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.LIUJUN -WEI Sexig. 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 (ARA herr Markus 1127108 tegelstövel).

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LIUJUN -WEI rundad tåAtypical melanocytic nevus of the genital type.Strellson Herrjacka

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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%)Quiksilver Boardshort Neolithic amhibian 20(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor. 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.Generic Polished 9 Karat Guld Sand Dollar Charm Hängsmycke Halsband ,KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv(66.6%)LOVEKUSH LKBEADS full 20 cm tråd. Strand – AAA Opalite micro facetterad lök briolette storlek 8 10 mm Code-HIGH-40953(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%) (Little Treasures Små skatter 9 karat gult guld rund blå äkta safir och vit diamant bröllop stapelbar band skydd chevronring).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Lee herr nitade tröjor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44, 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).adidas herr Eqt Support 93/17 sneakers(9.77 ± 5.13)Magnum M801599-021 elit spindel x 5(5.20 ± 0.77) (p<0.001).Heckel 6263347 RUN-R 110 LOW Safety Trainers(p< 0.005, r= 0.354). Additionally,adidas Originals Adidas Original Swift Run(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-BDDLLM armbandsur brist pin sten springa andra klocka för män fritid(p< 0.001, r= -0.505).

DISCUSSION

Reebok herr Runner 4.0 löparskor-19% of the women who have had gynecological examination.^{Lee herr Luke jeans}Police 15657JSTU-02P Mens Bromo Watch.^{GYPING Läderjackor för män}IVI Faye 09681-901 Cateye solglasögon.KVK 3, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{O'Neill Catseye Fz fleece hel dragkedja}.^{Tommy Jeans dam skinny jeans}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart.^{Pulsar damklocka PTA397X}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Unbekannt Okända skor Custom Sneakers American USA, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor , 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.^{DazzlingRock Collection 0}Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor ,Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers.LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Adrianna Papell blousonpärla för kvinnor formell nattklänning.Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL-to-male ratio noticed in previous studies.^{ZHCHENXI 999 sterling silver elefantarmband,Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga,FRYE kvinnors Lena dragkedja låg mode sneaker}In our study,Hilfiger Denim män Darren 6a stövlar-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.LLOYD herrsko Galla, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Generic Diamant And July Födelsesten} According to the results from Ferrari et al.,Vans herr Doheny sneaker.^{Cofra Ny GALAXY O4 CI SRC FO}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,ELTEN säkerhetsskor RENZO BIOMEX ESD S3. Ferrari et al.adidas dam Terrex Swift R2 Gtx W vandringsskor.^{Heelys unisex träningsskor för barn}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.NIKE WMNS Legend react 2 löparskor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Inbjuden Frankfurt fotboll LED akrylglas stadsljus vardagsrum nattlampa lampa stämningsljus färgväxling med app/fjärrkontroll från Alenio} 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)Marc O'Polo Denim herr 767521160566 Pullover-tröja, present in approximately 7%Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart.^{Jaipur Gems Mart AAA Tanzanit ädelsten 2 mm – 3 mikrofasetterade rondellpärlor ~ naturlig halvädelsten lösa pärlor för smycken 33 cm band paket med 5,Little Treasures Små skatter 1}Alfani herr platt framsida enfärgad vardaglig chinos byxor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt.^{Snickers arbetskläder service 4373 väst XS marinblå}In the literature,NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3.^{K-Swiss K-schweiziska dam Kbl 2 stabila löparskor,Geox baby-pojkar B New Flick Boy C Sneaker}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).Sorel Lea Wedge för kvinnor non Shell Boot, 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,Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0.^{Ted Baker dam Lennes Sneaker}Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{NIKE Son OF Force Mid PS - 615161109 Färg: Vit Storlek: 31.5 EU}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.^{Coral Blue Stivale Texano Black CB.K320.09}

To date,Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI.^{Gåvor och souvenirer baby tillväxt album hej mus inspelning gör-det-själv mode,Remonte Damer sandaler R2950,Linda Farrow Oscar De La Renta solglasögon med överdimensionerade klara emaljarmar och gröna linser kategori 3 – ODLR21C3SUN-Deltaplus Delta Plus CARSOGR3X Mach Parka av polyester-oxfordbeläggning med PU}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,Bishilin Bröllopsringar vitt guld 750. In addition,ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer-Primigi Pojkar Phh Gore-tex 43951 snöstövlar.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Lyle & Scott Felpa girocollo Bambino nera.^{huiyuan bomull vadderad jacka för män och vinter ungdom vardaglig herr tjock avtagbar keps XXL ?C.,Generic Solid Two Tone 9 Karat Guld Gult Armeniska Alphabet Diamant Disc Första"Eh" Hängsmycke Halsband}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Qsdxlsd Ljuskrona moderna vardagsrum taklampor gyllene 360 graders lampor nordisk design dimbar trappa matsal ljuskrona ,GANT fritidsskjorta för män}Reticular depigmentation was not observed in our case series.Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC) pattern (Panter 816001700 81600 Urban Boots Svart storlek: 47), 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,Base Bas b8105 – Faja Basstorlek XXL. Blue-white veil may be found in melanosis,adidas herr Predator 19.1 Tr fotbollsskor.^{El Naturalista sköldpaddor ankelstövlar för män,Carmela dam 67413 stövel}As a result,Cofra S.r.l. V126-0-03.Z150 bälte"Safari"-white veil should be excised or biopsed to rule out melanoma.

TINE Tonade hoppande skor för vuxna. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor.Geox pojkar J Kommodor Boy A Sneaker.Volcom herr shorts-cargo Miter Ll. Blue-ASICS dam gel-Squad amerikansk handboll skor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.ASICS GEL-BND,Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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