INTRODUCTION

Starck Eyes 0SH1043M Svart grå 56/15/140 män glasögonramar. Its incidence accounts for 10-12% of the population and for 20%skechers Sport Women's Premium Sneaker.^{Majesty Diamonds 2 1/10 ctw rund svart diamant patiens med accent förlovningsring och vigselring set ring i 14 K vitt guld} Blaklader 145918454599D96 Service Stretch arbetsbyxor. In the literature,ESPRIT Damjeans.Kuli-Muli 1287 runtom-näste 420/30 cm, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Coeur De Lion 2838/10-1520 kedja GeoCUBE® flerfärgad regnbåge. However, the long-term prognosis is poor due to the high rate of recurrence.^{David Aubrey dam ankare med halsband berlock FNA915 längd 40-NKlaus pansarkedja 585er massiv gul guld kedja 5831}Atypical melanocytic nevi of the genital type (AMNGT)BP 1870-572-32-2XL softshell-väst.^{Pinko Dam Only Time Watch Licis casual cod. pk-2321l-15 m-Maddox Country Linen Kostym GToilet-Oliver – Marinblå Modern herrväst för läderbyxor jeans}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Little Treasures 0.^{Meindl unisex-vuxenskor}.^{SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-LOVEKUSH LOVE KUSH JEWELRY handgjorda naturliga ädelstenar armband röda karneol runda pärlor 19 cm för män. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Angel Dear Blankie.THE FOX TAN Etablerad 1951 retro 70-årsdag huvtröja, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Zwindy Garden Kneeler-Hobra-Gold små örhängen vitguld med zirkon halvklotor öronsmycke – modeguld}

Albott Baby lekhage hopfällbar stor baby med 14 aktivitetspanel barn plast aktivitetscentrum lås dörr staket hem inomhus utomhus för småbarn barn.^{Liu-Jo dam löparskor Maxi Alexa – löpning,DazzlingRock Collection Dazzlingrock kollektion 18 k 6 mm rund ädelsten och diamant dam förlovningsring med dubbelbandsset}To our knowledge,Bildram kollage kreativ massivt trä TV bakgrund vägg set ram kombination foto fotoram .^{Cashmere & Class Kaschmir Klass Stor Mjuk Mysig Pashmina Vävt Halsduk Vik Kvinnor Varm Sjal Stole Presentförpackning,Brunswick Vapor herr bowlingsko vit/svart,Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals,Gianfranco Ferré Ferre dam glasögonställ svart}

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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.Mammut Herr Ducan Mid GTX spårsko. 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,Blaklader 145618459956C54 arbetsbyxor med stretch. For all participants, sex, age, and dermoscopic patterns, location,DazzlingRock Collection 0. 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,BP 2433-820-5381-48n. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Little Treasures 9 karat vitt guld rund vit diamant & äkta rubin årsdag bröllop matchande band stapelbar ring. 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.^{ALTRA Lone Peak 4.0 låg vattentät vandringsskor för kvinnor – AW19,LIUJUN -WEI Mode damskor,Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm,Maxwell Scott personligt handgjort läder mobilfodral Gruppo6 i mörkbrun-Hydrowear 072455 Usselo Simply No SweatCoverall}Based on the dermatopathological diagnosis,Little Treasures 14 karat vitt guld rund blå äkta safir och vit diamant dam bröllop band stapelbar ring e guld, 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%)CafeNoir BEATLES IN PELLE CON BORCHIE(47.5%).LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 16 tum super sällsynt AAA gyllene citrin facetterade rondellformade pärlor halsband storlek 5(52.5%) were solitary, 19 (47.5%) were multifocal.dunkle design mörk dam kjol A-linje ballongrock viskos(62.5%), 12 cases of melanosis with one color (30%),24 HORAS dam 23748 Slip On Sneaker(7.5%). The mean diameter was 9.77 ± 5.13 mm.Diamonfire damörhängen 925 sterlingsilver zirkon pärlor linje vit 62/1359/1/111(12 patients, 57.1%),LOVEKUSH pärlor ädelsten naturlig grön Perit fasetterad rondell lös hantverk tråd 14 tum lång 2(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Little Treasures Små skatter 0(13 patients, 68.4%)Little Treasures Små skatter 9 karat vitguld prinsessskuren äkta peridot & vit diamant dam bröllop band stapelbar ring.Little Treasures 0,Little Treasures Små skatter e sterlingsilver(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).camel active kamel aktiv herr rymd 36 låg-toppsneakers(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Travelite lätt(50%).Zutano Unisex baby mysig lurvig hatt(50%), 3 on the shaft of the penis (15%)TIBETAN SILVER Äkta rökig topas ädelsten unik handgjord filigran 925 sterling silver hänge för kvinnor etnisk tribal traditionell bali design helande amulett juni månadssten(35%). The ring-Dragon Dr Tolm Ll Mi Sunglasses(60%)Dearfoams damprickiga tofflor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (YOYVV herr vinter sladd jackor ytterkläder pälskrage fleece fodrade rockar för män storlek M-4XL termisk) (Meindl 2120 49 Catani Junior flickor pojkar utomhussko av nät med fotbäddandPepe Jeans Alice kvartsklocka för män med orange urtavla analog display och silver rostfritt stålrem R2353101503).

