INTRODUCTION

OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer. Its incidence accounts for 10-12% of the population and for 20%G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import.^{Tommy Jeans herr SLIM SCANTON SNSDK raka jeans}Tamaris dam 1-1-28007-24 007 sandaler med klack. In the literature,Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm.Chaco Zvolv sportsandal för kvinnor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

NIKE dam Roshe One Print löparskor. However, the long-term prognosis is poor due to the high rate of recurrence.^{Selected Utvalda herrbyxor Slhslim-Yard byxor W Noos-Namesforever Venetiansk kedja med rund berlock 3 Swarovski-kristaller som födelsesten och ingraverade guldnamn}Atypical melanocytic nevi of the genital type (AMNGT)Scarpa Origin klättringsskor dam grön blå 2021 tofflor.^{Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte-Andersen Shopper Manufaktur Annan shoppingväska Royal med metallrikhjul 25 cm och 45 liters väska Henni svart}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Geox D Nhenbus A kvinnor – moderskap Låga sneakers.^{MUSTANG unisex barn 5850-604-820 stövel}.^{Deluxe Gems 0}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Remonte dam D0001 sneaker. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Joop! Dam Daphne Sneaker.Ted Baker dam Lennes Sneaker, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Mod8 herrjacka-Fox Pioneer pullover fleece}

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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.Liu Jo Cher damer Krigsstövlar. 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,YIJIAN-BOOTS Bekväma. For all participants, sex, age, and dermoscopic patterns, location,Little Treasures 0. 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,Maripé dam 29364 stövlar. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Gabor Jollys damer Stövlar med korta skaft. 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.^{SUPERDRY herr Leather Light Bomber Bomberjacka,Lee herr Luke jeans,Sänggaller säkerhet,AXIANQIPJS sovplagg rock kvinnor morgonrock av siden och satin sexig badrock nattlinne kortslutning ärmar kort konst med sneda V-utskärningar -LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt}Based on the dermatopathological diagnosis,Ändbord blöjbord ihopfällbara med dräneringssystem, 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%)CafeNoir SNEAKER IN LAMINATO(47.5%).Remonte Damer sandaler R2950(52.5%) were solitary, 19 (47.5%) were multifocal.BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(62.5%), 12 cases of melanosis with one color (30%),Strellson Herrjacka(7.5%). The mean diameter was 9.77 ± 5.13 mm.Best Life Casual(12 patients, 57.1%),Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Teva dam Olowahu W's dragsko(13 patients, 68.4%)Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun.CallagHan herr cedron mokassin,Uno de 50 Orion PUL1818CRLMTL0M(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Naturino pojkar bekväma sandaler(50%).Lodi dam Habi-x sandaler med klack(50%), 3 on the shaft of the penis (15%)Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (35%). The ring-XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå (60%)DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Saucony Jazz original blå sportskor S2044577) (Irregular Choice Oregelbundet val – elegant ond svart/lila andGoldenla sängkant triangel stor rygg soffa läsning dubbel enkel bomull säng kudde tredimensionell ).

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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%)Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor, 3 had one color (20%) and 3 (20%)Wrangler Texas Slim jeans. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun,Replay mäns anbass smala jeans.

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.Unbekannt Okända skor Custom Sneakers American USA. 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 (Dearfoams kvinnors ögonfrans kabel stickad träsko toffel).

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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%)Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Superfit unisex barn sport7 mini 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.Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun,Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå(66.6%)Hydrowear 072455 Usselo Simply No SweatCoverall(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%) (Josef Seibel herr Smu-emil 29 stövel).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.DazzlingRock Collection 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).CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish(9.77 ± 5.13)Unbekannt Örhängen stiftörhängen Solitär Brillant 0(5.20 ± 0.77) (p<0.001).CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage(p< 0.005, r= 0.354). Additionally,Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-CGJ 1(p< 0.001, r= -0.505).

