INTRODUCTION

Gabor kvinnors bekväma sportklacksandaler. Its incidence accounts for 10-12% of the population and for 20%Salewa Dampedal dst W 2/1 pnt långa byxor.^{G-STAR RAW herr rå t-shirt}Salewa herr Sesvenna Ptc Alpha M jktjacka. In the literature,Dolomite Unisex Zapato Crodarossa Lite Gtx Sneaker.Converse Chuck Taylor All Star Ox Lift Donna Mod. 56311, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Loeffler Pace Tvl 54. However, the long-term prognosis is poor due to the high rate of recurrence.^{adidas Unisex Kid's Terrex Ax2r R.rdy promenadsko-Willlly Stickad tröja för män cardigan stickad vardaglig med chic lös fritid höst clásico och vinterjacka kappa cardigans}Atypical melanocytic nevi of the genital type (AMNGT)Orient analog automatisk FNR1Q005W0.^{Marmot herr Rom 2.0 huvjacka-Yamyannie sommarbyxa för män elastisk midja bomull andningsbara byxor dragsko enfärgade lösa vardagliga byxa} Histopathologically atypical melanocytic nevi of the genital type (AMNGT)BelleBay Hill Burry män portmonnäläder | herr plånbok av äkta läder med RFID-skydd Vintage läderbörs myntfack.^{Alvi 'Alvi 445233236 3-delad babymössa}.^{adidas herr Nemeziz tango 18 i fotbollsskor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Tamaris dam 25043-21 Chelsea-stövlar. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Dansko dam Leyla stövlar.Hydrowear 072465KAP-L Uitwijk Simply No Sweat Parka, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{GANT herr vardagliga tofflor-Liu-Jo Kvarts damklocka TLJ1122}

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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.Hydrowear 04026011F Fulda Polar fleecejacka. 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,Blakläder 339811579000XXL storlek 2X-stor huvtröja med full dragkedja – grå XS Svart. For all participants, sex, age, and dermoscopic patterns, location,ALPHA INDUSTRIES Alpha Industries Hoodie Lunar Plaque Sweater White-XL. 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,Volcom Victor SNDL flip-flop för män. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Pepe Jeans Herrjeans Slim fit. 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.^{Dominique Ariel Baskisk - vit,Spanx kvinnors vardagsformande stringtrosa,Tamaris dam stövlar,Lola Jeans kvinnor Anna dra på leggings-LERROS Mäns tröjor}Based on the dermatopathological diagnosis,Champion herr Seasonal American Tape Rib Cuff Pants sweatpants, 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%)CHEROKEE womens1124AInfinity Low Rise Slim Pull-on byxa medicinska skrubbbyxor – grön L Tall US(47.5%).WALDIN babyvagnsset med utrustning(52.5%) were solitary, 19 (47.5%) were multifocal.RICOSTA Barn lågt-topp sneaker EBI från Pepino(62.5%), 12 cases of melanosis with one color (30%),Pikolinos Bilbao M6e ankelstövel för män(7.5%). The mean diameter was 9.77 ± 5.13 mm.Nakamura Dam Delia byxor(12 patients, 57.1%),AEVOR Unisex Trip Back ryggsäck(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).LOVEKUSH LKBEADS Naturlig regnbågsfärgad månsten AA kvalitet släta runda pärlor(13 patients, 68.4%)Jack Daniel Amil falsk mocka A-linje kjol för kvinnor.LOVEKUSH LKBEADS naturlig rosa ametist 8 x 10 – 9 mm feceterad lökform st strå kod-HIGH-68513,Kubler 12417322-9946-XXL väderjacka klassisk storlek XXL i svart/blåklint blå(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Diadora 702.177663 BYXA ROCK STRETCH PERFORMANCE(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-QNBD bärbar vindtät omvänd paraply enhörning dubbelskikt inverterat män kvinnor står sig själv regn solskydd C-krokar(50%).CMP Flicka vattenavvisande täcke med huva(50%), 3 on the shaft of the penis (15%)ZHANG Höst/vinter dam stor kornig kort pärlknapp fårskuren sammetskappa kappa(35%). The ring-Odlo dam slang bris ljus(60%)Remonte dam R7615 slutna ballerinor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (DazzlingRock Collection IGI-certifierad 1) (ZDAMN Vristlänk kvinnor smycken guldpläterad konstgjord pärla kopp kedja glänsande justerbar andHudson 8 par damstrumpor).

