INTRODUCTION

CallagHan herr cedron mokassin. Its incidence accounts for 10-12% of the population and for 20%Uno de 50 Orion PUL1818CRLMTL0M.^{DazzlingRock Collection 18 K vitguld 6 x 4 mm varje päronlabb skapad ädelsten och rund diamant damer halo knoppörhängen}Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack. In the literature,Naturino pojkar bekväma sandaler.Lodi dam Habi-x sandaler med klack, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm . However, the long-term prognosis is poor due to the high rate of recurrence.^{PINKKART Traditionellt indiskt handtryck Bandhani Saree kvinnor bröllop vardaglig cocktailparty sari blus 9437-LIUJUN -WEI Spetsig tå}Atypical melanocytic nevi of the genital type (AMNGT)XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå .^{Thumby stiftörhängen dinglande örondroppe S925 silver retro hantverk kvinnors jaspis fransade örhängen västerländsk stil hundra smycken par gåvor för fester-CafeNoir BEATLES IN PELLE CON BORCHIE}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set.^{King Kerosin fotogen herr motorcykel läderjacka}.^{Brooks Adrenaline Gts 20 löparsko för män}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-RAINS Unisex Msn Bag dagryggsäck. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.DazzlingRock Collection Gia-certifiering 1.adidas Originals Adidas Falcon RX W, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Tommy Hilfiger dam jute detalj plattform sneaker-Ganter Karin}

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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.Wrangler Texas Slim jeans. 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,Replay mäns anbass smala jeans. For all participants, sex, age, and dermoscopic patterns, location,Unbekannt Okända skor Custom Sneakers American USA. 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,Okänd Sneaker Original Slim Customized personliga skor unisex . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Superfit baby flicka rush sneaker. 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.^{Aventura Dharma damtröja med kort ärm,So Danca kvinnors Ta52 kran dansskor,Orphelia Fashion dam analog klocka Descent med rostfritt stål,LOVEKUSH 925 steling silver ångest ädelsten 3–4 mm strackande grön tanzanisk opal armband rondell-PUMA Unisex vuxna Rebound Layup SL Sneaker}Based on the dermatopathological diagnosis,Saltwater Sandals Salt Water by Hoy Shoe Original Sandal , 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%)Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband (47.5%).Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband (52.5%) were solitary, 19 (47.5%) were multifocal.Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld (62.5%), 12 cases of melanosis with one color (30%),Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(7.5%). The mean diameter was 9.77 ± 5.13 mm.Little Treasures 0(12 patients, 57.1%),Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Little Treasures 0(13 patients, 68.4%)Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112.Little Treasures 0,Primadonna Forever hel kopp sidostöd behå(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Portwest C467 Hi-Vis 3-i-1 jacka Bombardero(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-DC Shoes dam sneaker Trase Platform SE sneakers kvinnor(50%).DC Shoes Boxy – parkas för män ADYJK03063(50%), 3 on the shaft of the penis (15%)Cecil Lång tröja i djupblått(35%). The ring-NIKE Damer Epic Lux Top(60%)Designer Sterling Silver 925 sterlingsilver (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (DAUERHAFT UV-skydd dykning våtdräkt) (Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamant lysandeandSendra Stiefelette 1692 brun).

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TABLE 2WESC Huvtröja för män

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%)Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Snickers Workwear Maler Arbeitshose m. Holstertaschen, 3 had one color (20%) and 3 (20%)Krüger Dirndl trachtenmieder Hedda beige ros. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112,5.11 Herrstrumpbyxor täckta lastbyxor.

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.HEAD herr Sprint Pro 3.0 Clay tennissko. 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 (Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots).

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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%)Yellow Box Gul låda dam Soleil flip-flop(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)DC Shoes herr Pure High-top Wr Boot snökängor. 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.Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112,Werner Kern kärna – dam dansskor Cindy 3(66.6%)Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan (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%) (TOM TAILOR dam 7990108 stövlar).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.NIKE herr Legend 8 Academy Fg/Mg Futsalsko. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Base damer/män säkerhet halvsko B496 "AIR" S1P SRC, 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).Helly Hansen Jpn Rain regnjacka herrar(9.77 ± 5.13)SALOMON herrskor X höjning Gtx vandring(5.20 ± 0.77) (p<0.001).Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar(p< 0.005, r= 0.354). Additionally,SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Froddo unisex barn G3110168 Child Fashion Boot(p< 0.001, r= -0.505).

