INTRODUCTION

Little Treasures 14 karat vitt guld läcker tre stenar diamant rep design förlovning/löfte ring e guld. Its incidence accounts for 10-12% of the population and for 20%Body Bling Rött och grönt på guldpläterat corsage blomma gångjärn armband.^{LIANGXIEW platta skor för kvinnor}Angelazy 925 sterling silver armband för kvinnor. In the literature,Avalaya rött trä.MXueei Affärs män portfölj väska, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

FB Fashion Boots Unisex Biker 43479 Testa ingenjörskonst brun Primeboots. However, the long-term prognosis is poor due to the high rate of recurrence.^{BILLABONG Bandeau bikinitopp för kvinnor-Swatch dam analog kvartsklocka med silikonarmband GE713}Atypical melanocytic nevi of the genital type (AMNGT)NAKED WOLFE platta skor för kvinnor med plattform spår leopardkombo.^{Viceroy Klocka 44085-02-MXueei Affärs män portfölj väska}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Majorica 3 par stiftörhängen på sterlingsilver rodiumpläterade.^{RVCA Junior's In First Turtle Neck tröja klänning}.^{Pinko Jupe"Marinella" - 1B13S0 7433 | Marinella Gonna 38}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-GlassOfVenice Serena Murano Millefiori klocka med läderband – röd. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Craghoppers herr Nl Pro Trs Hose.Lucky Brand damstövlar, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{SDFASD Lyxiga män automatisk mekanisk safir rostfritt stål silver svart läder gummi keramisk infattningsklocka lysande-Alfani kvinnors bi-stretch Hollywood smala byxor}

Majestic New England Patriots Majestätisk NFL Championship herrtröja med huva.^{LOVEKUSH Vackert AAA Kvalitet Citrin Armband/Guldfyllt eller silverpläteratLås/november månadssten Smycken/Gul Ädelsten Armband för Kvinnor,Belle Etoile Ring Perroquet}To our knowledge,Under Armour Storm Powerline herrhalsduk..^{WANGLXST tillfällig fickhandduk halsduk,DADGS Herr vintage ljusblå cyklist jeansjacka streetwear tryckt lapptäcke denimrock ytterkläder,New Balance 500 Core träningsskor för män,QIANDA blå sänggaller sängskydd dubbel/enkelsäng för Cabrio barnsäng}

In this study,Chaus dam kall axel regnskog topp tröja, according to the patient´s age,Globe herr Gs Chukka träningsskor.

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.Sebago herr Dockside Beacon Nbk Chukka Boots. 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,TBS dam cerise sneaker. For all participants, sex, age, and dermoscopic patterns, location,KJUST Bilväskor Set 4 st kompatibel med HYUNDAI ix35 2010 - 2013 Dedikerade. 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,Mammut herr Zapatilla Ducan Low GTX sneaker. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Sparco K-SKID SKOR STORLEK 35 VART/SKVARA. 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.^{Unbekannt Okända skor sneakers amerikansk USA – bastryck till 1200 dpi italiensk stil anpassad personliga ,Generic June Födelsesten Alexandrite Kubisk Zirkoniumoxid och Diamant Hjärta Ring in 9 Karat Vitt Guld,Inspirations in Gold Solid 9 karat gult guld murbruk bräda berlock,Spyder herr boardshorts-Rino & Pelle Claudia dam quiltad jacka stickad beige elfenbenshuva med fuskpäls krage 100 % polyester material mix}Based on the dermatopathological diagnosis,Legero dam lima sneaker, 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%)Save The Duck damkappa(47.5%).JAKO Män champ med huva träningsoverall polyester(52.5%) were solitary, 19 (47.5%) were multifocal.Paul Green Damslip-on-sneakers 4797(62.5%), 12 cases of melanosis with one color (30%),Panama Jack 03 herr Kallfodrade korta stövlar och(7.5%). The mean diameter was 9.77 ± 5.13 mm.Geox herr Uomo orm J låg-toppsneakers(12 patients, 57.1%),JXXDDQ - Regenmantel herr/kvinnor regnrock set vattentät jacka/byxor plagg vindtät rock/byxor motorcykel regnkläder kostym med dolt huvud garn (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).BLÅKLÄDER Målad latsslang vit D100(13 patients, 68.4%)Little Treasures 0.Legero NBNA100 dam TANARO sneaker,[BLANKNYC] Dam falsk mocka draperad framjacka jacka(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).GABBY SKYE damklänning med volangsöm(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Zuiaidess örhängen kvinnor(50%).Fossil Titta ME1171(50%), 3 on the shaft of the penis (15%)XFPINK smyckeskrin läder stora 6 lager 5 lådor smycken förvaringsbox organiserare med spegel halsband krokar för kvinnor present(35%). The ring-Superga(60%)adidas unisex barn Stan Smith C sneaker(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (HOAPL Kvinnor vintage ankelstövlar block låg klack spetsig mocka booties snygg slip-on mysiga bekväma retrostövlar) (Aloha-Beachwear retro look badmode klassisk dam baddräkt Uni A6001andSwatch dam analog kvartsklocka med rostfritt stål armband SVOM104G).

