INTRODUCTION

Daniel Hechter herr moderiktig pullover i ränder. Its incidence accounts for 10-12% of the population and for 20%Rock Creek dam vinterjacka kappa fuskpäls krage D-429.^{LOVEKUSH Hantverkare löst 6 mm töjbart orange rutigt kvartsarmband runt}G-STAR RAW Damer Pleated Bib skjorta. In the literature,Fritzi aus Preussen i förväg dam Marlene bowlingväskor.Blaklader 492919119998S hybridjacka, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

RICOSTA Flicka Merle Derbys. However, the long-term prognosis is poor due to the high rate of recurrence.^{Little Treasures 0-Blaklader 335311588933S tröja med halvdragkedja 2-färgad}Atypical melanocytic nevi of the genital type (AMNGT)Blaklader 335311589699XS tröja med halvdragkedja 2-färgad.^{DazzlingRock Collection 0-BelleBay Hill Burry män portmonnäläder | herr plånbok av äkta läder med RFID-skydd Vintage läderbörs myntfack}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)JenLn Strategiska byxor herr urbana vanliga kläder torr utforskning utomhus militär fans flera fickor vardagliga overaller skalkgrön lätt stadsops taktiska lastbyxor .^{QinWenYan Skohorn hushåll långt handtag metall skohorn för gravida kvinnor äldre människor och varje familj} .^{coolhides herrmode motorcykel äkta läderjacka Beckham-stil}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Hanes herr 5250t. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.camel active herr Outdoor väst.Charles Colby herr jacka Sir Magnus, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{EDS Jewels 18 karat-Hush Puppies dam tofs slipon sadie}

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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.Timezone män Relaxed Hose BenitoTZ cargobyxor inkl. bälte. 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,Hurley herr pullover M Dipdye one &only Blocked. For all participants, sex, age, and dermoscopic patterns, location,GIESSWEIN herr Jonas Traditionell jacka. 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,camel active herr stand-up pullover. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.VAUDE dam Tvl Active STX vandringsskor. 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.^{Brooks Adrenaline GTS 21 kvinnor – moderskap Löparskor,YIJIAHUI bil baksäte organiserare premium PU-läder spark mattor,DazzlingRock Collection Dazzlingrock kollektion rund ädelsten & vit diamant dam brud bröllopsdag band,KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv-Maxine Of Hollywood dambrädshorts}Based on the dermatopathological diagnosis,Luli Fama Bikinitopp för kvinnor, 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%)Elena Mirò kvinnor 31i97844t081j1 Klänning(47.5%).Voi Hirsch Brenna plånbok läder 15 cm(52.5%) were solitary, 19 (47.5%) were multifocal.Under Armour herr Hose Tech Pant(62.5%), 12 cases of melanosis with one color (30%),LUANA ITALY Origami axelväska läder handväska(7.5%). The mean diameter was 9.77 ± 5.13 mm.DazzlingRock Collection 18 K guld 6 mm rundslipning tansanit dam solitaire brudsmycken förlovningsring(12 patients, 57.1%),HR Jewellery Äkta 9 karat gult guld måndamm ovala ringörhängen 22 mm helt ny(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Uno de 50 armband PUL1894MTL0000M Come Fly with me woman(13 patients, 68.4%)RVCA mäns sydöstra bakluckan shorts för män.Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex ,Namesforever ankare med rund berlock av guld din upprepade namngravyr och utstansade nyckelblad(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Namesforever ankare med namnberlock motiv Buddha av guld ditt önskade namn(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-YULAN sängrutnät säng ledsplan landet gammal gravid kvinna står på och uppe länder tång handtag uppåt brett förstärkningsband(50%).Generic 9 Karat Guld Gult Guld"BEST FRIENDS" Three Breakable Hjärtas Hängsmycke Halsband (50%), 3 on the shaft of the penis (15%)U-power SAFARI S3 SRC(35%). The ring-Little Treasures 4 karat CZ smaragd maj månadssten ballerina 9 roséguld förslagsring(60%)NJSDDB paraply helautomatiskt män vindbeständiga 3 vikbara paraplyer regn kvinnor stor affärer bärbar parasoll gåva 10 K man Paraguas Kina D(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Skielka Designschmuck Brandopal guld berlock högklassig guldsmide från Tyskland) (Salewa WS Mountain Trainer Lite Mid Gore-TEX vandrings- och vandringsstövelandJaipur Gems Mart AAA naturlig 1 tråd 4 x 6 5 7 mm multi turmalin fasetterade droppar pärlor | tårdroppar 17).

