INTRODUCTION

JINSUO Bounty Hunter hjälm. Its incidence accounts for 10-12% of the population and for 20%Trespass herr Nillsee fleecejacke.^{Tommy Jeans Hilfiger denim dam Thdw mitt stuss basic chino 4 byxor}Widmann – kostym skott. In the literature,Flip Flop-GQ Kaninpäls tofflor kvinnor bär höst och vinter söt halkfri mode hem bomull tofflor-35_ananas.Under Armour mäns fars dag pikétröja, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Clarks dam och Karely Sun tånare. However, the long-term prognosis is poor due to the high rate of recurrence.^{CINQUE Cibravo byxor för män-OLYMP herr skjorta modern passform extra lång arm}Atypical melanocytic nevi of the genital type (AMNGT)Atelier GARDEUR dambyxor.^{Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel-Brooks Brothers herrklänning tröjor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Just Cavalli damarmbandsur Creazione 2 analoga kvarts set inklusive armband JC1L091M0085.^{Wolky Molniga damsneakers Tunica 1502815 beige 114668}.^{Dazzlingrock Collection kollektion 10 k 6 mm hjärta rubin dam hjärtformat hänge}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-VintageClothing Vintagekläder kvinnor blommig maxiklänning boho knapp upp delad strandfest klänning. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.YZHEN Herr Suit Notch Lapel Jacka och västbyxor.Odlo herr Midlayer 1/2 Zip Orsino pullover, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{YPDM badrock-Barntrappor baby staket dörr bar husdjur fri stansning dubbel lås självstängning}

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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.V.C. 5 st. festliga pojkar kostym mörkblå. 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,DazzlingRock Collection 18 K vitguld 6 x 4 mm varje päronlabb skapad ädelsten och rund diamant damer halo knoppörhängen. For all participants, sex, age, and dermoscopic patterns, location,Little Treasures Små skatter sterling silver hänge och örhängeset. 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,Sunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.BRIXTON herr Wheeler Intl. 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.^{ONLY ENDAST Emmy quiltad jacka för kvinnor,Skechers ARCH FIT BIG APPEAL kvinnor – moderskap Sneaker,YBDX badrock Vinter varm nattkläder fotlängd lång mantel för kvinnor män flanell kimono klänning ärm nattklänning älskare,Wooden Mallet Träklubba deluxe raka ben bagageställ-Lee pojksäker smal passform avsmalnande ben jeans}Based on the dermatopathological diagnosis,MINKPINK Bandit Bandeau bikini för kvinnor, 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%)Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor(47.5%).Giasco TO017L S3 CI Orlando säkerhetsskor med Windtex membran(52.5%) were solitary, 19 (47.5%) were multifocal.ALBATROS Ultratrail svart låg S3 ESD HRO SRC(62.5%), 12 cases of melanosis with one color (30%),PREMIATA Män Eric svart(7.5%). The mean diameter was 9.77 ± 5.13 mm.Vivienne Westwood analog kvartsklocka för män med läderrem VV185SLBR(12 patients, 57.1%),WGKUMMQN dam ryggsäck dragkedja hjärtform enkel mode tygväska linger axel college vind resväska(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).LERROS Mäns tröjor(13 patients, 68.4%)Derhy godisklänning för kvinnor.Comycom jeans trumbyxor stjärna rötter,Lee herr 5 POCKET SHORTS MIDNIGHT BLUE Shorts(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).WYH Baby Playpen barn aktivitetscenter säkerhet lek gård hem inomhus utomhus ny penna hållbar (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-PLAER kvinnors svart spets cocktail aftonklänning(50%).Lee herr Malone jeans(50%), 3 on the shaft of the penis (15%)SOUTHPOLE Dam Sakura Track Jacka(35%). The ring-Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring(60%)Little Treasures Små skatter 14 karat vitt guld 7(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LOVEKUSH 50 % rabatt ädelsten smycken naturlig peruansk opal fasetterade kubpärlor) (Hydrowear 042003 Coevorden konstruor byxorandLOVEKUSH LKBEADS 10 pärlband naturlig 2 mm Lonn topaz micro facetter små rondeller – pärlor 33 cm kod-HIGH-12797).

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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%)Haonb Herrklockor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Haonb Herrklockor, 3 had one color (20%) and 3 (20%)Comete bracciale uomo acciaio PVD nero e blu UBR 936. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Derhy godisklänning för kvinnor,NIKE Sport Fitness topp/tröja för kvinnor.

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.Maxi-Cosi Rodi XP Fix barnstol. 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 (FALKE Damer bomberjacka).

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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%)Mondaine EVO2(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Skechers herr equalizer deal maker hallskor. 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.Derhy godisklänning för kvinnor,Ilse Jacobsen Softshell Jacka 3/4 creme/pearl (66.6%)Valin V1579 dam kashmir tröja rund hals långärmad stickad topp enfärgad relaxed tunn ullpullover(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%) (Unknown Herrskor bomullsskor för män tjocka varma skor herr vinter stänksäkra halkfria utomhusskor bekväma fot arbetsskor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Designer-Diamonds.net 10 K vitt guld äkta oval rubin och diamant twist halskedja. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Clarks dam Tri Alexia Slingback sandaler, 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).Arinos Neil Breen Credits huvtröja(9.77 ± 5.13)Jack Wolfskin herr Force Striker Texapore Low M vandrings- och vandringsskor(5.20 ± 0.77) (p<0.001).Ragwear Chester B sweatpants damer(p< 0.005, r= 0.354). Additionally,Lpinvin dam sparkbyxor mode ord krage spets utsvängd overall temperament byxor två färger passar vardagsliv (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-DazzlingRock Collection damer 14K guld 8 x 6 mm oval skuren blå topas solitär brudförlovningsring 8(p< 0.001, r= -0.505).