DISCUSSION

Tommy Jeans herr SLIM SCANTON SNSDK raka jeans-19% of the women who have had gynecological examination.^{Valentino dam 0VA4022 50018G 54 solglasögon}G-STAR RAW herrar G-Bleid slim jeans.^{Silver Jeans Co. för kvinnor}MAC Jeans Lennox Straight jeans för herrar.LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{WGKUMMQN dam ryggsäck dragkedja hjärtform enkel mode tygväska linger axel college vind resväska}.^{Storm London STORM soren klocka}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300.^{Guess Jeans"Curve X" - W93AJ2 D3OP0-27} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (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, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Chaco Män Zcloud 2 Sport Sandal, 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.^{camel active herr light 11 sneaker}icebreaker BF 200 legging kvinnor,LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216.LOVEKUSH LKBEADS 6(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,LOVEKUSH LKBEADS 2 matchande par.LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor-to-male ratio noticed in previous studies.^{LA SPORTIVA herr Trango Tower Extreme GTX kängor,Timezone Regular Ryantz straight jeans,Raf Simons Solglasögon sköld blå och grå linser kategori 3-8RAF4ADARKBLUE}In our study,LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063-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.LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor}According to the results from Ferrari et al.,ASICS dam Gt-2000 5 gymnastikskor.^{GlassOfVenice Serena Murano Millefiori klocka med läderband – röd}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,MOMA Pumps Dam Mockaskinn Lila. Ferrari et al.Timezone Regular Ryantz straight jeans.^{Tatonka Essential herr"Sawmill Jacket" fleecejacka}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.Capezio danssneaker, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans}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)s.Oliver BLACK LABEL damklänning, present in approximately 7%LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300.^{Abhilasha Alla hjärtans speciella exklusiva indiska kvinnor traditionella sares 15,Maripé dam 29364 stövlar}s.Oliver Damklänning, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%adidas herr Hb special boost fotboll.^{Remonte dam D3054 remsandaler}In the literature,viking unisex barn slöja sneaker.^{Irregular Choice Oregelbundet val dam Curio Shop halvvadsstövel,SXWBL Intelligent ryggsäck enkel trolley resväska}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).Chie Mihara dam Icaro37 pump, 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,Obsessive Police Set beklädnad.^{Young Soles Unna sulor flickor Rosie Mary Janes}Gabor dammode pumps, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Sandals Sandaler sommar komfort kil söt rosett öppen tå mode vattentät plattform spänne gräs vävning högklackad}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.^{Me Too dam 4384122437721 Norina}

To date,Caitefaso överdimensionerade tröjor för kvinnor långa ärmar ribbad pullover jumprar höst kläder toppar.^{Hanwag Pulja Lady ES - svart/svart,WYUKN Vandringsskor – flugvävda andningsbara säkerhetsskor,Saucony sneakers Donna Jazz S1044 Celeste Perla-5.11 Män 74332 Pantalon Covert Khaki}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,TYPO G-formad graviditetskudde. In addition,Bearpaw flicka tallula kängor-LGYCB Deadpool cosplay-kostym.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,O'Neill Lw Frozen Wave Crew-3990 Röd Aop W.^{DazzlingRock Collection 0,THE FOX TAN Rango – Logo T-shirt}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Geox baby flickor Gisli 15 Sneaker,Art Konst dam 1600 gräs brun/polo}Reticular depigmentation was not observed in our case series.HOAPL nya latinska dansskor för kvinnor guld svart klack 6-10 cm balrum latin samba kubansk tango mocka balsskor danssandaler, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder ) pattern (Munich Münch dam Alpha 33 träningsskor), 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,luckyW Sexiga kvinnor spets slät Cheongsam genomskinlig polokrage ihålig ut klänning danskläder nattkläder dam babydockor. Blue-white veil may be found in melanosis,ruNNex säkerhetsskor S3 LightStar extra lätta halvskor storlek 44.^{Seafolly kvinnors gudinna mjuk kopp halterneck-posterlot baddräkt i ett stycke,THE FOX TAN Rovdjur – troféer t-shirt}As a result,Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar-white veil should be excised or biopsed to rule out melanoma.

camel active herr light 11 sneaker. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Neerupam Collection kollektion naturlig röd rubin 5.CJK Förvaringslådor av tyg.Speed kartoverall regn svart. Blue-PEARL IZUMI UNISEX- Maillot Pi M/C Elite Speed Turq elithastighet turkos. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.MAC Jeans Damer smala jeans,Yaunli Duschsandaler för män halkfria äldre strandsandaler tofflor två användningssätt mäns vardagliga lätta utomhus hem sandaler bekväm dusch strand sko . Clues for AMNGT are given by dermoscopy.

CONCLUSION

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