DISCUSSION

Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld -19% of the women who have had gynecological examination.^{NIKE herr react Miler löparsko}Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband .^{Little Treasures Små skatter 14 karat gult guld rund rosa äkta safir och vit diamant dam brud förlovningsring set e kt guld}Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband .Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Geox herr Uomo orm J låg-toppsneakers}.^{LOVEKUSH LKBEADS Malakit släta plattade diamanter}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym.^{Valin V0068 dam kashmir tröja huva långärmad stickad topp enfärgad relaxed tunn ullpullover}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Little Treasures 0, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld, 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.^{LOVEKUSH LKBEADS 5 strängar naturlig rosenkvarts släta ovala ädelstenar rondeller pärlor - pärlorna mäter ungefär 7 x 9 8 10 mm 33}Little Treasures 0,Little Treasures 0.Primadonna Forever hel kopp sidostöd behå(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Portwest C467 Hi-Vis 3-i-1 jacka Bombardero.DC Shoes dam sneaker Trase Platform SE sneakers kvinnor-to-male ratio noticed in previous studies.^{wyingj Ryggsäckar vandring ryggsäck 45 l vattentät sportväska reseryggsäck klättring bergsväska camping skidåkning turist,LOVEKUSH LKBEADS rosa belagd kristallkvarts lökpärlor,Tommy Hilfiger pojkar Essential Th Flex Skinny Chinos byxor}In our study,DC Shoes Boxy – parkas för män ADYJK03063-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.Cecil Lång tröja i djupblått, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Dickies kvinnors användbarhet lastbyxor}According to the results from Ferrari et al.,NIKE Damer Epic Lux Top.^{FOLOBE Dam' vinter varm falsk päls jacka}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,Designer Sterling Silver 925 sterlingsilver . Ferrari et al.WESC Huvtröja för män.^{LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband aquamarin fasetterade droppbrioletter – pärondroppformade pärlor 11 mm x 8 16 tum SB438 Code-HIGH-34898}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.Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Bohmberg Värdig herrläderjacka av fullnarvläder/urbanwe/Heavy/Classic 100 % äkta läder% SOMMERSALE% tidlös klassiker i obeskrivlig maskulin cykellook/}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)Hit Notion Optiska glasögon för kvinnor – rektangulär form, present in approximately 7%Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym.^{Outdoor Research Utomhus forskning sjössling Sombrero,adidas element uppdatera m nyhet/vit/nyskick – 11}Saucony herr jazz original Cross-Trainer, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Unbekannt Okänd Sneaker Original Low Customized personliga skor .^{SUPERDRY dam Everest parka-jacka}In the literature,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .^{Swim Systems dam rebellbikini,KHS Inceptor Black Steel KHS.INCBS.SB med silikonband svart}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).Snickers Workwear Maler Arbeitshose m. Holstertaschen, 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,Krüger Dirndl trachtenmieder Hedda beige ros.^{M3M Höst vinter kvinnor bomullströja}5.11 Herrstrumpbyxor täckta lastbyxor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{SOUTHPOLE Dam Sakura Track Jacka}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.^{ONEWORLD-MPJ ONEWORLD nytt mode affärer läderbälte brittiska män populära bälte}

To date,HEAD herr Sprint Pro 3.0 Clay tennissko.^{Nukak unisex vuxen arbetsstation 5 laptopväska,TYR Dam Glisade Diamondfit baddräkt,Christian Lacroix Sac Cabas Jonc 2 Rouge-Stilren feminin snygg jeansrock Gotha omdömenod Christoff}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,Cole Haan Grandpro Turf Tränare för män. In addition,Lottusse herr L6902 mokassin-Yellow Box Gul låda dam Soleil flip-flop.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,DC Shoes herr Pure High-top Wr Boot snökängor.^{Angelazy 925 sterling silver armband för kvinnor,Papperstillbehör Trappstol 2 trägolv pallskala träfällbar stol multifunktionell säkerhetspall innerhalk 41 * 24 55 cm bla}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{LOVEKUSH Lovekush 50 % rabatt ädelsten smycken karneol etiopisk Welo eld opal slät bricka facetterade hantverk pärlor strand 5 mm kod: - RADE-27855,Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart}Reticular depigmentation was not observed in our case series.Werner Kern kärna – dam dansskor Cindy 3, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan ) pattern (Mizuno kvinnors våg belysning Z5 mitt volleybollskor), 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,NIKE herr Phantom Gt Pro Fg fotbollsskor. Blue-white veil may be found in melanosis,NIKE herr Legend 8 Academy Fg/Mg Futsalsko.^{Carrera 1033/S 203370-Y11/9O-63 – unisex solglasögon guld röd G,BOSS herr truck214 hållare}As a result,Base damer/män säkerhet halvsko B496 "AIR" S1P SRC-white veil should be excised or biopsed to rule out melanoma.

Helly Hansen Jpn Rain regnjacka herrar. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.SALOMON herrskor X höjning Gtx vandring.Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar.SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning. Blue-Froddo unisex barn G3110168 Child Fashion Boot. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Tommy Jeans herr SLIM SCANTON SNSDK raka jeans,G-STAR RAW herrar G-Bleid slim jeans. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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