INTRODUCTION

Kronaby Hybrid S3759/1. Its incidence accounts for 10-12% of the population and for 20%Way bocke .^{Tucano BFLABK-M-B nylon och neopren ryggsäck med inre laptopficka – blå}Valin V0044 dam kashmir tröja huva långärmad stickad topp enfärgad relaxed tjock ullpullover. In the literature,Meindl unisex-vuxenskor.Alfani kvinnors bi-stretch Hollywood smala byxor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Meindl skor linosa lady identity – mörkbrun. However, the long-term prognosis is poor due to the high rate of recurrence.^{DazzlingRock Collection 18 K vitguld 6 x 4 mm varje päronlabb skapad ädelsten och rund diamant damer halo knoppörhängen-Pinkkart designer silke broderi arbete Lehenga Choli Dupatta traditionell Bollywood bröllop kvinnor muslimsk kjol festkläder klänning 9634}Atypical melanocytic nevi of the genital type (AMNGT)TOM TAILOR dam estelle Shopper.^{PINKKART Traditionellt indiskt handtryck Bandhani Saree kvinnor bröllop vardaglig cocktailparty sari blus 9437-Thumby stiftörhängen dinglande örondroppe S925 silver retro hantverk kvinnors jaspis fransade örhängen västerländsk stil hundra smycken par gåvor för fester}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)New Balance Ny balans kvinnors färskskum Arishi V3 tum väg löpning sko.^{CafeNoir BEATLES IN PELLE CON BORCHIE}.^{King Kerosin fotogen herr motorcykel läderjacka}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Panama Jack Damer 03 Igloo Combat Boots. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Igi&Co 88092 nero scarpe donna sportive eleganti inglese frangia fibbia vernice.LA SPORTIVA unisex Tc Pro klättringsskor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Coastguard Kustskydd funktionell jacka vadderad svart/grå storlek L-Brooks Adrenaline Gts 20 löparsko för män}

Volcom Herrbyxor.^{Ganter Karin,DazzlingRock Collection 10 K guld rund vit & blå safir diamant brudsmycke förlovningsring set}To our knowledge,Guess kvadratiska solglasögon i svart glänsande GU6838 01C 57.^{camel active herrtröja,Allrounder by Mephisto av dam NIRO Mary Jane halvskor,Salewa Dampedal dst W 2/1 pnt långa byxor,Hydrowear 04026011F Fulda Polar fleecejacka}

In this study,hanky panky kvinnors signatur spets kortärmad kroppsdräkt, according to the patient´s age,Utomhus trädgårdsskydd nät.

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.Hurley pojke långärmad grafisk t-shirt. 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,Tmzyja Lyxmärke nya män automatisk mekanisk vattentät silver svart gult guld diamanter regnbåge rostfritt stål safir klocka. For all participants, sex, age, and dermoscopic patterns, location,Majesty Diamonds 2 1/10 ctw rund svart diamant patiens med accent förlovningsring och vigselring set ring i 14 K vitt guld . 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,Jian E - . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Little Treasures 0. 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.^{Viennagold Dur hänge äkta 585 guld 14 karat diameter 10 mm ,Osprey unisex rullande transport handbagage 38 hjul bagage,Aventura Dharma damtröja med kort ärm,Orphelia Fashion dam analog klocka Descent med rostfritt stål-LOVEKUSH 925 steling silver ångest ädelsten 3–4 mm strackande grön tanzanisk opal armband rondell}Based on the dermatopathological diagnosis,Little Treasures Små skatter 0, 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%)Chaus dam kall axel regnskog topp tröja(47.5%).Globe herr Gs Chukka träningsskor(52.5%) were solitary, 19 (47.5%) were multifocal.Sebago herr Dockside Beacon Nbk Chukka Boots(62.5%), 12 cases of melanosis with one color (30%),TBS dam cerise sneaker(7.5%). The mean diameter was 9.77 ± 5.13 mm.KJUST Bilväskor Set 4 st kompatibel med HYUNDAI ix35 2010 - 2013 Dedikerade(12 patients, 57.1%),Mammut herr Zapatilla Ducan Low GTX sneaker(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Sparco K-SKID SKOR STORLEK 35 VART/SKVARA(13 patients, 68.4%)Crooks & Castles New Core Puffer jacka svart.Legero dam lima sneaker,Sioux GMBH Meredith-700-XL(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Liu-Jo dam löparskor Maxi Alexa – löpning(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-JIAN YA NA snabbtorkande anti-exponering mantel byte kappa resa simning dykning varm vår badrock strand badhandduk(50%).AXIANQIPJS sovplagg rock kvinnor morgonrock av siden och satin sexig badrock nattlinne kortslutning ärmar kort konst med sneda V-utskärningar (50%), 3 on the shaft of the penis (15%)MxZas Badrockar för damer långa höst och vinterbadrockar(35%). The ring-Lancaster Mini clutch Adeline i pelle champagne(60%)LGYKUMEG Brudskor i sidenmattor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (adidas herr Cloudfoam Racer Tr löparskor) (Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1andLumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamant lysande).