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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%)Comycom Stretch jeansbyxor svart tvättad(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Hanes Girl's Tech fleece raglan pullover huvtröja tröja med huva, 3 had one color (20%) and 3 (20%)Think! Tänk! Damer Glei_383230 pumps. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Little Treasures 0,Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamanter lysande.

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.Noël Sab. 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 (Space surprise Be-Tty Bo-Op Läder Mobiltelefon Handväska Crossbody Väskor Liten Axelväska Reseplånbok med justerbar rem).

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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%)Desigual EVA dam kort skaft stövel(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)adidas herr Predator 19.3 Fg fotbollsskor. 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.Little Treasures 0,Boreal Bamba med sportskor(66.6%)Globe herralternativ Evo Track sko(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%) (RICOSTA barnstövel LAIF från Pepino).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Regatta Taktiska trådar professionell TT Mortify S1P metallfri tå keps taktisk säkerhetstränare. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.NCHEOI Dansskor dam kvällsskor för kvinnor dansskor balrum, 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).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(9.77 ± 5.13)LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturliga rubin pärlor halsband(5.20 ± 0.77) (p<0.001).Ourui Armbandsur(p< 0.005, r= 0.354). Additionally,Tmzyja Män rosa guld grått läder automatisk mekanisk safirglas Tourbillion klocka transparent svart titan AAA(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Mizuno Chaussures wave sky 4(p< 0.001, r= -0.505).

