INTRODUCTION

Randiga gardiner. Its incidence accounts for 10-12% of the population and for 20%Brütting Kansas kvinnor bana.^{GMING-raincoat Poncho regndräkt regnkläder med huva regn vattentät regnrock herr vuxen och regntät förtjockning ridning delad dräkt GMING} NIKE Phantom 3 Academy Df Fg fotbal skor. In the literature,J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta.Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka. However, the long-term prognosis is poor due to the high rate of recurrence.^{Haonb Herrklockor-MIMI KING barn soffa söt djur tecknad liten stol pall hög elastisk skum svamp kudde för 2-11 år gammal flicka pojke prinsessa baby}Atypical melanocytic nevi of the genital type (AMNGT)Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat.^{Volcom Victor SNDL flip-flop för män-JEWEL BEADS 1 Snöre Regnbåge Månadssten Päron Bezel Fasetterad 6 delar Strand Ädelsten Pärlor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Sänggaller sängskyddslångare.^{Pinkkart Svarta kvinnor pakistanska byxor kostym designer Salwar Kameez nät indisk muslimsk Georgette och jul 8319}.^{Innovations MS 3224 – ryggsäck ergonomisk}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.SPORT-TEK herr 1/2-dragkedja färgblock vindskjorta. JST75.Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Converse dam CTAS ox-svart/silver/vita träningsskor-DazzlingRock Collection 2}

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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.TYR Dam Glisade Diamondfit baddräkt. 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,Brooks mäns lansering 5 löparskor. For all participants, sex, age, and dermoscopic patterns, location,LLOYD FREEMAN herrar derby. 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,HVTKL Klassisk retro vertikal sektion plånbok läder herr casual kort första lagret av dragkedja . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Hanes Youth ComfortBlend EcoSmart träningsbyxor. 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.^{Högstol hälsosam sittplatsförstora säten,Justin Reece Nubuck-läder Chelsea-stövlar ankelklack,Schott NYC herrjacka,WyaengHai Baby Walker barnvagn Balance cykelhjul bärbara spelkonsoler och Mute steg vandrare leksak för pojkar flickor baby-activity -Columbia pojkar gädda sjö jacka}Based on the dermatopathological diagnosis,Spyder Badbyxor för män, 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%)Gaastra herr Tiller Tmb M Oxfords(47.5%).JEWEL BEADS Pärlor ädelsten 5 trådar rosa ros kvarts slät fyrkantig heishi kub hantverk lösa pärlor 40 cm lång mm kod – HIGH-1326(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures 9 karat vitt guld rund blå äkta safir & vit diamant crossover virvel dam brud löfte ring(62.5%), 12 cases of melanosis with one color (30%),Little Treasures 0(7.5%). The mean diameter was 9.77 ± 5.13 mm.BP arbetsbyxor för män(12 patients, 57.1%),Little Treasures 0(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Little Treasures 0(13 patients, 68.4%)Napapijri herr NOLANOS Shorts.G-STAR RAW dam medelhög cody mitt midja skinny jeans,LOVEKUSH Vackert AAA Kvalitet turkos armband(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Joop! Badrock herr huva 1619 Classic Indigo – 11 S(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-MUSTANG dam 1333-505-1 stövlar(50%).BILLABONG ? 1/1 havsben byxa N41G03BIP9(50%), 3 on the shaft of the penis (15%)Wolky Molniga damsneakers Tunica 1502815 beige 114668(35%). The ring-SUN68 Sneaker running Sun68 Tom Solid nylon/pelle scamosciata nero/grigio chiaro U21SU04(60%)Portwest Biztex mikroporös overall med kåpa typ 6/5 50 st.(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LOVEKUSH LKBEADS 23 cm tråd. Hugeee vit solkvarts fasetterade hjärtbrioletter storlek 24–28 mm kod-HIGH-40889) (Cecil Lång tröja i djupblåttandGIRLSIGHT Minimalistiskt mode kvarts armbandsur elit ultratunn vattentät sportklocka med datum nätband 050. Strömbrytare).