DISCUSSION

Joyaria Dam PJ set viskos pyjamas kortärmad topp och byxa satin trim v-ringad nattkläder-19% of the women who have had gynecological examination.^{Lotus klassisk klocka 18573/A}Tommy Hilfiger tjejer shorts.^{DazzlingRock Collection 8 mm runt labb-skapad smaragd}NIKE dam BA5242 dagryggsäck.adidas unisex barn Varial Mid J skateboardskor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Mascot Maskot 00979-620-01 Torino Los Angeles byxor höjd 90C62 marin}.^{Meindl pojkar halvsko Ontario Junior GTX utomhussko}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Lego Wear baby flickjacka.^{Hfyo sängskyddsskena hopfällbar sängskena säkerhet sidoskydd för äldre sängräcke metallgrepp stötfångare takhjul} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (PUMA herrar EVOSTRIPE Crew, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Clarks herr Tri Cove Trail slutna sandaler, 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 Diamant and Rubin Engagemang/Ring}Tru-Spec Tru Xtreme nylon bomull Rip Stop Combat tröja,adidas Back2Basics träningsoverall för män.5.11 Taktiska herrbyxor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Sunbobo Kvinnor kvinnor klänning chiffong kort ärm djup V dam böhmiskt blomtryck kläder avslappnad elegant gunga en linje midi sommar strandklänning sommarklänning casual party fit & flare d.LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cm-to-male ratio noticed in previous studies.^{Liebeskind Berlin Kärleksliv dam analog kvartsklocka med läderarmband LT-0237-LQ,CHEROKEE Infinity herrpolo,Won Hundred Shoes Hundra Skor Patrice Chelsea-stövlar för kvinnor}In our study,JXXDDQ barn baby fallskydd sängskenor säkerhetsskydd-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.Vobajf Dampyjamas loungewear pyjamas dam långärmad nattkläder dragkedja huva jacka loungekläder set , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Tommy_Jeans Tommy Jeans Icon Sneaker kvinnor – moderskap Låga sneakers}According to the results from Ferrari et al.,Remonte damsandaler SCH/sc/SCH svart.^{A & D sovrum}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,GDHSALE Helkropp graviditetskudde – U-formad. Ferrari et al.LOVEKUSH LKBEADS Perit fasetterad dagg droppformade brioletter.^{Bockle hög och tät stretch svart jeans tub smal passform man}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 LKBEADS Naturblå safir släta droppformade pärlor 11 mm – 15 9 tum. Full tråd, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{BP 1826-033-0032-41/42n arbetsbyxor för män höjd midja på baksidan 225 00 g/m² tygblandning med stretch}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)Matta löpare hall halkfri studsmatta matta, present in approximately 7%Lego Wear baby flickjacka.^{Finside kvinnor vanlig rock svart grafitblandning,Rockland Melbourne 3-delad abs bagageuppsättning}Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%HKM unisex Reitweste -Cambridge-6900 Byxor.^{LIANGXIEW platta skor för kvinnor}In the literature,Kingsland Dam Riddleggins helt grepp KATJA.^{Lotta From Stockholm från Highwood T-bar träskor i brun oljad Nubuck,BILLABONG Bandeau bikinitopp för kvinnor}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).Timezone Timzone dam smal tahilatz kvinnoform raka jeans, 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,Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver.^{Viceroy Klocka 44085-02}Snickers Workwear arbetskläder unisexbyxor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{MXueei Affärs män portfölj väska}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.^{RVCA Junior's In First Turtle Neck tröja klänning}

To date,Snickers Workwear arbetskläder män kappa.^{Pinolino 193413 vägghylla,Pinko Jupe"Marinella" - 1B13S0 7433 | Marinella Gonna 38 ,Alfani kvinnors bi-stretch Hollywood smala byxor-LOVEKUSH Vackert AAA Kvalitet Citrin Armband/Guldfyllt eller silverpläteratLås/november månadssten Smycken/Gul Ädelsten Armband för Kvinnor}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,Angelazy Dam-925Er silverberlock. In addition,5.11 Män 74332 Pantalon Covert Khaki-Tamaris dam 1-1-23321-24 805 Mary Jane halvskor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Magisk magisk lykta Alice – vit 12 V.^{Belle Etoile Ring Perroquet,Mustang Bermudas för kvinnor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{WANGLXST tillfällig fickhandduk halsduk,New Balance 500 Core träningsskor för män}Reticular depigmentation was not observed in our case series.AISHANG sängledsplanka, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Leg Avenue Psykedelisk Alice kostym ) pattern (Shag vävd matta för barn lekrum varm mjuk lyxig plysch prydnadsmattor handgjord stickad barnkammare krypmatta bekväm ), 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,COFRA MAASTRICHT 62 Anthracite/Black. Blue-white veil may be found in melanosis,YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor.^{QIANDA blå sänggaller sängskydd dubbel/enkelsäng för Cabrio barnsäng,Lee herr Luke' avsmalnande passform jeans}As a result,BDJH halsduk för vinter kvinnor halsdukar solid tjockare hals huvud varm hijabs dam sjalar och wraps bandana tofs-vit-white veil should be excised or biopsed to rule out melanoma.

Thomas Sabo damhänge sjöstjärna glam & Soul 925 sterlingsilver PE806-667-18. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.LIXIYU militärstövlar för män svarta taktiska stövlar stridstövlar vandringsskor patrullstövel ventilerande ultralätt säkerhetsstövel.AMOENA Nancy BH för kvinnor.BOSS herr Surfperch Boardshorts. Blue-PURE STYLE Girlfriends STIL flickvänner kvinnor upplyftande ultralätt djup V självhäftande rygglös axelbandslös BH. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Little Treasures 1,Little Treasures 1. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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