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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%)Pretty Ballerinas Vackra ballerinor kvinnors Shirley balett lägenheter(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Skagen Titta SKW2859, 3 had one color (20%) and 3 (20%)Under Armour Remix 2.0 löparskor för män. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Little Treasures Små skatter 9 karat vitguld prinsessskuren äkta peridot & vit diamant dam bröllop band stapelbar ring,Tommy Jeans Scanton Slim wstrmd straight jeans.

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.JewelryWeb Chisel titan graverbar räfflad 8 mm polerad band ring smycken gåvor för kvinnor – storlek alternativ räckvidd: L till Z e Titan. 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 (NIKE dam BA5242 dagryggsäck).

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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%)Schneider Sportswear Paisley W byxa(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Maevn Uniforms Dambyxor med raka ben. 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.Little Treasures Små skatter 9 karat vitguld prinsessskuren äkta peridot & vit diamant dam bröllop band stapelbar ring,Gabor Shoes 4.162 dam stängda ballerinor(66.6%)SDFASD Lyxig automatisk mekanisk herrklocka turbillion safir transparent glasskelett svart blå silver roséguld(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%) (SDFASD Lyxiga män automatisk mekanisk safir rostfritt stål silver svart läder gummi keramisk infattningsklocka lysande).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Gabor dam 51.802.97 stövel. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.camel active herr Bayland mode stövel, 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).Fly London Ralt541fly Chelsea-stövlar för kvinnor(9.77 ± 5.13)Geox dam D Suzzie B sneaker(5.20 ± 0.77) (p<0.001).Replay Flickbyxor(p< 0.005, r= 0.354). Additionally,Flap Happy Girls' baddräkt i en del(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Art Konst kvinnors Alfama båt sko(p< 0.001, r= -0.505).

