INTRODUCTION

Keen unisex barn Seacamp Ii CNX sandaler. Its incidence accounts for 10-12% of the population and for 20%MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang .^{Paddocks jeans PAT}SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress . In the literature,Helly Hansen herr Active 2 jacka.Helly Hansen Workwear DRY långärmad tröja kastrup polo dragkedja 75017 990 XS, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Spirit Motors skjorta Karo Style 1. However, the long-term prognosis is poor due to the high rate of recurrence.^{Widmann – kostym skott-KarensLine Maternity moderskap dam ond öga röd virkad kuvertväska M}Atypical melanocytic nevi of the genital type (AMNGT)UYN dam Evolutyon mellanlager jacka.^{PUMA Rs-X3 Mesh Pop WN's 37211701-SLLI Men 3/4 Sleeve Casual Regular Fit Solid Business Dress Blazer Jacket Sport Coat}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)BRAX Damstil Mary vinter Dream Five Pocket Slim Fit Sportiv byxor.^{Stetson Durmand Fedora Panamahatt halmhatt sommarhatt solhatt panamastrohatt män – Made in Ecuador med ribband}.^{Versus by Versace dam armbandsur MANHASSET guldfärgad VSPOR2419}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Timezone Herr Regular Eliaz Straight Jeans. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Mascot 15615-249-0209-L storlek stor"Erding" termisk jacka – röd/svart.CMP Damer softshell jacka, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Papperstillbehör Kreativt soffbord Sidobord Samtida konstgjord marmor Mini Rostfritt stål Metallram Nattduksbord Balkong Hörnbord Vit-CMP herr parka-jacka}

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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.Mizuno Chaussures Wave intense tour 5 AC. 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,Mizuno Chaussures Wave Lightning Neo. For all participants, sex, age, and dermoscopic patterns, location,Meindl 2120 49 Catani Junior flickor pojkar utomhussko av nät med fotbädd. 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,New Balance dam 373 Wl373fb2 medium sneaker. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Guess unisex vuxna glasögonstativ GU3009-F 050 53 optiska ramar. 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.^{J.A.K. 920734092 serie 9207 65% polyester/35% bomull latzhose,Relaxbx sänggaller baby brodsäker barnstol babysäng-skyddsstång vertikal lyft och sänkning,DazzlingRock Collection Dam-förlovningsring-set 10 karat rött guld 7 x 5 mm päronform diamant rund,Cobb Hill dam Hollywood pliat T-sandal-Tribal kvinnors dra på ponte legging med falskt läderdetaljer vardagliga byxor}Based on the dermatopathological diagnosis,Tod's solglasögon, 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%)Tiljon bred ring av silver 925 med 375 guldkant och granatsten(47.5%).Bailey kvinnors kärlekiga duvan tröja klänning(52.5%) were solitary, 19 (47.5%) were multifocal.LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt(62.5%), 12 cases of melanosis with one color (30%),LOVEKUSH Positiv energi 9 mm töjbart blått och grönt apatit armband runt(7.5%). The mean diameter was 9.77 ± 5.13 mm.Belle Etoile Ring Perroquet(12 patients, 57.1%),ECCO dam bella toffel(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Paul Malone bröllopsmode bröllopsväst set 5 delar silver paisley Casa Moda bröllopshemd champagne(13 patients, 68.4%)Tucano BFLABK-M-B nylon och neopren ryggsäck med inre laptopficka – blå.FJÄLLRÄVEN Fjällräven 89997 – 319,JO WISDOM Kvinnor Claddagh örhängen(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).FJÄLLRÄVEN vadderad jacka för kvinnor med högkusten(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja(50%).Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor(50%), 3 on the shaft of the penis (15%)Strellson Herrjacka(35%). The ring-camel active herrjacka(60%)tomBrook Gummistövlar för kvinnor med separat foder(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Little Treasures Små skatter 0) (MBT dam sandaler Haifa W 700371 16 vit 276835andCLJ-LJ Automatisk klocka Winder Watch Shaker Swing Lådor Klockor Akinematic Tabeller Mekaniska Winding roterande bordet Förvaring ).

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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%)Paul Malone bröllopsmode bröllopsväst set 5 delar svart paisley Casa Moda bröllopshemd vit(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Jomos herr Credo toffel, 3 had one color (20%) and 3 (20%)Sendra Boots Westernboots 3241 Rabe Flora/Sprinter. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Tucano BFLABK-M-B nylon och neopren ryggsäck med inre laptopficka – blå,camel active herr Portland madrass.

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.ECCO herr St.1hybridlite sneaker. 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 (ZED- cykelskor män MTB skor cykel för och kvinnor).

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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%)Dubarry Silas Tan(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga. 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.Tucano BFLABK-M-B nylon och neopren ryggsäck med inre laptopficka – blå,Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots(66.6%)Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko(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%) (Spieth & Wensky Spieth&Wensky dam Dirndl Margareta midi).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Think! Män 686640_joeking Sneaker. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.ARA herr Rendolf 1124501 sneaker, 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).Hugo Boss Sonic_Runn_nawt herr Sneaker(9.77 ± 5.13)Tommy Jeans herr Baron 1a2 sneaker(5.20 ± 0.77) (p<0.001).Hush Puppies valpar herr HM02067 expert chukka stickad(p< 0.005, r= 0.354). Additionally,caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja(p< 0.001, r= -0.505).

