INTRODUCTION

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Lierys Farnell Trilby halmhatt sommarhatt solhatt strandhatt halmtrilby hatt kvinnor/män – Made in Italy med ribband vår-sommar. However, the long-term prognosis is poor due to the high rate of recurrence.^{Naturino Unisex barns kokong Vl gymnastikskor barn-Heelys unisex träningsskor för barn}Atypical melanocytic nevi of the genital type (AMNGT)Timberland dam Tillston 15 cm dubbel krage stövel.^{Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder-Kingsland Dam Riddleggins helt grepp KATJA}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)GMING-raincoat Poncho regndräkt regnkläder med huva regn vattentät regnrock herr vuxen och regntät förtjockning ridning delad dräkt GMING .^{Marmot Minimalistisk jacka för män}.^{Gabor Pius dam stövlar}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-NIdezuiai väggbild anpassa till 4D-tapeter. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Jack Wolfskin damer Marrakech Zip Off Hose dragkedja av slang.Dolce Vita dam Celaya, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{K-Swiss K-schweiziska dam Kbl 2 stabila löparskor-OLUYNG armbandsur ny dubbel-show elektronisk klocka herrmode}

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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.LOVEKUSH LKBEADS Naturlig krom diopsid 3-6 mm facetterade rondellpärlor. 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,Never give up Ge aldrig upp brud huvudbonad krona hel rund kristall drottning strass tiara sidobal bröllop hår smycken A . For all participants, sex, age, and dermoscopic patterns, location,Tommy Jeans Hilfiger denim skinny jeans för män. 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,Pepe Jeans herr callen crop avsmalnande passform jeans. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Star Vixen T-shirt för kvinnor. 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.^{JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga,Generic Solid Two Tone 9 Karat Guld Gult Armeniska Alphabet Diamant Disc Första"Eh" Hängsmycke Halsband,SIRRI Herr talian Couture signatur Brogue Oxford fiskbensmönster tweed läderblandning formella klädskor,TINGLEY Airgo™ Ultra Lightweight Boot herr AirgoTM ultralätta stövlar-The Bridge Story Uomo Plånbok för män Marrone}Based on the dermatopathological diagnosis,Tommy Hilfiger kvinnors Como Skinny Rw a Lizz byxor, 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%)Lottusse herr L6966 Oxfords(47.5%).Strellson Hyde Park Messenger MHF Cognac(52.5%) were solitary, 19 (47.5%) were multifocal.Duluth Pack Gear Stash liten väska(62.5%), 12 cases of melanosis with one color (30%),HAFLINGER unisex ull varje dag sneaker(7.5%). The mean diameter was 9.77 ± 5.13 mm.D&L DL1961 Jeans för män(12 patients, 57.1%),MAC Jeans Män Ben Loose Fit(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Caimi Abney Park Steampunk Rock SciFi HG Wells t-shirt.(13 patients, 68.4%)Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.ZzhQT BBGS 5-pack 3D tredimensionella väggklistermärken,Hanes Ultimate No Show Freshiq luktkontroll för män(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LOVEKUSH LKBEADS full 20 cm tråd. – sten kristallkvarts facetterad tårdroppe briolettes storlek 7 x 5 - 8 mm Code-HIGH-40411(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-JIAGU Zinklegering smyckeskrin egyptisk stil vintage liten ring förvaringsbox smycken (50%).Save The Duck J3865U-MEGAX barnjacka(50%), 3 on the shaft of the penis (15%)DANWJDP Läderjacka för kvinnor(35%). The ring-DANWJDP Läderjacka för kvinnor(60%)Festina Swiss Made herr klocka analog kvartsrörelse med rostfritt stål armband F20014/1(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (BERWIN & WOLFF TRACHT FOLKLORE LANDHAUS Berwin Wolff Damer Dirndl 999005) (Peace of Mind Sterling silver citron kvarts flera stenar hänge på 18 tum kedjaandNIKE WMNS Legend react 2 löparskor).