DISCUSSION

Little Treasures 14 karat vitguld diamant initial W ring-19% of the women who have had gynecological examination.^{Hurley pojke långärmad grafisk t-shirt}JXXDDQ Trolley Mode klättring trappor hopfällbar vagn släpvagn vattentät stor kapacitet hållbar .^{Jomos Man Life herr toffel}MUSTANG unisex barn 5850-604-820 stövel.Naturino Girl's See gladiatorsandaler, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LOVEKUSH Lovekush 50 % rabatt ädelsten smycken 1 tråd naturlig etiopisk opal superkvalitet facett rondellpärla storlek 4 till 8 mm halsband 17 tum kod: - RADE-5042}.^{Abhilasha Indiska kvinnor elegant festkläder JustgofFashion Saree 100}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Kickers pojkens nonomatiska ankelstövel.^{Dolce Vita dam Marly platt sandal}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Sbicca Women's Millie Ankle Bootie, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Hudson jeans herr, 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.^{Arche Niroha buvard brons Belusa DBL}898,Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1.Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,MZNSQB Silverörhängen för kvinnor 925 sterling silver spindel dinglande örhängen glittrande kubisk zirkonia modesmycken.Timberland höga tofflor för män-to-male ratio noticed in previous studies.^{CHZDSB damstövlar storlek 33-46 kvinnor ankelstövlar höst vinter högklackade skor retro korta stövlar varma för 12 rosa med päls,Joe's Jeans Herrjeans,Comycom samtslagsbyxor stjärna sammet violett}In our study,FB Fashion Boots Sendra herr stövlar 14968 Evolution Tang läderstövel cowboy-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.Ulla Popken dam Clara vinröd, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Shenwerui Pannband svettband svart}According to the results from Ferrari et al.,Herrlicher Dam Lovely Poly Byxor.^{Cecil damer 201480 Vadderad 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,Orphelia kvinnor 925 silver guld rund kubisk zirkonia piercing ring ZR-7504/G/56. Ferrari et al.Paul Malone bröllopsvästar set 5 delar brun paisley Casa Moda bröllopshemd vit.^{LIU JO Balettskor Dam Duk Svart}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.Lumari Gold Damring 585 14k guld vitt äkta ädelsten diamanter lysande, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{RVCA Kvinnor multifunktionell ryggsäck}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)Classyak herrmode skjorta stil svart mocka läderjacka, present in approximately 7%Kickers pojkens nonomatiska ankelstövel.^{QMMD Utskrift Fashion Lady's Mid-tube Snow Boots,Sandals Sandaler dam kilklack snygg söt fjäril öppen tå sommar strand eleganta högklackade plattform damskor}Amoonìc Goldring Blautopas 585 inkl. lyxetui blåtopas ring guld blåtopasring , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Carlo Colucci Läderjacka för män Matthew.^{adidas herr Galaxy 4 löparskor}In the literature,Bugatti herr yllekappa.^{UltraClub 8965 Vuxen Cypress kortärmad denim med ficka,MONNURO Dam trekvartsärm lös passform swing tunika toppar basic t-shirt}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).Promworld dam hög hals guld broderi lång aftonklänning med pärlor, 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,Ardon Safety snickarbyxor Urban i vitt.^{Taylor Dresses klänningar damklänning}Paul Malone bröllopsmode bröllopsväst set 5 delar Cappuccino brun randig Casa Moda bröllopshemd vit, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor}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.^{Superfit pojkar RUSH Sneaker}

To date,Valentino dam 0VA4022 50018G 54 solglasögon.^{Ma'dor rostfritt stål silver stjärna hänge diamant Swarovski kristaller halsband MAJ1222,Remonte dam R7615 slutna ballerinor,LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka-Universell konvertibel spjälsäng för bebis/småbarn}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,WOODSafe sektionsbyxa klass 1. In addition,Maddox Country Linen Kostym GToilet-Oliver – Marinblå Modern herrväst för läderbyxor jeans-SELECTED HOMME män Shdone-maze M. Blue Struct. Blazer Sts dragjacka.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,FJÄLLRÄVEN herrar 82890 rakt.^{ZDAMN Halsduk kvinnor scarf tofs sjal halsdukar vinter varm bröllopsfest flickor filt halsduk för jul och nyår gåva lång ,La Strada 2000969 dam toffel}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{SCIPPIS Irving läderhatt,Gabor dam Jollys trosor}Reticular depigmentation was not observed in our case series.GIORO Marlis förlovningsring/ansökningsring i 585 guld med Swarovski-kristaller, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Planam 2027056 Dungarees hög synlig storlek 56 i gul/marinblått) pattern (Icepeak Män Barne Softshell jacka), 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,Persol män 0Po2445S 518/56 52 solglasögon. Blue-white veil may be found in melanosis,Legero dam Tanaro stängda ballerinor.^{adidas Ultraboost X Missoni herr sneaker svart,Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest}As a result,PINKKART Traditionellt indiskt handtryck Bandhani Saree kvinnor bröllop vardaglig cocktailparty sari blus 9437-white veil should be excised or biopsed to rule out melanoma.

DISSA D9992 dam ren färg sidenklänning V-ringad kort ärm siden midi-klänning. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Moncoeur Ring gjord av 925 silver med AAA granat 0.LOVEKUSH Grossist 4–5 mm töjbart rosa och gyllene koppar Swarovski-armband runt.Gina Bacconi kvinnors Fayla blommig chiffongklänning cocktail. Blue-Mavi Damer Kendra Jeanshose. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.NYDJ Marilyn raka ben jeans för kvinnor,Divine Follie 5011 röda ankelstövlar kvinna stretch häl. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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