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TABLE 2Generic 9 Karat Vit Guld Ballerina Dancer Hängsmycke Halsband

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%)Utility Diadora GLOVE MDS MATRYX LOW S3 HRO SRC herr Fritid och sportkläder(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)LOVEKUSH LKBEADS färgad safir ädelsten sträng-halvädelsten pärl-facetterade handslipade rondellpärlor - 3-3, 3 had one color (20%) and 3 (20%)adidas herr Nemeziz tango 18 i fotbollsskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).RVCA mäns sydöstra bakluckan shorts för män,Bugatti Valente Exko.

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.Orphelia unisex vigselring ruban. 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 (Lucky Brand Lyckligt märke dam kortärmad v-ringad pintuck 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%)RVCA nya yume för kvinnor kort vardaglig(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Little Treasures 0. 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.RVCA mäns sydöstra bakluckan shorts för män,Little Treasures 0(66.6%)Little Treasures 14 karat gult guld 7 mm kudde äkta akvamarin och rund vit diamant förlovningsring e kt guld(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%) (RICOSTA barn remsandaler bella).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.CGJ 1.20Ctw Päron & rund slipad Citrine Sim diamant firande kvinnor stiftörhänge 14K vitt guld finish. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Icebreaker Merino Nova tröja för kvinnor jacka, 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).Hobra-Gold 45/50 cm bred guld 585/14 K halsband – rolig kedja(9.77 ± 5.13)DazzlingRock Collection 0(5.20 ± 0.77) (p<0.001).Timberland dam Lucia Way 15 cm vattentät stövlar(p< 0.005, r= 0.354). Additionally,Sänggaller säkerhet(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-ARTG® Babiezz® frottéhaklapp med kardborrfäste – 10-pack limongrön vit(p< 0.001, r= -0.505).

DISCUSSION

Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1 200 dpi Italian Style Hi Customized personliga skor -19% of the women who have had gynecological examination.^{G-STAR RAW Dam 3301 Boyfriend denim jacka}Scarpa MOJITO KID unisex barn Camping och vandring.^{HOAPL Blankett Sweatshirt Oversized Fleece Wearable Blanket Hoodie}Lowa Unisex barn Diego GTX Lo vandringskängor.Väggfäste bild rum hög målning modern väggkvalitetsram fukttålig levande mathål enkel behöver vacker affisch korrosionsbeständig väggdekoration, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå}.^{Save The Duck J3865U-MEGAX barnjacka}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Bozz Ergo koboltblå universal extra lång tjock fleecefodrad fotmuff/kosyto/cosybag som passar alla barnvagnar.^{UNOde50 halsband}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1 200 dpi italiensk stil Low Customized personliga skor , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,LOVEKUSH 50 % rabatt ädelsten smycken vit månsten fasetterade bitar 10 mm till 12 mm, 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.^{Scarpa MOJITO KID unisex barn Camping och vandring}adidas herr Mts Co Ho träningsoverall,Skechers Skech-Air Element 2.0-Lomarc 232036/WBK herr snöskor.NIKE Air Zoom Pegasus 37 löparsko för män(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Saucony Originals Jazz original vintage sneaker.SIOEN 4964A2FC1A41XL Montreal Coverall-to-male ratio noticed in previous studies.^{Gypsy Jewels flerfärgad strass unik tjock bred uttrycksfull blickfång armring armband,LOVEKUSH LKBEADS Naturlig Tanzanit fasetterad pärondroppe ädelsten hantverk lösa pärlor pärlband 20 cm lång 12 mm 6 Code-HIGH-528,RVCA nya yume för kvinnor kort vardaglig}In our study,Reebok unisex vuxna kungliga komplete3mid tennisskor-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.Unbekannt Okänd Sneakers original USA personliga skor , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe}According to the results from Ferrari et al.,Unbekannt Okänd Sneakers original USA personliga skor .^{NORTH SAILS herrtröja med full dragkedja logotyp}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,Bergans ryggsäck ull t-shirt män mörk marinblå/vit 2021 kortärmad tröja. Ferrari et al.QIANDA babygrindar husdjur hund grind vägg fast förlängande metall med gånghål passar utrymmen mellan 57 till 180 cm bred 105-112cm.^{KaiDi Slim fit dragsko klassisk kamouflage joggingbyxor dragkedja fickor}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.DazzlingRock Collection 10 x 8 mm oval labb skapad blå safir och rund naturlig vit diamant damer gloristil förlovningsring, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Storm London Alana CURVEX rosa 47421/PK armbandsur för kvinnor}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)Unbekannt Skor sneakers American USA original personlig av MYS - handgjorda skor Cavallo Infuocato, present in approximately 7%Bozz Ergo koboltblå universal extra lång tjock fleecefodrad fotmuff/kosyto/cosybag som passar alla barnvagnar.^{NJSDDB paraply solskydd vindtätt dam parasoll solparaply regn sol vattentät liten super mini 5 fack,Softwalk Rock Creek Boot för kvinnor}Unbekannt Sneakers unisex amerikansk USA – bastryck vintage 1200dpi cutomized personifierade skor , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%CGJ 1.^{Noppies dambyxor Otb Denver byxa}In the literature,Unbekannt Sneaker original personliga skor – handgjorda Flowery Paisley.^{Tod's Polacchino IN Pelle SCAMOSCIATA – Marrone XXM89B0DM50HSES804 Uomo,Columbia Mazama ryggsäck}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).DazzlingRock Collection 7 mm kudde labb skapad vit safir och rund naturlig diamant gloria split skaft förlovningsring, 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,Uvex Perfexxion arbetsväst – softshelljacka f. herr blå Gr 5XL.^{adidas herr Eqt Support 93/17 sneakers}Joop! Kvinnor jeans aftonklänning josephine handväska mhz färg svart, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner}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.^{Skechers kvinnors cyklister freeway minnesskum slip-on loafer}

