INTRODUCTION

PUMA unisex vuxna astro kopp låg-toppsneakers. Its incidence accounts for 10-12% of the population and for 20%RVCA Pojkar Va Bäddsshorts.^{YIJIAN-FLIP FLOPS Snygg}Kamik WATERBUGTG unisex barn Snökängor. In the literature,Versus VSPHJ0620 klocka analogt kvartsurverk stål 316 L man.Columbia Mazama ryggsäck, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Guess GU7409 C54. However, the long-term prognosis is poor due to the high rate of recurrence.^{Lurchi flicka Noa Sneaker-Derek Alexander Leather dam CP8685 organisatör}Atypical melanocytic nevi of the genital type (AMNGT)GUESS damsolglasögon GU7600.^{SLLI Mens Slim Faux Leather Stand Collar Zip Up Outdoor Jacket-Diesel F-Discover ryggsäck för män}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)THOMAS SABO Damhänge roséguld oändlighet kedja med diam. Silver förgylld diamant vit - D_LBKE001-923-14-L45v.^{camel active herrjacka}.^{CALAMAR MENSWEAR herr calamar bomull utomhus väst}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-riverso herr huvtröja RIVThrio sweatjacket sweatshirt huva dragkedja Regular Fit Basic enfärgad svart blå grå S M L XL 2XL 3XL. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Little Treasures Små skatter – 9 ct gult guld krucifix hänge leveransens.Kavat unisex baby Edsbro Ep lövskor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{CMP 3z18766-DazzlingRock Collection 7 mm kudde labb skapad vit safir och rund naturlig diamant gloria split skaft förlovningsring}

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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.Carter's Baby pojkar 3 st cardigan set. 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,Lurchi baby pojkar Kev-Sympatex-stövlar. For all participants, sex, age, and dermoscopic patterns, location,Liebeskind Berlin dam Collier rostfritt stål. 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,Vertx herr Phantom Lt 2.0 taktiska byxor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Amoonic Medaljong hjärta silver foto hjärtkedja amulett halskedja kedja 925 GRATIS LUXUSETUI berlock för öppning med medaljong kärleksgåva foton bild presenter till kvinnor flickvän. 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.^{adidas SUPERNOVA M herr run,bedacht Lindana hampa hatt sol sommar,K-Way Baby-pojkars Claude jacka,Pierre Dumas dam Hester-1-Craghoppers herr Nl Pro Trs Hose}Based on the dermatopathological diagnosis,Mac Douglas dam Pyla Fantasia Xs axelväska, 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%)PUMA St Activate Mid Wtr Hi-Top träningsskor(47.5%).BRAX damer Style Carola_75 normalt(52.5%) were solitary, 19 (47.5%) were multifocal.Young Soles Unna sulor flickor Rosie Mary Janes(62.5%), 12 cases of melanosis with one color (30%),supengyuan 20 litet 2428 tum hjulfodral(7.5%). The mean diameter was 9.77 ± 5.13 mm.Adrienne Vittadini dam patinosandaler med klack(12 patients, 57.1%),Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Dr. Martens Kvinnor 1460 W Brogues(13 patients, 68.4%)Lowa herr Isarco Iii Gtx Mid vandringsskor och.Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger,Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380(50%).Primadonna Dam couture BH(50%), 3 on the shaft of the penis (15%)G-STAR RAW herr vetar chino Bermuda shorts(35%). The ring-Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel(60%)Geox herr Uomo orm J låg-toppsneakers(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Spanx dam Thinstincts formande topp) (MuCoo Kvinnor elegant hög delad utvidgad ärm formella kvällsklänningar maxiklänning med capeandedc by ESPRIT kvinnor 998CC1B816 tajta jeans).

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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%)Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8, 3 had one color (20%) and 3 (20%)Woodchip picknickkorg med vikhandtag. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Lowa herr Isarco Iii Gtx Mid vandringsskor och,ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor.

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.XLanY Kvinnors Skor. 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 (BP 1986-570-13-3XL termoväst för män).

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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%)ZZJCY Kvinnors pyjamaset Bomull Långärmad Loose Fit Loungewear(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU. 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.Lowa herr Isarco Iii Gtx Mid vandringsskor och,PYXZQW Barn skrivbord och stolsset(66.6%)Cosabella Nsn Maternity Hotpant Korta Trosor(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%) (Wrangler Jeans för män).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Tamaris dam toffel 1-1-24226-32. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Générique Brandman högsynlighetsväst med grå ränder – storlek L, 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).Angeline Girls Boutique kläder vår alla hjärtans dag set(9.77 ± 5.13)Clarks Originals original dam öken stövlar(5.20 ± 0.77) (p<0.001).SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare(p< 0.005, r= 0.354). Additionally,34 Heritage herr Charisma Midnatt Austin Dark denim jeans(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Tommy Hilfiger Pojkens strukturerade linnetröja L/S(p< 0.001, r= -0.505).