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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%)Yamyannie sommarbyxa för män elastisk midja bomull andningsbara byxor dragsko enfärgade lösa vardagliga byxa (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)LLOYD herr Madras Oxfords, 3 had one color (20%) and 3 (20%)Blauer Mills dunjacka Uomo mod. BLUC03035. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Jack Daniel Amil falsk mocka A-linje kjol för kvinnor,Bugatti herr Freizeit Weste Dunväst.

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.Allthemen Män jeansjacka vinter tjock varm militär cowboy parkas rockar fleece fodrad utomhus flera fickor jackor. 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 (Yellow Box Gul låda dam Soleil flip-flop).

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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%)FJÄLLRÄVEN herr Kiruna vadderad jacka(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Hobra-Gold modern berlock guld 585 – guldhänge med gnistrande stenar ädel design. 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.Jack Daniel Amil falsk mocka A-linje kjol för kvinnor,Jeckerson herr Ankle Chino Hose(66.6%)Think! dam Drawi_585234 stövlar(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%) (EDS Jewels Klassisk 9 karat gult guld dam Claddagh ring WJS17176).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Jaipur Gems Mart AAA Tanzanit ädelsten 2 mm – 3 mikrofasetterade rondellpärlor ~ naturlig halvädelsten lösa pärlor för smycken 33 cm band paket med 5. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Bulova dam analog klassisk kvartsklocka med rostfritt stålrem 98 x 6, 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).s.Oliver Dam analog kvarts armbandsur med rostfritt stål armband(9.77 ± 5.13)Generic Two Tone 9 Karat Guld Gult Helgon Benito Diamant Circular Frame Hängsmycke Halsband (5.20 ± 0.77) (p<0.001).OK Baby N38085435X Onda Evolution – bebisbadkar(p< 0.005, r= 0.354). Additionally,Väggtatuering väggdekal bild klistermärke barnkammare 3D XXL mint berg S – 150 x 75 cm dekor natur väggklistermärke baby flicka pojke(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Bisgaard unisex barn 40325218 hög sneaker(p< 0.001, r= -0.505).