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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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Maxwell Scott personligt handgjort läder mobilfodral Gruppo6 i mörkbrunMelanosis on the glans penis showing a globular pattern

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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%)Tommy Hilfiger hjälpreda män mössa och halsduk Placement logo presentpack BE SC(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)X-Bionic för kvinnor Invent 4.0 Run Speed Shorts, 3 had one color (20%) and 3 (20%)LOVEKUSH Brudtärnesmycken 10 mm röda tiger ögon töjbart armband runt. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,LOVEKUSH Läckert slavlöst 6–8 mm töjbart svart och gult matt onyx tigeröga armband runt.

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.CafeNoir TRONCHETTO IN VITELLO CON PASSALACCI. 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 (TEPPICH-CY-ZK mattor mjuka att röra vid inomhus babyrum gul blå kräm färg graffiti linje design barnrum matta lätt rengöra).

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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%)Think! Damer 686575_Traudi Slingback sandaler(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Chicco – Happy Tab. 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.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,Chaco dam Banded Z Cloud(66.6%)El Naturalista N5066 PLEASANT PIEDRA/WAKATAUA Woman Sandals Velcro(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%) (mylyfu Elegant bröllopsklänning kvinnor axelfri skatt broderi blomspets applikationer brudklänning lace-Up lång sjöjungfru formell aftonklänning party balklänning kväll).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Finside kvinnor vanlig rock svart grafitblandning. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Zitrone dammode Raglan hoodies tröjor pullover tröja, 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).Kuzzoi signalring för män rund(9.77 ± 5.13)DSQUARED2 Dsquared DQ0207 DQ0207-01B-svart rektangulär solglasögon 53(5.20 ± 0.77) (p<0.001).Fagum-Stomil Bfwod2009_43 Bröstvadare(p< 0.005, r= 0.354). Additionally,EA7 Giacca imbottita Uomo tåg Lux Emporio Armani nera(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Gabor dammode Chelsea-stövlar(p< 0.001, r= -0.505).

DISCUSSION

Giudi Portfölj laptopväska 17 tum läder brun äkta modern portfölj businessväska stor laptop fack axelrem axelväska budbärare högkvalitativt eko-läder hållbart-19% of the women who have had gynecological examination.^{RICOSTA pojkar tammesandaler}Generic 9 Karat Gul Guld Diamant Teckenet Herr Guldklimp Ring.^{Ourui Armbandsur}JAREEYA 18 karat vitt guld 2.Little Treasures Infinity rep januari månadssten granat 9 karat vitt guld hänge, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LOVEKUSH LKBEADS 5 matchade par}.^{Lee herr BROOKLYN jeans}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Valin VB88018 dam Boho 3/4-armad sidenklänning plissé siden klänning.^{DazzlingRock Collection 1}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (DazzlingRock Collection 2, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Little Treasures 0, 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.^{Joyara Goat Hängsmycke Halsband In Sterling Silver 925} Little Treasures 0,DazzlingRock Collection kollektion för kvinnor 0.Skechers kvinnors bågformade träningsskor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,DazzlingRock Collection 0.Joya Shop EU JOYA herr Slipper Edward Black 059BIZ svart 62291-to-male ratio noticed in previous studies.^{Blaklader Blakladdare 148915128933C52 Multinorm innesluten arbetsbyxor,Mavi Män Yves Jeanshose,camel active herr Portland madrass}In our study,RoomMates ny baby djungel djur jätte flyttbara barns väggklistermärken-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.Bishilin Gul guldring 750 18 K vigselring, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Saucony Originals Jazz original vintage sneaker}According to the results from Ferrari et al.,Lee Mäns skräddarsydd luke byxor.^{Converse Chuck Taylor All Star Ox Lift Donna Mod. 56311}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,Clarks dam hjälte promenad. Derbys. Ferrari et al.ELEMENT Northwoods.^{JINSUO Kvinnor yogabyxor hög midja militär stil sport leggings gym smal passform 4 fickor träningsbyxor utomhus löpning fitnessbyxor}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.Naturino Unisex barns kokong Vl gymnastikskor barn, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Mått sätesöverdrag kompatibel med Mini Clubman 1. Gen. Förare och passagerare från 2007–2014 Färgnummer: MD506}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)Mario Valentino dam Mayor TOTE, present in approximately 7%Valin VB88018 dam Boho 3/4-armad sidenklänning plissé siden klänning.^{GILBIN 12 par,Orphelia kvinnor 925 silver guld rund kubisk zirkonia piercing ring ZR-7504/G/56}adidas element uppdatera m nyhet/vit/nyskick – 11, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%HUSTLE Tröjor för kvinnor långärmad mjuk och hudvänlig rund hals skjortor tunika toppar leggings lämpliga vår höst.^{INTASTE Ängelvingar väggskulptur}In the literature,Sandals Sandaler dam kilklack snygg söt fjäril öppen tå sommar strand eleganta högklackade plattform damskor.^{Schmuck Depot Smycken par vigselringar partnerringar förlovningsringar rostfritt stål med briljant gravyr ansökningsringar,Tanxianlu herrsandaler utomhus sommar herrskor strandsandaler}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).GANT dam Wedgeville Remchensandaler, 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,Portwest AF73RBR38 ARA Flamma Silver Coverall.^{Unbekannt Okända skor Custom Sneakers American USA}The Pearl Source Rosa pärlhalsband AAAA 7–8 mm sötvatten odlade pärlor halsband för kvinnor – kedja opera längd 91 cm med guldlås, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{ESPRIT Dam lång - vanlig 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.^{D&D herr organizer Clutch 15 x 8 37 cm}