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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%)ESPRIT Damjeans(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Kuli-Muli 1287 runtom-näste 420/30 cm, 3 had one color (20%) and 3 (20%)Coeur De Lion 2838/10-1520 kedja GeoCUBE® flerfärgad regnbåge. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Napapijri herr NOLANOS Shorts,BP 1870-572-32-2XL softshell-väst.

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.Little Treasures 0. 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 (Totto Ryggsäck).

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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%)THE FOX TAN Etablerad 1951 retro 70-årsdag huvtröja(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Albott Baby lekhage hopfällbar stor baby med 14 aktivitetspanel barn plast aktivitetscentrum lås dörr staket hem inomhus utomhus för småbarn barn. 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.Napapijri herr NOLANOS Shorts,Bildram kollage kreativ massivt trä TV bakgrund vägg set ram kombination foto fotoram (66.6%)Unbekannt Okända skor Custom Sneakers American USA(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%) (JMM sjöjungfru svans soffa filt tjock handstickad ull stickad).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Blaklader 145618459956C54 arbetsbyxor med stretch. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.DazzlingRock Collection 0, 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).BP 2433-820-5381-48n(9.77 ± 5.13)Little Treasures 9 karat vitt guld rund vit diamant & äkta rubin årsdag bröllop matchande band stapelbar ring(5.20 ± 0.77) (p<0.001).Little Treasures 14 karat vitt guld rund blå äkta safir och vit diamant dam bröllop band stapelbar ring e guld(p< 0.005, r= 0.354). Additionally,Premium Pearl(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Kohler K-1100-Ra-96 förlängning böjt helförkläde bad med högerhänt avlopp(p< 0.001, r= -0.505).

DISCUSSION

Art Company 1336 CITY BLACK-KAKI/GÜELL Black Woman 37 Velcro-19% of the women who have had gynecological examination.^{Thierry Mugler Sac Seau Addict 1 Bleu}Mascot 15579-860-1418-76C54 byxor kendal storlek L 76 cm/C54 i orange/mörk antracit.^{Little Treasures Små skatter 0}LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 23 cm fasetterade pärlor päronformade brioletter mycket sällsynta röd granat 5 till 7 mm kod: - RADE-28419.LOVEKUSH LKBEADS Röd Granat Mikrofacetterad Rondelle Mikro Ädelsten Hantverk Lösa Pärlor Slinga 3 mm 3, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor}.^{Barnsäkerhetsskydd nät balkong staket trappa säkert restaurang taknät katt anti-drop nylon handvävd dagis gård lekgroud utomhus inomhus}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Sendra Stiefelette 1692 brun.^{niceandnoble Hänge rund med granat av 585 guld}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (loveyourdiamonds Roséguld guldpläterade kreoler i 925 sterling silver med zirkonia stenar, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Roy Robson herrkappa, 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.^{Little Treasures 2}LOVEKUSH LKBEADS Naturlig bi färg fluorit slät päron droppe ädelsten hantverk lösa pärlor tråd 9 st storlek-10-14 mm kod-HIGH-1835,Little Treasures Små skatter 0.BP 1792-555-81-60n shorts(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,CALAMAR MENSWEAR herr calamar bomull utomhus väst.CafeNoir BEATLES IN PELLE CON BORCHIE-to-male ratio noticed in previous studies.^{Grizzlyskin buntbyxor normala storlekar – unisex arbetsbyxor för män och kvinnor med många fickor,Under Armour Kvinnor Zinger T-shirt med full dragkedja,LBBL insektsskyddsdörr}In our study,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 16 tum super sällsynt AAA gyllene citrin facetterade rondellformade pärlor halsband storlek 5-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.dunkle design mörk dam kjol A-linje ballongrock viskos, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Trotters dam Danelle}According to the results from Ferrari et al.,24 HORAS dam 23748 Slip On Sneaker.^{Snickers Workwear Maler Arbeitshose m. Holstertaschen}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,Diamonfire damörhängen 925 sterlingsilver zirkon pärlor linje vit 62/1359/1/111. Ferrari et al.LOVEKUSH pärlor ädelsten naturlig grön Perit fasetterad rondell lös hantverk tråd 14 tum lång 2.^{Fantasie Palm Valley FS6768 W bygelbunden vridning främre baddräkt ormbunke Fen CS}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.Little Treasures Små skatter 0, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Hobra-Gold Hobra-guld kedja vitguld 585 berlock rund med zirkon halsband dam toppdesign}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)Little Treasures 0, present in approximately 7%Sendra Stiefelette 1692 brun.^{Elena Mirò kvinnor 31i97844t081j1 Klänning,loveyourdiamonds Roséguld guldpläterade kreoler i 925 sterling silver med zirkonia stenar}Little Treasures Små skatter e sterlingsilver, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%camel active kamel aktiv herr rymd 36 låg-toppsneakers.^{Naturino Unisex barns kokong Vl gymnastikskor barn}In the literature,Travelite lätt.^{art konst dam Vancouver Peeptoe pumpar,BDDLLM armbandsur brist pin sten springa andra klocka för män fritid}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).Zutano Unisex baby mysig lurvig hatt, 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,TIBETAN SILVER Äkta rökig topas ädelsten unik handgjord filigran 925 sterling silver hänge för kvinnor etnisk tribal traditionell bali design helande amulett juni månadssten.^{Clarks Dam Deloria Liv pump}Dragon Dr Tolm Ll Mi Sunglasses, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{MEK Girl's Superlight Reversibile C.t. kappa}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.^{LA SPORTIVA unisex Tc Pro klättringsskor}