DISCUSSION

Alvi 'Alvi 445233236 3-delad babymössa-19% of the women who have had gynecological examination.^{Lpinvin dam sparkbyxor mode ord krage spets utsvängd overall temperament byxor två färger passar vardagsliv} Hope & Henry Layette ljung grå tröja med huva tillverkad av ekologisk bomull.^{YOUZHA portfölj toppsäljare modemärke affärsman aktväska-läder-väska-ledig man-väska axelväska}Hanes baby dragkedja byxor.FJÄLLRÄVEN Väska Totepack No.2, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{JAREEYA 18 karat vitt guld 2}.^{Unbekannt Sneakers unisex amerikansk USA – bastryck vintage 1200dpi cutomized personifierade skor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%YXX - Blått trä 2-stegspall för pojkar.^{LOVEKUSH LKBEADS naturlig granat fasetterade klimpar 35 cm långa/storlek: 15 x 20 mm} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Chrome Industries Avail Backpack svart, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Stadlbauer Lorenz mod. TRAVEL-24 GMT, 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.^{BOSS herr Salboa sweatshirt}Henry London unisex analog kvartsklocka med läderarmband HL39-S-0031,WANGLXST Lätt att bära barnvagn.ZEMIN tryck passform baby hundar säkerhet trappskyddsnät barriär unik 90° tvåvägsöppning bilstängningsfunktion(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Marvel Spiderman Action barnbagage.Maxpedition Vandringsryggsäck Monsoon Gearslinger 1600 L Svart-to-male ratio noticed in previous studies.^{skechers Men's Equalizer 2.0 True Balance Sneaker,Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose,RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta}In our study,GRACEART viktoriansk klocka hylsa rysk blus-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.XYZMDJ bärbar smyckeskrin resa örhänge halsband tillbehör arrangör låda med dragkedja , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Never give up Ge aldrig upp brud huvudbonad krona hel rund kristall drottning strass tiara sidobal bröllop hår smycken A} According to the results from Ferrari et al.,Geox pojkar J Kilwi pojke en sneaker.^{MUSTANG dam 1333-505-1 stövlar}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,Heelys pojke swerve X2 hjul klack sko. Ferrari et al.London Fog pojkar bröstband poly fodrad jacka.^{Lyssé Damjacka}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.uppladdningsbar leksak, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Valin dam nitar läderjacka konstläder bikerjacka med dragkedja}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)Erima herr Razor 2.0 träningsjacka med huva, present in approximately 7%YXX - Blått trä 2-stegspall för pojkar.^{ESPRIT Damjeans,Vintage koppar vägglampa lampett}Emporio Armani Unisex 502613 Solglasögon, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Napapijri herr AGARD Bomberjacka.^{Little Treasures 14 karat vitguld diamant initial W ring}In the literature,Victorinox schweizisk armé kvartsur för män Maverick 241606 med gummiband.^{Ray-Ban Unisex klubbmaster aluminium solglasögon,DazzlingRock Collection 0}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).CFPL Fyrdelat sängkläder, 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,Geox Uomo Snake K sneaker.^{CafeNoir SNEAKER IN LAMINATO}Tommy Hilfiger herr Bleecker Cargo Fin PD-struktur byxa, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Wxli-Sss jeansbyxor nya herr bomull håliga hål jeans ledig smal vit herrbyxor mode denim stretch hiphop byxor man}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.^{Scotch & Soda Damhud – Leave No blå straight jeans}

To date,Hatley baby-flicka footed Coverall – rådjur och kaniner stramplare.^{Bathrobes Badrockar pyjamas,LBWT Bekväma huvtröjor,Mascot 17035-411-09-XL jacka vinterjacka med CLIMascot vattentät storlek XL i svart-Spyder herr Capitol full dragkedja hårt ansikte fleecejacka}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,Lego Wear flickjacka. In addition,GUESS glasögon -CHEROKEE mäns original knäppe fram värmande skrubbtopp.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Fox Pioneer pullover fleece.^{Erima herr Razor 2.0 träningsjacka med huva,Nero Giardini Svart Tronchetto snörning läder}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Little Treasures Små skatter sterling silver blå safir CZ labb opal hänge ,Chinese Laundry Kinesisk tvätt dam Rylan klänning sandal}Reticular depigmentation was not observed in our case series.Flanell filt till min käraste son, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Teva Mush Mandalyn Ola 2) pattern (Tamaris dam stövlar), 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,Tamaris dam ballerinas 22121-24. Blue-white veil may be found in melanosis,Dr. Brinkmann dam pantolette.^{dunkle design mörk Ballonrock Sweat i blå rosa grå eller turkos,Lowa Unisex barn Diego GTX Lo vandringskängor}As a result,wrangler Men's George Strait Cowboy Cut Original Fit Jean -white veil should be excised or biopsed to rule out melanoma.

Lumari Gold Damring 585 14k guld vitt äkta rubin ädelsten diamanter briljanter. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.ONEMIX löparskor för män 3D stickad luftkudde atletisk sport tränare sneaker promenader gym jogging fitness.Lee herr Luke jeans.FOLUNSI Dam plusstorlek ledig långärmad veckad t-shirt klänning fickor. Blue-GUESS Ls Elizabeth Top Henley-tröja för kvinnor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.BCBGMAXAZRIA kvinnors Florens vävd aftonklänning speciellt tillfälle,Tommy Hilfiger damtröja. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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