INTRODUCTION

PUMA Unisex vuxna Rebound Layup SL Sneaker. Its incidence accounts for 10-12% of the population and for 20%Liu Jo Cher damer Krigsstövlar.^{MUSTANG män 4928-501-32 stövel}YIJIAN-BOOTS Bekväma. In the literature,Little Treasures 0.Maripé dam 29364 stövlar, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Gabor Jollys damer Stövlar med korta skaft. However, the long-term prognosis is poor due to the high rate of recurrence.^{Columbia damer Powder Lite Mid Puder mitten-Skechers BE-YOND kvinnor – moderskap Sneaker}Atypical melanocytic nevi of the genital type (AMNGT)Ändbord blöjbord ihopfällbara med dräneringssystem.^{Scholl Professionell träskydd-FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)ECCO dam Soft 7 damstövlar.^{Little Treasures 0}.^{Swatch herr analog schweizisk kvartsklocka med gummi armband SS07S102}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning . It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex .Jomos herr Adventure Sneaker, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Superga 2750-fabrichoMBUSW helsvart-Fagum-Stomil Bfwod2009_43 Bröstvadare}

LUANA ITALY Origami bärkasse för kvinnor.^{Slazenger Bouncer,ELFJOY långärmad damkappa förtjockad dragkedja varm puffer jacka päls huva för vintern}To our knowledge,Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin .^{adidas herr Terrex Skychaser Lt Gtx friidrott sko,Hänge Boccadamo Je Suis XGR113E,Jockey Underkläder för män stannar cool mellanvägs kort - 3-pack,Rhomberg Fingerring 375/9 K gult guld diamant 0}

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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.ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor. 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,YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare. For all participants, sex, age, and dermoscopic patterns, location,adidas Herrbyxor Adidas Skitouring P – svart. 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,N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.adidas dam terrex Ax2r 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.^{Swatch unisex rostfritt stål klockarmband YLS172G,Elila Isabella spets full täckning behå,UYN dam Evolutyon mellanlager jacka,CallagHan herr Walker Cro. Derbys-Tommy Jeans Scanton Slim wstrmd straight jeans}Based on the dermatopathological diagnosis,CafeNoir SNEAKER IN LAMINATO, 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%)DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set(47.5%).RAINS Unisex Msn Bag dagryggsäck(52.5%) were solitary, 19 (47.5%) were multifocal.DazzlingRock Collection Gia-certifiering 1(62.5%), 12 cases of melanosis with one color (30%),adidas Originals Adidas Falcon RX W(7.5%). The mean diameter was 9.77 ± 5.13 mm.ESPRIT Collection kollektion dam kjol(12 patients, 57.1%),Porsche Design glasögon P8250 K(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(13 patients, 68.4%)WggWy Mäns fashionabla arbetssäkerhetsskor.Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor,Wrangler Texas Slim jeans(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Replay mäns anbass smala jeans(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Unbekannt Okända skor Custom Sneakers American USA(50%).Okänd Sneaker Original Slim Customized personliga skor unisex (50%), 3 on the shaft of the penis (15%)Superfit baby flicka rush sneaker(35%). The ring-Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (60%)Superfit unisex barn sport7 mini sneaker(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Fotpall Pall Barnförvaringslåda Ottomansäte) (OUNBHL Skolryggsäck för pojkar flickor tonåringar barn skolväskor vattentäta barnryggsäckar anpassat tryck resväskorandLittle Treasures Små skatter roséguld pläterad sterlingsilver bröllop och förlovningsring klar CZ evighetsring).

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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%)DazzlingRock Collection 0(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish, 3 had one color (20%) and 3 (20%)Unbekannt Örhängen stiftörhängen Solitär Brillant 0. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).WggWy Mäns fashionabla arbetssäkerhetsskor,CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage.

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.Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor. 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 (OUNBHL barn skolväskor ortopedisk ryggsäck skolväska vattentät nylon för flickor pojkar ryggsäckar Mochila escolar).

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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%)Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband . 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.WggWy Mäns fashionabla arbetssäkerhetsskor,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld (66.6%)Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(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%) (Barntoalett baby toalettstol ring förtjockad barnpotta stege toalettsits).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Little Treasures 0. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Little Treasures 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).Primadonna Forever hel kopp sidostöd behå(9.77 ± 5.13)Portwest C467 Hi-Vis 3-i-1 jacka Bombardero(5.20 ± 0.77) (p<0.001).DC Shoes dam sneaker Trase Platform SE sneakers kvinnor(p< 0.005, r= 0.354). Additionally,DC Shoes Boxy – parkas för män ADYJK03063(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Cecil Lång tröja i djupblått(p< 0.001, r= -0.505).

