INTRODUCTION

PUMA herrtröja Ess Fz Hoody Fl. Its incidence accounts for 10-12% of the population and for 20%GILBIN 12 par.^{art dam bonn kort skaft}NIKE Air Zoom Pegasus 35 löparskor för män. In the literature,adidas D Dwight Howard 5 Indoor Basketball hallskor sneaker blå/vit/grön D73948.Swarovski Fina kreoler, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Hanes Beefy Henley t-shirt för män. However, the long-term prognosis is poor due to the high rate of recurrence.^{Just Cavalli dam Jc Main Coll stövlar-Portwest FR58ORRXXXL FR antistatisk vintersalopett}Atypical melanocytic nevi of the genital type (AMNGT)WggWy Sequin Platform Shoes.^{NIKE Air Max Tavas för män -Little Treasures 0}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)W-xiao stool Datorspelstol av PU-läder.^{Geox herr M Winfred kappa}.^{Stor U-formad graviditetskudde}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Sänggitter HUO Vache sidoskydd för äldre personer. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.WMOFC Herr vintage skotskrutig skjorta jacka.LBBL insektsskyddsdörr, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{MasGemelos vardagliga manschettknappar Skultuna skotsk lejon – röd-BILLABONG ? 1/1 havsben byxa N41G03BIP9}

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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.Ali@ vit U-formad blöjkudde. 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,Amblers Safety Höstjakter säkerhet unisex Fs46 mocka tå slip on sliten sko. For all participants, sex, age, and dermoscopic patterns, location,Reebok Chaussures Astroride Trail 2.0. 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,Merrell Banshee Trail löparskor för kvinnor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Ziiiro Herrklocka ZIIIRO ref: Z0010WBK. 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.^{XNAurora herr läder affärsportfölj handväskor 40 cm bärbar axelväska affärsväska kurirväska,Rago dam plus-storlek hög midja cykelformare,Comfort Sport dam 52.894.41 mode stövel,Salewa Dam Lagazuoi 3 Dwn W Jkt jacka-Marvel Spiderman Action barnbagage}Based on the dermatopathological diagnosis,TEPPICH-CY-ZK mattor mjuka att röra vid inomhus babyrum gul blå kräm färg graffiti linje design barnrum matta lätt rengöra, 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%)Bishilin runda diamantband ringar förlovning bröllop(47.5%).Silver Jeans dam suki kurviga passform mitt stiga bootcut jeans(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures Små skatter 14 karat vitt guld rund äkta rubin och vit diamant dam brud 3 sten förlovningsring e guld(62.5%), 12 cases of melanosis with one color (30%),GCX– babypåsar(7.5%). The mean diameter was 9.77 ± 5.13 mm.WYSTLDR Färgglada peacock dockor plysch leksaker(12 patients, 57.1%),Barntrappor baby staket dörr bar husdjur fri stansning dubbel lås självstängning (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).YZHEN Herr Två delar passar två knappar Notch revers Party Smoking(13 patients, 68.4%)Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor.Raincoat WDX vandring vuxen utomhus hel kropp vattentät ponchojacka hållbar ,LOVEKUSH LKBEADS hel sträng vasonit ädelstenspärlor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Aubade Soutien-gorge push-up(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Gabor skaftstövel – sportgolv(50%).DazzlingRock Collection Dam-förlovningsring-set 10 karat rött guld 7 x 5 mm päronform diamant rund(50%), 3 on the shaft of the penis (15%)Trangoworld Knökelbyxa. Lång(35%). The ring-Gabor damsneakers med låg topp sneaker(60%)Under Armour herr 192810755437 sweatshirt(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (JEWEL BEADS Smyckespärlor naturliga vackra smycken naturlig blå tanzanit fasetterad rondell mikro ädelsten hantverk lös distans pärlor tråd 33 cm 3 mmKod: - BB-501) (J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjortaandXJJ88 12 delar Shutterstock_1218283948 1 förvaringsväska – mönster tryckt tvättbar leksak påse väskor för Thanksgiving party presentförpackning).