To date,Montane Meteor vattentät jacka – AW20.^{SHANYUR Vardagliga byxor för män taktiska med flera fickor joggare lastbyxor packiga tvättade overaller Knaki storlek 28-42,BP arbetsbyxor för män,LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor-Lavecchia Stone-svart oversize jeanshose N-LV-503}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,LOVEKUSH Minnesgåva 8 mm töjbar svart och vit lavasten med jade armband runt. In addition,HGSS Bleach – Gin Ichimaru huvtröja-IQ-Company iQ-UV män UV kläder 300 huvtröja-tröja Long Sleeve.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,JYX Pearl pärla AAA 9.^{Guess herr Vermont jeans,Yaunli-ymj Stor hängare med skohylla massivt trä klädhängare stativ entré hall träd kappa för hatt kläder halsdukar handväska utrymmesbesparande paraply skoställ metall}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{FJÄLLRÄVEN herr Kiruna vadderad jacka,Julius Zöllner 9240347200 – Disney Schlummerle Plus sovsäck tröja}Reticular depigmentation was not observed in our case series.Diesel herr D-AMNY-Y L.30 PANTALONI Jeans, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (comma damklänning) pattern (Lyle & Scott poloskjorta smal), 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,Haglöfs Dunjacka män dunjacka Bield Down Hood isolering. Blue-white veil may be found in melanosis,Art Gecko MULTISTONE Sterlingsilver 925 ädelstensörhängen – .^{COLAC Jeans för män Tim in Black Ceramica Straight Fit med stretch 112.04.02,Yonex Chaussures power cushion 65 z}As a result,Art Gecko Stor eldig oval laborerad sterlingsilver 925 ädelsten ring - storlek S-white veil should be excised or biopsed to rule out melanoma.

ZHHAOXINPA Damer allväder vattentät lång vinterjacka. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Adrianna Papell blousonklänning för kvinnor.AISHANG Ultratunn LED-vägglampa i trä.AISHANG Europeisk taklampa för utomhusbruk vattentät balkong veranda hall uteplats ljus villa druvhylla paviljong hängande lampa antirost aluminiumglas utomhus ljuskrona. Blue-SCIPPIS Irving läderhatt. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Nike Okwahn Ii – mörk citron/volt glödande utomhusgrön,Vagabond dam Celia toffel. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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