INTRODUCTION

CAPRICE dam Manou Sneaker. Its incidence accounts for 10-12% of the population and for 20%Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm.^{EDS Jewels 9ct karat gult guld dam ringörhängen - 10}Hurley. In the literature,David King & Co 42 tum klädväska.camel active Mars 13 herr toffel, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Anita active aktiv kvinnors bh sportbh. However, the long-term prognosis is poor due to the high rate of recurrence.^{Regatta herr Eneko vattentät andningsbara tejpade sömmar isolerad taffeta foder ridning vänlig jacka med bakventiler-Alfani dam Aleaa stängd tå balett platt}Atypical melanocytic nevi of the genital type (AMNGT)FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm.^{MH snökängor för män-Classyak västerländsk fransad mocka läder exklusiv stil kappa}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode .^{Little Treasures Små skatter 0}.^{Engelsrufer Änsrofer damer månljus kedja 925 sterling silver vit zirkonia}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Christian Lacroix Sac Cabas Jonc 2 Rouge. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Columbia herr Horizons Pine dubbeljacka.Dr. Martens damer Clarissa II Quad läder sandaler, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Haonb Herrklockor-JXXDDQ Trolley Mode klättring trappor hopfällbar vagn släpvagn vattentät stor kapacitet hållbar}

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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.Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp. 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,Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt. For all participants, sex, age, and dermoscopic patterns, location,Tommy Hilfiger tröja för flickor. 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,Bulova herr analog automatisk klocka med läderrem 98A187. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Volcom. 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.^{DazzlingRock Collection dam förlovningsring 14 karat ,Marc O'Polo damjacka,Krüger Dirndl trachtenmieder Hedda beige ros,Little Treasures 1/3 total karatvikt diamant mode örhängen-PUMA LQDCELL OPTIC PAX WN'S Gymnastik sko}Based on the dermatopathological diagnosis,Texas Wrangler TEXAS herr jeans normal passform inkl. bälte, 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%)Aldo Coronitiflex-pump för kvinnor(47.5%).Haggar herr J.m Performance slim fit klänning tröja(52.5%) were solitary, 19 (47.5%) were multifocal.Tommy Jeans Mäns slim straight live jeans(62.5%), 12 cases of melanosis with one color (30%),DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring(7.5%). The mean diameter was 9.77 ± 5.13 mm.Spyder kvinnors uppdaterade jacka(12 patients, 57.1%),TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).PUMA dam nattkattjacka W(13 patients, 68.4%)Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal.Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack,Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Dearfoams dam velour träsko med minnesskum toffel(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink(50%).adidas damer PULSEBOOST HD W löparskor grå(50%), 3 on the shaft of the penis (15%)Sorel Emelie Foldover' stövlar för kvinnor(35%). The ring-YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor(60%)Clarks Ashridge promenad läderskor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Salice Willow 020ITA) (OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj MujerandLumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans).

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TABLE 2Gabor 23.643 damtrosor

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%)Bisgaard flicka Frederikke Tex stövlar(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Lotus klassisk klocka 18573/A, 3 had one color (20%) and 3 (20%)Craghoppers dambyxa Nl Clara. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal,Mark Todd Collection kollektion unisex dam quiltad jacka .

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.JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk. 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 (ZHANWEI inomhus lekgård baby lekhage anti-fall säkerhet spädbarn lekstaket).

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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%)Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)HUGO herrar San Antonio 2 tröja. 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.Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal,Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics(66.6%)Tommy Jeans Hilfiger denim jeans för män rak passform(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%) (Malaika Raiss stiftörhängen guld dam gyllene böjd platta liten 24 karat högglans förgylld – E325a-S).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Qiaodi Lyxigt läder främre auto bilsätesskydd set med 2 passar till VOLVO C30 C70 S40 S60 S80 S90 V40 V50 V60 XC40 XC60 XC70 XC90, 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).Guess Fortune(9.77 ± 5.13)Nordbron rap scarf halsduk pojkar barn varm(5.20 ± 0.77) (p<0.001).VAUDE Unisex barnbyxor barns badbyxor(p< 0.005, r= 0.354). Additionally,NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-BOSS herrtröja Wailes(p< 0.001, r= -0.505).