To date,Dearfoams damprickiga tofflor.^{Tommy Jeans DamSophie Lr Skny Ankle Zip Jsmbs byxor,Troy Lee Designs SE Seca Motocross slang orange/blå 34,DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring-Star Vixen T-shirt för kvinnor}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,Under Armour laddade Rogue 2 väglöpning skor för män. In addition,AMQ Armband naturlig vattengrön agat armband damer grön kalcedon jade ädelsten-EU Fashions Damer Bodycon smal passform mini korta kjolar kvinnor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Mugello Örhänge örhängen Murano-glas pärla röd 12 mm diameter rund sterlingsilver guldpläterade 585 guldutsmyckning-arbete unik hantverk jul.^{Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex ,Little Treasures Små skatter 9 karat gult guld rund blå äkta safir och vit diamant bröllop stapelbar band skydd chevronring}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Spyder herr Capitol full dragkedja hårt ansikte fleecejacka,HaiDean kappa dam lång elegant vår höst vintage svans trenchcoat F}Reticular depigmentation was not observed in our case series.ASICS män gel-challenger 12 Clay Tennis Shoe, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Pretty Ballerinas Vackra ballerinor kvinnors Shirley balett lägenheter) pattern (Skagen Titta SKW2859), 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,Under Armour Remix 2.0 löparskor för män. Blue-white veil may be found in melanosis,Tommy Jeans Scanton Slim wstrmd straight jeans.^{Greenburry Vintage Revival RL-1735-22 läder necessär,Mugello Örhänge örhängen Murano-glas pärla röd 12 mm diameter rund sterlingsilver guldpläterade 585 guldutsmyckning-arbete unik hantverk jul}As a result,JewelryWeb Chisel titan graverbar räfflad 8 mm polerad band ring smycken gåvor för kvinnor – storlek alternativ räckvidd: L till Z e Titan-white veil should be excised or biopsed to rule out melanoma.

Helly Hansen DamSkagen Longsleeve. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Tommy Jeans Damer Sylvia Hr super skinny dyadk straight jeans.Schneider Sportswear Paisley W byxa.Maevn Uniforms Dambyxor med raka ben. Blue-Gabor Shoes 4.162 dam stängda ballerinor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.SDFASD Lyxig automatisk mekanisk herrklocka turbillion safir transparent glasskelett svart blå silver roséguld,Volcom dam Finley Sandal. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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