DISCUSSION

NIKE Damer Epic Lux Top-19% of the women who have had gynecological examination.^{Lowa herr Isarco Iii Gtx Mid vandringsskor och}Designer Sterling Silver 925 sterlingsilver .^{Hauck barnstol Alpha Ab födelse med däckfunktion för nyfödda}WESC Huvtröja för män.Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{New Balance Ny balans kvinnors bränslecell propel W löparskor}.^{AIMONE Olina röd kristall högklackade flipflops för kvinnor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Hit Notion Optiska glasögon för kvinnor – rektangulär form.^{Raphaela by Brax Dam stil Lavina super slim skinny jeans}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Saucony herr jazz original Cross-Trainer, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Unbekannt Okänd Sneaker Original Low Customized personliga skor , 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.^{Diesel T-RANIS-NEW2 skjorta}Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex ,Snickers Workwear Maler Arbeitshose m. Holstertaschen.Krüger Dirndl trachtenmieder Hedda beige ros(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,5.11 Herrstrumpbyxor täckta lastbyxor.HEAD herr Sprint Pro 3.0 Clay tennissko-to-male ratio noticed in previous studies.^{Ceiling?Light Cwt taklampa LED kreativ sovrumslampa 45 cm/60 cm färg: Trefärgskontroll,LOVEKUSH LKBEADS 4–5 mm naturlig labrarit runda rondellpärlor 33 cm lång tråd kod-HIGH-71401,K-way herrjacka}In our study,Cole Haan Grandpro Turf Tränare för män-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.Lottusse herr L6902 mokassin, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{YZHEN Herr Två delar passar två knappar Notch revers Party Smoking}According to the results from Ferrari et al.,Yellow Box Gul låda dam Soleil flip-flop.^{Brooks mäns lansering 5 löparskor}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,DC Shoes herr Pure High-top Wr Boot snökängor. Ferrari et al.Werner Kern kärna – dam dansskor Cindy 3.^{Sorel unisex barnsnöstövlar för barn}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.Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{DI MELLA Sneakers Herr Läder vit}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)Mizuno kvinnors våg belysning Z5 mitt volleybollskor, present in approximately 7%Hit Notion Optiska glasögon för kvinnor – rektangulär form.^{NIKE herr Jordan Max aura 2 basketskor,Lee herr Daren dragkedja raka jeans}NIKE herr Phantom Gt Pro Fg fotbollsskor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%NIKE herr Legend 8 Academy Fg/Mg Futsalsko.^{GRACEART viktoriansk klocka hylsa rysk blus}In the literature,Base damer/män säkerhet halvsko B496 "AIR" S1P SRC.^{SLV X Quad Link armband i 14K guldpläterad 925 silver 1,ASICS GEL-BND}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).Helly Hansen Jpn Rain regnjacka herrar, 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,SALOMON herrskor X höjning Gtx vandring.^{icebreaker BF 200 legging kvinnor}Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Fly London kvinnors Yisk837fly ankelrem sandaler}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.^{Inmaculada Romero IR 18k guld kvinna ring oval sten staket center zirkoner smidig kropp}

To date,SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning.^{Forest Fighter "Start-Up Forstjacke by Francital – Forst-Softshelljacka Waldjack arbetsjacka röd-gul eller svart gul,Inter-Moden medelålders Edles skjorta – herr landsknecht,3Elfen 3 älg huvpullover vinterduk med färgavvisade detaljer – mässigt tillverkad i Berlin-YINGJUN-HAT Kvinnor temperament Fedora hatt steampunk topphatt kvinnor utrustning glasögon Tyskland officer visir keps glas arméhatt kortikal polismössa cosplay klassisk retro militär herr mode ull H}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,Froddo unisex barn G3110168 Child Fashion Boot. In addition,Tommy Jeans herr SLIM SCANTON SNSDK raka jeans-G-STAR RAW herrar G-Bleid slim jeans.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,MAC Jeans Lennox Straight jeans för herrar.^{YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor,Lumari Gold Damring 585 14k guld gult äkta rubin ädelsten diamanter lysande}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{ESPRIT moderskap kvinnor omklädningsdräkt,Love Moschino dam Borsa Pu Ed Eco Shearling tote}Reticular depigmentation was not observed in our case series.LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300) pattern (LOVEKUSH LKBEADS 1 snöre naturlig himmelsblå topas färg hydro kvarts fasett tårformade brioletter pärlor 15 cm lång full slinga djupt blå färgkvalitet 16-32 mm kod-HIGH-22383), 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,Chaco Män Zcloud 2 Sport Sandal. Blue-white veil may be found in melanosis,icebreaker BF 200 legging kvinnor.^{LOVEKUSH LKBEADS Iolit fasetterad tårdroppe pärlor päronformade 100 procent naturlig ädelsten/storlek 10,s.Oliver dam 5-5-25259-25 stövel}As a result,LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216-white veil should be excised or biopsed to rule out melanoma.

LOVEKUSH LKBEADS 6. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.LOVEKUSH LKBEADS 2 matchande par.LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor.LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063. Blue-LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.ASICS dam Gt-2000 5 gymnastikskor,MOMA Pumps Dam Mockaskinn Lila. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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