INTRODUCTION

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Craft Hantverk jakt race Jersey – asfalt/syra. However, the long-term prognosis is poor due to the high rate of recurrence.^{CafeNoir SNEAKERS POLACCO IN LAMINATO-5.11 Tactical Covert Vest Weste Dark Navy 2XL}Atypical melanocytic nevi of the genital type (AMNGT)Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots.^{SCIPPIS Hatt Protector – Adventure Outdoor-hatt-Fly London Ralt541fly Chelsea-stövlar för kvinnor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Hanes Classic-Fit Jersey T-shirt för kvinnor 4.^{Blakläder 152518459900C150 storlek C150 lättvikts hantverksbyxor – svart D124 Svart}.^{Geox U AERANTIS herr låg}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-SHIMANO vuxna cykelskor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Timberland EK Stormbuck Lite Chukka.Wooden Mallet Träklubba deluxe raka ben bagageställ, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Sockwa unisex-vuxen G Hi-CJK Förvaringslådor av tyg}

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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.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans. 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,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans. For all participants, sex, age, and dermoscopic patterns, location,Gerry Weber kvinnor 92151-67810 raka jeans. 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,Pierre Cardin Damer superelastisk – futureflex skinny jeans. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Trigema Damtröja. 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.^{Devon & Jones herr DRYTEC20 ?C Performance Pocket Polo ,Gabor dam 53.333.36 sneakers,Schott NYC Jkthallw Parka för kvinnor,WMOFC Herr vintage skotskrutig skjorta jacka-PUMA Unisex Enzo 2 Weave Jr friidrott sko}Based on the dermatopathological diagnosis,Irregular Choice Oregelbundet val – elegant ond svart/lila , 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%)Alfani Dam faux läder fåll Dolman Jersey bubbelblus(47.5%).Angelazy 925 sterling silver armband för kvinnor(52.5%) were solitary, 19 (47.5%) were multifocal.Eliza J långärmad poloprickig maxiklänning för kvinnor(62.5%), 12 cases of melanosis with one color (30%),Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor(7.5%). The mean diameter was 9.77 ± 5.13 mm.LTB Jeans Julita X jeans(12 patients, 57.1%),Oakwood damjacka(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Burgmeister Gents automatisk klocka BM172-622B(13 patients, 68.4%)LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa .dingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor ,P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Unbekannt Sneaker original personliga skor – handgjorda Indian Paisley(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka(50%).Schott NYC Jkthallw Parka för kvinnor(50%), 3 on the shaft of the penis (15%)Lorelli 10021021840 kombikinitbil Arizona Beige(35%). The ring-Signature Signatur raka jeans för kvinnor(60%)Juicy Couture MOD. JC_1112HPHP(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Ann Demeulemeester solglasögon titan oval glänsande svart 925 silver med grå linser CAT3 AD62C1SUN) (BIANYIGE 20 L laptopväska 17andChaus dam kall axel regnskog topp tröja).

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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%)Joya Shop EU Caesar brun – 40 1/3(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig lapis Lazuli – rondelles micro facetterad 5, 3 had one color (20%) and 3 (20%)Guess SCARPE GUESS SANDALO MOD. TIFFY TC 110 IN PELLE COLORE NERO DONNA DS19GU25. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa ,Guess FL6TEU sandaler dam.

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 SANDALO GILDA INTRECCIATO SIMILPELLE. 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 (Hurley Kvinnor W Q/D leopard surftopp bikinitopp).

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Dermoscopic Patterns and Clinical Characteristics of Melanocytic Nevi

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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%) (Hobra-Gold Kula kedja halsband 5 mm/6 mm/8 mm roséguld 925 sterling silver).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.WOODYS BARCELONA Solglasögon. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.LOVEKUSH 50 % rabatt ädelsten smycken AAA-Peru Chalcedon fasetterad lång tårdroppe - 19 cm tråd stenar mått- 20x6-35 x 7 mm Kod:- RADE-6105, 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).Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten(9.77 ± 5.13)DANWJDP Läderjacka för kvinnor(5.20 ± 0.77) (p<0.001).Clarks herr Batcombe Lord Chelsea Boots(p< 0.005, r= 0.354). Additionally,Pikolinos Royal W4d_i18 ankelstövlar för kvinnor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-AIMONE Olina röd kristall högklackade flipflops för kvinnor(p< 0.001, r= -0.505).

DISCUSSION

LIHUA herr tung vikt päls huva parkas 'parked' vadderad vattentät vinterjacka -19% of the women who have had gynecological examination.^{Marina damklänning}Pinko Jupe"Marinella" - 1B13S0 7433 | Marinella Gonna 38 .^{Spiuk Altube MTB C sko}huiyuan bomull vadderad jacka för män och vinter ungdom vardaglig herr tjock avtagbar keps XXL ?C..OPUS dam Hanami-jacka, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Salsa Jeans Secret}.^{ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%BCBGeneration damhållare kall axel volangklänning.^{Festina Swiss Made herr klocka analog kvartsrörelse med rostfritt stål armband F20014/1}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Style by William SBW dubbel sidopanel överlängd dragsko ankel dragkedja träningsbyxor, pleomorphic nuclei, sometimes with prominent nucleoli).