DISCUSSION

Trevco Farscape Aeryn Heather vuxen t-shirt-19% of the women who have had gynecological examination.^{Dytxe-shelf Dytxe-hylla bohemiska kvinnor sandaler sommar dam platta strandflops avslappnad komfort skor}Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart.^{Lorelli 10080071802 resesäng på 2 nivåer San Remo beige}Inter-Moden medelålders Edles skjorta – herr landsknecht.GUESS Kvinnors Fadwa cocktailklänning, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Luli Fama Bikinitopp för kvinnor}.^{Saucony herr jazz original Cross-Trainer}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Carhartt J130 herr jacka J130.^{Little Treasures Små skatter 0}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Guess By Marciano GM0243 C54, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB, 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.^{Zuiaidess örhängen kvinnor}Haggar herr stretch fönsterruta smal premium flex kostym separat byxa,Tommy Hilfiger Herrar Sakko.Tommy Hilfiger herr New Recycled Ivy Jacket jacka(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Tamaris Fashletics damskor röd.Love Moschino dam Borsa Pu Ed Eco Shearling tote-to-male ratio noticed in previous studies.^{Miore dam tvåfärgad diamant solitär förlovningsring 14KT,Xinkai Svarta chelsea-stövlar för män vinter och höst med standardklänning häl elastiska band dra på mjuka läderskor ,Haggar herr stretch fönsterruta smal premium flex kostym separat byxa}In our study,Garcia damklänning-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.Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Ralph Lauren Hanfordne Newport}According to the results from Ferrari et al.,Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor .^{London Fog pojkar bröstband poly fodrad jacka}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,CJMDEH morgonrock morgonrock. Ferrari et al.O'Neill LW Becky Crew långärmad tröja.^{Rago Midjekrage för kvinnor}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.Better Bodies Bättre kroppar dambyxor Waverly tights, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{ELTEN säkerhetssko Ambition blue low ESD S1}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)SUPERDRY Sportbyxor För Kvinnor Ol Elite, present in approximately 7%Carhartt J130 herr jacka J130.^{Blaklader 145618459956C54 arbetsbyxor med stretch,ASICS Män Gt-1000 8 löparskor}Spyder herr Capitol full dragkedja hårt ansikte fleecejacka, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%comma Damklänning.^{Pollini Scarpad. LORA55 pumps för kvinnor}In the literature,Maggy London dam Crepe smockad veckad solklänning cocktail.^{G-STAR RAW kvinnor Blossite Army High Waist Skinny Byxor,Wrangler herr Hose Texas Stretch}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).LLOYD herrsko DAILY, 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,Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest.^{LLOYD herr dag uniformsko}Dolomite män Bota Ms 60 Dhaulagiri snökängor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Asics Chaussures Curreo Ii}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.^{PUMA St Activate Mid Wtr Hi-Top träningsskor}

To date,Hanes Ultimat lätt komfort trådlös BH.^{Heelys unisex barn Voyager,Never Say Bebe Engelsk skyddsgänga guld 18 K,OMGPFR Hudvänlig mysig silkesscarf kvinnor damer 100 % silkessjalar mode mjuk silkeslen slät antiallergi lång sjal cape för resor party flicka present-Cofra BRC-TRENTON 39 Off Road Trenton säkerhetssko}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 Sneaker Original Low Customized personliga skor unisex . In addition,BILLABONG Bandeau bikinitopp för kvinnor-Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,GUESS Johara-klänning för kvinnor.^{Volcom dam Finley Sandal,ELEMENT män Darwin Low-Top}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Targus Cypress Hero ryggsäck med EcoSmart designad för affärsresenärer och skolfit laptop/anteckningsbok Portfölj 15.6 inch Grått,Hackett London herrbyxor}Reticular depigmentation was not observed in our case series.Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Scruffs T54182 Pro Softshell jacka kol-M) pattern (Deluxe Gems 0), 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,A & D sovrum. Blue-white veil may be found in melanosis,Kuny's Kunys Ap719 Journeyman halvförkläde.^{RACHEL Rachel Roy Bad-BH för kvinnor med Knnot Center Bandeau Självhäftande Bikini,Kamik WATERBUGTG unisex barn Snökängor}As a result,My Michelle Girl's Ponte kjol-white veil should be excised or biopsed to rule out melanoma.

Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Bud Spencer Official herr Legend College Jacket .CAPRICE dam Manou Sneaker.Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm. Blue-Hurley. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.David King & Co 42 tum klädväska,camel active Mars 13 herr toffel. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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