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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%)Flip Flop-GQ Par bomullstofflor inomhus söt varm plus sammet tjock botten halkfri tofflor-37-38_Mörkgrå(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)ECCO dam fritid sneaker, 3 had one color (20%) and 3 (20%)Spricen Sweatshirt Naruto Anime Manga huvtröja jackor kvinnor män man dragkedja avslappnad jacka vår höst tonårings rock. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor,CLEAVE WAVES Industriell pendellampa vintage takbelysning vattenrör stil retro metall lampskärm kedja hänge lampa för hall foajé kök restaurang-koppar.

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.SLLI Men 3/4 Sleeve Casual Regular Fit Solid Business Dress Blazer Jacket Sport Coat. 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 (Little Treasures Små skatter 2).

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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%)Willlly damhandskar vinter varm och vardaglig chic sektion mode enfärgad vattentät utomhus läderhandskar vantar(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)New Balance Ny balans kvinnors bränslecell propel W löparskor. 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.Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor,SUPERDRY kvinnor SPORTSTYLE CHENILLE HOOD Huvtröja(66.6%)MERRYHE unisex Beijirong badklänningar plus storlek bostadskropp dubbla lager tjocka badrockar gym dusch spa hotell kimonos pyjamas lång nattklänningar(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%) (s.Oliver BLACK LABEL Blazer 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.Merinomink filthatt. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Harry's Horse Rijbroek Heren Liciano denim fullt grepp, 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).Tom Joule flicka Y_jnrwellibob gummistövlar(9.77 ± 5.13)adidas Unisexvuxna EF3531 friidrott skor(5.20 ± 0.77) (p<0.001).Trollkids Flicka mjukt shell jacka kristiansand(p< 0.005, r= 0.354). Additionally,RACHEL Rachel Roy dam Margot klänning för speciella tillfällen(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-XZHSA hopfällbar babysäng canopy(p< 0.001, r= -0.505).

DISCUSSION

Haonb Herrklockor-19% of the women who have had gynecological examination.^{Little Treasures 14 karat gult guld 7}Navitech actionkamera ryggsäck blå förvaringsväska integrerad bröstrem kompatibel GoXtreme Black Hawk 4K.^{Yidali Herr utstansad tunnform kvarts armband armbandsur hip hop full diamant klocka 14 K guldpläterad med simulerade kristaller}QXue Wedding Bridal Court Shoes Lace Pointed Toe Prom Bridesmaid High Heels.DADGS Denim blazer herrjacka höst vårmode herrkläder smal passform business jeansrockar män vardagsdräkter, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Little Treasures 14 karat gult guld diamant initial I ring e kt guld}.^{LOVEKUSH Pärlor ädelsten 20 cm tråd}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Paddocks jeans PAT.^{GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Helkropp graviditetskudde, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,shoe Herrlöpningsskor Utomhus, 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.^{Bayton NOMA KID wool sole/Bleu marine unisex barn Mule}CINQUE Cibravo byxor för män,ZAUNICK Stjärntecken kräfta manschettknappar sterlingsilver.Noppies dambyxor Otb Denver byxa(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,BP Arbetsbyxor Workwear.CETLFM personanpassade herrmode klockor-to-male ratio noticed in previous studies.^{XYZMDJ Oversize retro tryckt klänning för kvinnor,Oxygen Sport Legend Chrono 41 Rubens L-CH-RUB-41,JEWEL BEADS Pärlor ädelsten röd spinell släta pärlor}In our study,Barnsäkerhetsskydd nät balkong staket trappa säkert restaurang taknät katt anti-drop nylon handvävd dagis gård lekgroud utomhus inomhus -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.Toff London Pride Rainbow Heart Love Watch, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LGYKUMEG Bröllop brud högklackade skor}According to the results from Ferrari et al.,KAERMA Kaerma Kvinnor Rosa Hooded Beach Handduk Utomhus Byte Baddräkt Poncho Badrock/Snabbtorkande Handdukar Badkjol.^{LaoZan Kvinnor elegant långärmad rund hals räv fuskpäls kort kappa 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,Damenmantel aus Baumwolle Damer vinterjacka röd lång lös kappa naturlig sammet vadderad tjock ljusgrön att övervinna Ge samma halsduk plus . Ferrari et al.DazzlingRock Collection 1.^{BAOZ Ryggsäck 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.Generic 9 Karat Gul Guld Diamant and Rubin Engagemang/Ring, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Vibram Five Fingers herr 19m7601 V-trail 2.0 träningsskor}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%Paddocks jeans PAT.^{Carissima Gold Guld 9 karat gult guld justerbart halsband – utskuren oändlighetssymbol 15 mm x 5,Laura Vita dam Elea 02 Chelsea-stövlar}Little Treasures 14 karat gult guld 7, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Little Treasures Små skatter 14 karat gult guld 6 mm kudde äkta rubin och rund diamant brud gloria stil förlovningsring.^{Unbekannt Okänd Sneaker All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor} In the literature,Little Treasures 14 karat gult guld kuddslipad peridot & runda slipade vit diamant dam dinglande droppörhängen.^{adidas dam Cloudfoam Advantage Clean träningsskor,TAYIBO mysiga halkfria flip-flop-tofflor}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).Generic 9 Karat Gul Guld Ametist and Vitt Topas Rope Design Engagemang/Ring, 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,Swarovski Clasp Charms rostfritt stål kristall 5437318.^{YZHEN Herr Suit Plaid Byxor med två knappar}Under denna tak fäster den rena livet – väggtatuering väggdekal , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Kappa Mäns träningsoverall Ephraim Tracksuit}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 LKBEADS Naturblå Chalceny runda pärlor 45}