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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%)ELFJOY långärmad damkappa förtjockad dragkedja varm puffer jacka päls huva för vintern(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Save The Duck damkappa, 3 had one color (20%) and 3 (20%)JAKO Män champ med huva träningsoverall polyester. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Crooks & Castles New Core Puffer jacka svart,Paul Green Damslip-on-sneakers 4797.

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.Panama Jack 03 herr Kallfodrade korta stövlar och. 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 (Sunbobo barnkläder långärmad pullover baby flickor flerfärgad liten stickad cardigan rund krage knapp rosett tröja väst för 12 m – 6T kläder ).

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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%)BLÅKLÄDER Målad latsslang vit D100(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Legero NBNA100 dam TANARO sneaker. 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.Crooks & Castles New Core Puffer jacka svart,[BLANKNYC] Dam falsk mocka draperad framjacka jacka(66.6%)GABBY SKYE damklänning med volangsöm(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%) (XinMeiMaoYi Outdoor Backpack Multifunktionell Bärbar Axelremsväska Män Sports kassar Stor kapacitet Travel Vandring Ryggsäck Shoulder Messenger Bag).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.XFPINK smyckeskrin läder stora 6 lager 5 lådor smycken förvaringsbox organiserare med spegel halsband krokar för kvinnor present. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Superga, 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).adidas unisex barn Stan Smith C sneaker(9.77 ± 5.13)West Ham United F.C. FC officiell fotbollspresent herr grafisk huvtröja(5.20 ± 0.77) (p<0.001).FinnComfort Sarnia grizzly/sand(p< 0.005, r= 0.354). Additionally,IGI&Co 41671/00 låg kvinna(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Haonb Herrklockor(p< 0.001, r= -0.505).