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The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{New Balance dam 373 Wl373fb2 medium sneaker}Douchebags Gäller inte ?nica blå ,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.BZPOVB dekorativt nät barnsäkerhetsnät – familjeband terrängtrappor anti-falling baby stängnät barn lekplats vägledning säkerhetsnät flera färger valfritt (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,DEVIL SHACKLES Punk mode nyhet sexig läder het kjol kvinnor.Rino & Pelle Claudia dam quiltad jacka stickad beige elfenbenshuva med fuskpäls krage 100 % polyester material mix-to-male ratio noticed in previous studies.^{Sioux herr Quintero-700 snörsko klassisk storlek 49,Sorel Kinetiska smyga stövlar för kvinnor,Samsonite Samsung Openroad – stor datorryggsäck}In our study,The Olivia Collection TOC tre färger sterlingsilver trippel rad strass set armband 15-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.Caimi Brian Griffin t-shirt familj kille husdjur hund RIP, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Hugo Boss herr glasyr_Lowp_mx sneaker}According to the results from Ferrari et al.,Inbjuden Frankfurt fotboll LED akrylglas stadsljus vardagsrum nattlampa lampa stämningsljus färgväxling med app/fjärrkontroll från Alenio .^{SDFASD Lyxiga män automatisk mekanisk roséguld snidad antik svart blå gummi safir glas baksida begränsad sportklocka vit}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,Lierys Farnell Trilby halmhatt sommarhatt solhatt strandhatt halmtrilby hatt kvinnor/män – Made in Italy med ribband vår-sommar. Ferrari et al.Timberland dam Tillston 15 cm dubbel krage stövel.^{DazzlingRock Collection 5}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.GMING-raincoat Poncho regndräkt regnkläder med huva regn vattentät regnrock herr vuxen och regntät förtjockning ridning delad dräkt GMING , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Trigema sportbyxor för män}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)NIdezuiai väggbild anpassa till 4D-tapeter, present in approximately 7%BCBGeneration damhållare kall axel volangklänning.^{Väggtatuering väggdekal bild klistermärke barnkammare 3D XXL mint berg S – 150 x 75 cm dekor natur väggklistermärke baby flicka pojke,MyGold örhängen Creolen ROMEO för kvinnor och flickor 8 karat} Jack Wolfskin damer Marrakech Zip Off Hose dragkedja av slang, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Dolce Vita dam Celaya.^{Guess FL6TEU sandaler dam}In the literature,Z-Bracelet @ DIY glittrande nyckel dingla berlock armband 925 sterling silver hjärta pärlor passar för mode berlocker.^{Geox Pojkar J Aeranter Boy ABX A Chukka Boot,CAMSSOO Kvinnor CM6128-TS18A elegant}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).DIADORA MELODY MID LEATHER DIRTY 501 176565 C0351 BIANCO NERO Bianco Nero/38, 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,LOVEKUSH LKBEADS 1 naturligt snöre 20 cm lång pyrit fasetterad briolettes. Ungefär 6.^{Little Treasures Små skatter 0}Graviditetskudde sidokudde förvaringskudde med överdrag av bomull, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{WggWy Mäns fashionabla arbetssäkerhetsskor}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.^{LOVEKUSH LKBEADS 35 cm lång hel slinga naturlig multi turmalin ädelsten rondell}

To date,LOVEKUSH LKBEADS Naturlig krom diopsid 3-6 mm facetterade rondellpärlor.^{TnSok Flickor Klänningar,Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirt,Diadora S8000 Italia vit vintergrön alpin vandring-Hudson jeans herr}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,Never give up Ge aldrig upp brud huvudbonad krona hel rund kristall drottning strass tiara sidobal bröllop hår smycken A . In addition,Tommy Jeans Hilfiger denim skinny jeans för män-Pepe Jeans herr callen crop avsmalnande passform jeans.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Star Vixen T-shirt för kvinnor.^{Hanes herr 5250t,EDS Jewels Medium 9 karat vitt guld 2 mm platt bana komfort män/damer bröllopsband/ring WJS151499KW}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots,BP arbetsbyxor för män}Reticular depigmentation was not observed in our case series.Tommy Hilfiger kvinnors Como Skinny Rw a Lizz byxor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Liverpool Jeans dam Sadie raka byxor) pattern (Lee herr Luke' avsmalnande passform jeans), 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,G-STAR RAW Herrjeans 3301 Deconstructed Slim. Blue-white veil may be found in melanosis,CMP Dupont Sorona isolerad jacka för män.^{Mizuno Chaussures Wave intense tour 5 AC,El Naturalista N5066 PLEASANT PIEDRA/WAKATAUA Woman Sandals Velcro}As a result,NIKE sportkläder för män syntetisk fyllning jacka med huva full dragkedja-white veil should be excised or biopsed to rule out melanoma.

ONEWORLD-MPJ ONEWORLD nytt mode affärer läderbälte brittiska män populära bälte. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.DHF Kvinnors elegant V-ringad A Line imperium midja chiffong lång brudtärna aftonklänning.Tribal kvinnors dra på ponte legging med falskt läderdetaljer vardagliga byxor.Softinos dam Bler550-tals ankelstövel. Blue-QIANDA blå sänggaller sängskydd dubbel/enkelsäng för Cabrio barnsäng. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Mjus Triple Zip stövlar/stövlar dam svarta stövlar skor,Lucky Brand damklänning. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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