To date,Little Treasures Små skatter 0.^{XSENSIBLE herrskor SWX4 30084.3-002 svart 720122,Tommy Hilfiger herr Bleecker Cargo Fin PD-struktur byxa,BOOM Watches Nalka Blush-Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver}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,MERRYHE Äkta läder snörning Oxfordskor för män vanlig tå klassisk formell klänning sko jobb fest bröllopsskor. In addition,47-B Höstcardigan tröja kappa lös vild kvinnlig med huva -Elbenwald Medeltida damer klänning Ennlin kortärmad med snörning bomull blå.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,DazzlingRock Collection 1.^{Planam buntbyxa värme/svetsskydd,Gerber Baby Girls' nattlinne}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Salewa WS Dropline träningsskor,wrangler Men's George Strait Cowboy Cut Original Fit Jean} Reticular depigmentation was not observed in our case series.Bilsätesskyddsset, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Daniele Fiesoli DF0024 blå storlek: S) pattern (coolhides herrmode motorcykel äkta läderjacka Beckham-stil), 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,Zabats 35-85cm härliga fyllda liggande lejon plyschkuddar mjuka kawaii djur plysch leksaker för barn baby docka heminredning flickor gåva Brun 65cm. Blue-white veil may be found in melanosis,drolpt Badrock mjuk alla årstider bomull frotté par badrockar kvinnor rock hotell badrock andningsbar absorberande nattkläder tyg.^{Sols herr Rallye softshellwest/bodywarmer/weste,Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor}As a result,3D naturlig grön blomma och gräs Område Mattor Golvmattor-white veil should be excised or biopsed to rule out melanoma.

Finn Comfort män Dijon Derby. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Kronsegler Kronseglare herr automatiskur Oxford Masters stål-silver.LOVEKUSH 50 % rabatt ädelsten smycken 10 trådar.Kuingbhn bal handväska kvinnor clutch bag eleganta paljetter kväll plånbok kedja axelväskor aftonväska . Blue-Dunlop Purofort MultiGrip rökelse. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.CAPRICE dam kyss sneaker,AG Adriano Goldschmied Jeans för kvinnor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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