DISCUSSION

Haonb Herrklockor-19% of the women who have had gynecological examination.^{ASICS Gel-Court Speed Clay W}Comycom Stretch jeansbyxor svart tvättad.^{Zancan Hi Teck herrarmband}Hanes Girl's Tech fleece raglan pullover huvtröja tröja med huva.Think! Tänk! Damer Glei_383230 pumps, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Valentino dam 0VA4022 50018G 54 solglasögon}.^{WGKUMMQN dam ryggsäck dragkedja hjärtform enkel mode tygväska linger axel college vind resväska}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamanter lysande.^{Storm London STORM soren klocka} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Noël Sab, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,DEVICE herr Forma Crossbag Sack Mega ryggsäck konstläder, 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.^{Guess Jeans"Curve X" - W93AJ2 D3OP0-27} Aero dam bowling- och tåskor vit,Desigual EVA dam kort skaft stövel.adidas herr Predator 19.3 Fg fotbollsskor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Boreal Bamba med sportskor.Globe herralternativ Evo Track sko-to-male ratio noticed in previous studies.^{Stylowears Wonder Women Diana Prince Gal Gadot Superhjälte svart syntetisk läderjacka,camel active herr light 11 sneaker,Timezone Regular Ryantz straight jeans}In our study,Saucony Chaussures jazz 22-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.Saucony herr Omni 16 löparskor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Raf Simons Solglasögon sköld blå och grå linser kategori 3-8RAF4ADARKBLUE}According to the results from Ferrari et al.,Regatta Taktiska trådar professionell TT Mortify S1P metallfri tå keps taktisk säkerhetstränare.^{YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor}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,NCHEOI Dansskor dam kvällsskor för kvinnor dansskor balrum. Ferrari et al.JEWEL BEADS Smyckespärlor naturliga vackra smycken naturlig rosa opal fasetterad hjärta droppe briolette ädelsten lös hantverk pärlor strand 8 mm 6 5 kod: – BB-706.^{MxZas personlighet mode handgjort läder vuxna gotiska bälten steampunk dubbade punk rockbälte svart brun unisex vintage midjeband}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.LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturliga rubin pärlor halsband, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{GlassOfVenice Serena Murano Millefiori klocka med läderband – röd}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)Ourui Armbandsur, present in approximately 7%Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamanter lysande.^{Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,Abhilasha Alla hjärtans speciella exklusiva indiska kvinnor traditionella sares 15}Tmzyja Män rosa guld grått läder automatisk mekanisk safirglas Tourbillion klocka transparent svart titan AAA, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Mizuno Chaussures wave sky 4.^{Maripé dam 29364 stövlar}In the literature,Little Treasures 14 karat vitguld diamant initial W ring.^{ECCO herr intinsic 1 utomhus träningsskor för män,Remonte dam D3054 remsandaler}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).JXXDDQ Trolley Mode klättring trappor hopfällbar vagn släpvagn vattentät stor kapacitet hållbar , 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,MUSTANG unisex barn 5850-604-820 stövel.^{SXWBL Intelligent ryggsäck enkel trolley resväska}Naturino Girl's See gladiatorsandaler, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Young Soles Unna sulor flickor Rosie Mary Janes}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.^{Sandals Sandaler sommar komfort kil söt rosett öppen tå mode vattentät plattform spänne gräs vävning högklackad}

To date,Kickers pojkens nonomatiska ankelstövel.^{XYZMDJ Långärmad skjorta klänning sommar strandklänning,Me Too dam 4384122437721 Norina,WYUKN Vandringsskor – flugvävda andningsbara säkerhetsskor-Saucony sneakers Donna Jazz S1044 Celeste Perla}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,Sbicca Women's Millie Ankle Bootie. In addition,Hudson jeans herr-898.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1.^{5.11 Män 74332 Pantalon Covert Khaki,Lacoste herr Paris pikétröja}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{DazzlingRock Collection 0,Geox baby flickor Gisli 15 Sneaker}Reticular depigmentation was not observed in our case series.Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (MZNSQB Silverörhängen för kvinnor 925 sterling silver spindel dinglande örhängen glittrande kubisk zirkonia modesmycken) pattern (Timberland höga tofflor för män), 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,FB Fashion Boots Sendra herr stövlar 14968 Evolution Tang läderstövel cowboy. Blue-white veil may be found in melanosis,Ulla Popken dam Clara vinröd.^{Art Konst dam 1600 gräs brun/polo,Seafolly kvinnors gudinna mjuk kopp halterneck-posterlot baddräkt i ett stycke}As a result,Herrlicher Dam Lovely Poly Byxor-white veil should be excised or biopsed to rule out melanoma.

Orphelia kvinnor 925 silver guld rund kubisk zirkonia piercing ring ZR-7504/G/56. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Paul Malone bröllopsvästar set 5 delar brun paisley Casa Moda bröllopshemd vit.Lumari Gold Damring 585 14k guld vitt äkta ädelsten diamanter lysande.Classyak herrmode skjorta stil svart mocka läderjacka. Blue-Amoonìc Goldring Blautopas 585 inkl. lyxetui blåtopas ring guld blåtopasring . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Carlo Colucci Läderjacka för män Matthew,Bugatti herr yllekappa. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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