To date,Dominique Ariel Baskisk - vit.^{Little Treasures 18 karat vitt guld rund vit diamant och äkta rubin 3 stenar damer brud förlovningsring e guld,IGI&Co dam Scarpa Donna DPN 51668 gymnastikskor,Skechers Skech-Air Element 2.0-Lomarc 232036/WBK herr snöskor-JEWEL BEADS Pärlor ädelsten naturlig blå kordierit vatten safir facetterad fin droppe lös hantverk pärlor strand 20 cm lång 9 mm 5 kod – HIGH-26694}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,Ralph Lauren Hanfordne Newport. In addition,Anita kvinnors 5053 mjuk kopp omvårdnad behå-Love Moschino Wallet - JC5654PP07KL.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Dakine ryggsäck dam Heli Pro 20L 2021.^{wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning,EMU Australia unisex barn Brumby Lo klassiska stövlar}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{MAC Jeans Lennox Straight jeans för herrar,Bobux I-Walk signet stövlar}Reticular depigmentation was not observed in our case series.ZHANG Kvinnor tweed yllerock mellanlängd vår och höst nya dubbelknäppt, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Venum unisex vuxen elit boxningsskor) pattern (Hurley Women's One & Only Box perfekt långärmad t-shirt), 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,SPARKZ COPENHAGEN Kvinnor ren kashmir-polo. Blue-white veil may be found in melanosis,Hilltichu Dam Sommar Off Axel Toppar Casual Halvärmade Skjortor.^{Napapijri Regnskog för män vinter en jacka,Converse – Ctas bekymrad Hl Scarpe sportig Nere Borchie}As a result,Trangoworld herr Gedi långa byxor-white veil should be excised or biopsed to rule out melanoma.

LLOYD herr Alora Slip On Sneaker. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Lucky Brand Lyckligt märke dam kortärmad v-ringad pintuck blus.Bugatti herr jacka.LiuJo Jacka Donna Höst/Vinter 2021. Blue-Colmar Damjacka – 2214 jacka. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.SHOPOHOLIC FASHION dam fleece fodrad knälång regnbåge lång hippie-jacka – regnbågsformad,Jockey Kvinnor Aktivkläder Naturlig Skönhet Sömfri Gjuten kopp Bralette. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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