DISCUSSION

La Millou Småbarnsfilt – det är vit magi-19% of the women who have had gynecological examination.^{Amen BRURN3 damarmband}Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap .^{Gabor dam Rollingsoft stövlar}Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10.Campingbjörn hushåll örngott , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{NIKE dam Roshe One Print löparskor}.^{PAUL HEWITT dam analog kvartsklocka med läderarmband PH-M-R-M-35S}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Aerosoft andningsbar kardborrstövel för kvinnor och män.^{LOVEKUSH LKBEADS svarta spinellrondeller pärlor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Guess Jeans"Curve X" - W93AJ2 D3OP0-27 , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Falcotto lövskor med kardborrlås, 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.^{Generic 9 Karat Gul Guld 3.00 Princess Cut Kubisk Zirkoniumoxid Solitär Engagemang Ring}FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart,KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare.Mascot 00773-430-888-82C58 storlek L 82 cm/C58"Orlando" servicebyxor - antracit-P Large/90cm/Size C45 Antracit(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart.FHB-Zunftkleidung FHB WERNER arbetsbyxor-to-male ratio noticed in previous studies.^{Gabor Damkängor,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig orange röd aventurin jade runda lösa ädelstenar pärlor 6 mm 38 tum 03465 Kod: RADE-22864,THOMAS SABO Damhänge roséguld oändlighet kedja med diam. Silver förgylld diamant vit - D_LBKE001-923-14-L45v}In our study,Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart-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.Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Carhartt .100233.412.S425 Ripstop byxa med flera fickor}According to the results from Ferrari et al.,Tee Jays crossover jacka för män.^{Hush Puppies valpar herr HM02067 expert chukka stickad}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,koh Flowy formell fladdermusärm kvällsklänning. Ferrari et al.Fruit of the Loom 143 gram.^{Eileen Ford Enkeldörr myggnät för vuxna yurt säng tak nät studenter våningssäng spets kupol infoga bärbar – 1}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.Geox män U Nebula 4 x B Abx A Chukka Boots, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Hanes Girl's Tech fleece raglan pullover huvtröja tröja med huva}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)FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt, present in approximately 7%Aerosoft andningsbar kardborrstövel för kvinnor och män.^{NIKE kvinnors W af1 skal basketsko,YZHEN Herr Kostym Velvet Peak Lapel Jacka & väst byxor}HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%New Balance 500 Core träningsskor för män.^{Little Big Horn Indianer huvudbonad War bonnet Coiffe Indiene}In the literature,Versus VSP561518 roséguld stål 316 L kvinna klocka.^{Missoni 224 01Y svart gul fjäril certifierad vintage glasögonram för kvinnor,Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin} 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).Love Moschino dam Jc4019pp1a ryggsäck handväska, 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,Victorinox Spectra 2.0.^{LIHUA herr tung vikt päls huva parkas 'parked' vadderad vattentät vinterjacka} Clarks Dam Deloria Liv pump, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt}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.^{Geox dam D Thymar C Brogues}

To date,adidas Unisex Kid's Terrex Ax2r R.rdy promenadsko.^{FRYE dam Veronica Bootie stövel,Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor ,DazzlingRock Collection Gia-certifiering 1-Under Armour herr 192810755437 sweatshirt}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,EVIDNT Dam tvåfärgad färgblock långärmad stickad topp tröja. In addition,Carissima Gold guld 9 karat gult hjärta tagg Belcher armband på 18 cm/7 tum-PAUL HEWITT armbandsur Sailor Line av rostfritt stål i silver med ljus eller mörk urtavla.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,LAOLUCKY Annie damhuvtröja jacka hoodie pullover sweatshirt med fickor.^{Jack Daniel Amil falsk mocka A-linje kjol för kvinnor,LIUJUN -WEI rundad tå}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Hanes Youth ComfortBlend EcoSmart träningsbyxor,RVCA Balansbox kortärmad t-shirt med rund hals}Reticular depigmentation was not observed in our case series.FRUIT OF THE LOOM HD bomull v-ringad t-shirt - 39VR, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (LLOYD herrsko dagget) pattern (Freebily sexiga underkläder ihåliga öppen skrev tights stretchiga strumpbyxor långa strumpor), 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,Cecil damer 201480 Vadderad jacka. Blue-white veil may be found in melanosis,Sängtak gardin hängande kupol myggnät öppen dörr prinsessa landning insekt skydd säng tak .^{Angeline Girls Boutique kläder vår alla hjärtans dag set,Guess kvinnors analoga kvartsur glitter flicka}As a result,Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992-white veil should be excised or biopsed to rule out melanoma.

Skechers mäns efterbränna minnesskum snörning sneaker. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Bulova herr analog kvartsklocka med rostfritt stålrem 96B258.ARA Richmond plattform.Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor. Blue-Muck Boots Arctic Sport Tall unisex_-_baby Gummistövlar. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.PUMA herrtröja Ess Fz Hoody Fl,GILBIN 12 par. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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