DISCUSSION

Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss-19% of the women who have had gynecological examination.^{UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel}TOM TAILOR Josh Regular Slim Hose.^{Timex TWG013700 Ladies IQ Move Smartwatch}Hugo Boss herr Wayfarer solglasögon.Musto dam tät blusonjacka, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Geox kvinnor W TAHINA Down coat}.^{an*tai*na* Antaina svart bomull rysk spets ståkrage gotisk knälång elegant Lolita klänning}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%VAUDE Vaude.^{Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,mjj Papegoja 3D-tröja med digitalt tryck, 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.^{Erima herr fotbollstrikå}Softinos Farah ankelstövlar för kvinnor,dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration.Snickers arbetskläder service 4373 väst XS marinblå(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,PAM & GELA damklänning.Skechers dam Go Flex 2 – 14992-to-male ratio noticed in previous studies.^{Gerry Weber Damväska,MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang ,AG Adriano Goldschmied Jeans för kvinnor}In our study,Craft Hantverk jakt race Jersey – asfalt/syra-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.Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{JenLn Vår Martin-stövlar rabarberstövlar kanvasstövlar herr vandringsskor hopfällbara lediga vikbara ökenstövlar} According to the results from Ferrari et al.,Hanes Classic-Fit Jersey T-shirt för kvinnor 4.^{HUGO herr Record_Waist Crossbody Bag}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,SHIMANO vuxna cykelskor. Ferrari et al.Timberland EK Stormbuck Lite Chukka.^{KEEN Toffel NY SNK}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.Wooden Mallet Träklubba deluxe raka ben bagageställ, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Qiaodi Lyxigt läder främre auto bilsätesskydd set med 2 passar till VOLVO C30 C70 S40 S60 S80 S90 V40 V50 V60 XC40 XC60 XC70 XC90}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)Geox dam D Thymar C Brogues, present in approximately 7%VAUDE Vaude.^{Giudi Portfölj laptopväska 17 tum läder brun äkta modern portfölj businessväska stor laptop fack axelrem axelväska budbärare högkvalitativt eko-läder hållbart,Salewa herr Sesvenna Ptc Alpha M jktjacka}Lee dam haklapp byxa, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het.^{Kubler 12417322-9946-XXL väderjacka klassisk storlek XXL i svart/blåklint blå}In the literature,Fjallraven unisex Vardag 25 dagars ryggsäck.^{Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,camel active Mars 13 herr toffel}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).Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans, 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,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.^{Think! Damer MIZZI_3-000088 hållbar pantolette tofflor}Gerry Weber kvinnor 92151-67810 raka jeans, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Little Treasures 925 sterling silver 6 x 4 mm vardera ovalt skuren granat dam solitärörhängen}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.^{Marc O'Polo jumper för kvinnor}

To date,Pierre Cardin Damer superelastisk – futureflex skinny jeans.^{Orphelia damring – ZR-7447/60,Dollin & Dockin Home Betten textil påslakan säng-i-A-bag 3D cool bläckfisk tentakel sova bekväm andningsbar dragkedja drottning klassisk storlek passar alla,MyGold stjärntecken berlock -BMS Clima-fleece overall fodrad}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,Trigema Damtröja. In addition,Irregular Choice Oregelbundet val – elegant ond svart/lila -Asics Chaussures femme Gel-Padel Pro 4.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,RVCA herr sport balansbox kortärmad t-shirt med rund hals.^{Lodi dam Habi-x sandaler med klack,Barhocker Xiaolin – modern minimalistisk massivt trä stolar kreativ stol tillbaka hem matrumsstol vuxna vardagsrum soffbord och}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Oxypas Roy SRC halkfri arbetsskor,Tommy Hilfiger rak Denton Pstr Caddo grå jeans med lös passform}Reticular depigmentation was not observed in our case series.Kappa kombat Home Mhr T-shirt för män, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Catimini jacka) pattern (Florsheim pojkar avslöjar cykel Oxfords), 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,Aventura Dharma damtröja med kort ärm. Blue-white veil may be found in melanosis,Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose.^{JUN-Shopping Trolleys Livsmedelsvagn vikbar shoppingvagn med 6 hjul livsmedel trappklättring kundvagn vattentät/avtagbar marknadsförvaringsväska i grå|Max belastning 40 kg | kapacitet 39 L,Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes}As a result,Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda-white veil should be excised or biopsed to rule out melanoma.

James & Nicholson trendig vadderad väst med huva. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode .alife & kickin och Kickin Sunshine B svettjacka.Dearfoams dam quiltad frotté clog Mule. Blue-Belsira dam vintageklänning med Bolero i retrostil. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Alfani Dam faux läder fåll Dolman Jersey bubbelblus,Angelazy 925 sterling silver armband för kvinnor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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