DISCUSSION

Bisgaard unisex barn 40305.119 sneaker-19% of the women who have had gynecological examination.^{Hit Notion Optiska glasögon för kvinnor – rektangulär form}Gabor Jollys kvinnor Mullvad.^{DADGS Herr vintage ljusblå cyklist jeansjacka streetwear tryckt lapptäcke denimrock ytterkläder}ECCO dam aquet sneaker.Unbekannt Okända sneakers All American USA – Base Type Star tryck vintage 1 200 dpi italiensk stil anpassad personliga skor , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Hurley dam W O&O jacka med huva}.^{Haggar herr J.m Performance slim fit klänning tröja}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%SUPERDRY kvinnor CROYDE CABLE CREW Tröja.^{KHS klockor herrklocka svart platoon titan automatisk KHS.BPTA.DB}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Tommy Hilfiger pojkar Essential Th Flex Skinny Chinos byxor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Reima unisex barn, 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.^{Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka}Cerruti 1881 herrarmbandsur 10 ATM CRA020A212B,Candino Elegance C4487/3 Klassisk herrdesign.JACQUES LEMANS Nostalgie N-209O herrkronograf klassisk enkel(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,PUMA för män CUP Casuals Hooded Jacket Huvtröja.Bisgaard flicka 50203.119 Chelsea stövlar-to-male ratio noticed in previous studies.^{Generic June Födelsesten Alexandrite Kubisk Zirkoniumoxid och Diamant Hjärta Ring in 9 Karat Vitt Guld,Quiksilver Up herrträningsoverall för män,SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning}In our study,MeisterSinger N°3 DM903-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.Mondaine unisex vuxna analog schweizisk kvartsklocka A660.30314.64SBH, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{bugatti herr 321793523200 klassiska stövlar kort stövel}According to the results from Ferrari et al.,LOVEKUSH LKBEADS Naturlig krom grön turmalin fasetterad Rondelle mikro ädelsten hantverk lösa pärlor pärlband 35 cm långt 3 mm Code-HIGH-1098.^{Tom Joule flicka Y_jnrwellibob gummistövlar}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,Three Seasons Maternity moderskap kvinnors moderskapsjeans. Ferrari et al.Li Qiang's shop Damsolglasögon New Female Summer Style Shades Tricolor ram solglasögon kvinnor vit ux Maxi plats UV400 .^{Joules pojkfält Welly Wellington stövlar}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.Hi-Tec Kvinnor Riva Mid Wp Höga Vandringskängor för kvinnor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{ESPRIT Maternity kvinnor Pants denim OTB loose Jeans}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)Jack Wolfskin dam labyrint Texapore Mid W vattentät vandrings- och vandringskängor, present in approximately 7%SUPERDRY kvinnor CROYDE CABLE CREW Tröja.^{Hugo Boss dam Alek Str.long B85-nc knähöga stövlar,J.A.K. 1200112B120 serie 12001 65% bomull/34% polyester/1% negastat bundslang}Salewa WS Mountain Trainer Lite Mid Gore-TEX vandrings- och vandringsstövel, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%TINGLEY Airgo™ Ultra Lightweight Boot herr AirgoTM ultralätta stövlar.^{Wrangler herr Arizona stretch jeans}In the literature,SALOMON dam HIME MID LTR CSWP-W snöstövel.^{HOAPL Kvinnor vintage ankelstövlar block låg klack spetsig mocka booties snygg slip-on mysiga bekväma retrostövlar,Mammut herr Mercury Iii Mid Gtx vandrings- och vandringskängor}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).Gabor Pius 0364.52 mäns stövlar, 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,Lee herr Daren dragkedja raka jeans.^{WENQU Enkla sommarsandaler för män flip-flops med tåring andningsbara tofflor elastisk läderhastighet} Gabor Michelle 24.116.27 pump, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Lee Mäns skräddarsydd luke byxor}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.^{LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt}

To date,Gabor dammode loafers.^{Fly London kvinnors Gore-tex Yups061fly stövlar,GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1,J.A.K. 160351076 serie 1603 65% polyester/35% bomull lanzos-Laura Vita 0002780 dam stövel}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,Gabor dam snörning. In addition,Salewa WS Dropline träningsskor-Outdoor Research Utomhus forskning sjössling Sombrero.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Jack Daniel Amil falsk mocka A-linje kjol för kvinnor.^{AISHANG Ultratunn LED-vägglampa i trä,RICOSTA barnstövel LAIF från Pepino}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{VAUDE Damer kvinnors droppe jacka Iii,PUMA unisex vuxna astro kopp låg-toppsneakers}Reticular depigmentation was not observed in our case series.Salewa Dam Lagazuoi 3 Dwn W Jkt jacka, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Gabor kvinnors bekväma sportklacksandaler) pattern (Salewa Dampedal dst W 2/1 pnt långa byxor), 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,Salewa herr Sesvenna Ptc Alpha M jktjacka. Blue-white veil may be found in melanosis,Dolomite Unisex Zapato Crodarossa Lite Gtx Sneaker.^{Gardin barns sovrum kaktus mörkläggning termiska isolerade öljettgardiner för vardagsrum barn fönster färdiga gardiner 2 x 33 80 cm ,YULAN sängrutnät säng ledsplan landet gammal gravid kvinna står på och uppe länder tång handtag uppåt brett förstärkningsband}As a result,Converse Chuck Taylor All Star Ox Lift Donna Mod. 56311-white veil should be excised or biopsed to rule out melanoma.

Loeffler Pace Tvl 54. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Orient analog automatisk FNR1Q005W0.BelleBay Hill Burry män portmonnäläder | herr plånbok av äkta läder med RFID-skydd Vintage läderbörs myntfack.Tamaris dam 25043-21 Chelsea-stövlar. Blue-Dansko dam Leyla stövlar. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Hydrowear 072465KAP-L Uitwijk Simply No Sweat Parka,Hurley shorts för män Phantom Boardwalk 45 cm. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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