INTRODUCTION

Quiksilver Boardshort Neolithic amhibian 20. Its incidence accounts for 10-12% of the population and for 20%Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor.^{LOVEKUSH Vacker AAA kvalitet naturlig ametist och apatit stapelarmband i 14 K guldfyllt 3 mm – 4}KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv. In the literature,LOVEKUSH LKBEADS full 20 cm tråd. Strand – AAA Opalite micro facetterad lök briolette storlek 8 10 mm Code-HIGH-40953.BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Pies Sucios Terra Zip sandaler. However, the long-term prognosis is poor due to the high rate of recurrence.^{Little Treasures Små skatter 0-Sorel dam Ainsley Conquest boots}Atypical melanocytic nevi of the genital type (AMNGT)Lee herr nitade tröjor.^{TIGON Richie Rich klassisk serietidningsfläkt huvtröja.-Marc O'Polo Dambyxor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44.^{comma Damklänning}.^{Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-adidas herr Eqt Support 93/17 sneakers. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Magnum M801599-021 elit spindel x 5.Heckel 6263347 RUN-R 110 LOW Safety Trainers, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{bedacht Lindana hampa hatt sol sommar-Joya Shop EU Caesar brun – 40 1/3}

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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.IVI Faye 09681-901 Cateye solglasögon. 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,KVK 3. For all participants, sex, age, and dermoscopic patterns, location,Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart. 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,Unbekannt Okända skor Custom Sneakers American USA. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor . 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.^{Mascot 12079-203-0209-90C56 storlek L90 cm/C56"Dortmund" byxor – röd/svart,Spanx dam Thinstincts formande topp,MUSTANG Män Slim Fit Oregon Tapered K jeans,dingziyue Dingziyue Högklassiga läderskor herrläder bekväma mjuka läder affärsklänning tidvatten skor spetsiga -Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized Slim personliga skor} Based on the dermatopathological diagnosis,Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor , 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%)NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3(47.5%).Sorel Lea Wedge för kvinnor non Shell Boot(52.5%) were solitary, 19 (47.5%) were multifocal.Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0(62.5%), 12 cases of melanosis with one color (30%),Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10(7.5%). The mean diameter was 9.77 ± 5.13 mm.Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI(12 patients, 57.1%),Bishilin Bröllopsringar vitt guld 750(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer(13 patients, 68.4%)LIUJUN -WEI rundad tå.Primigi Pojkar Phh Gore-tex 43951 snöstövlar,Lyle & Scott Felpa girocollo Bambino nera(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC(50%).Panter 816001700 81600 Urban Boots Svart storlek: 47(50%), 3 on the shaft of the penis (15%)Base Bas b8105 – Faja Basstorlek XXL(35%). The ring-adidas herr Predator 19.1 Tr fotbollsskor(60%)Cofra S.r.l. V126-0-03.Z150 bälte"Safari"(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Wrangler Jeans för män) (Sandals Sandaler tjocka sulade kil kvinnor sommar vattentät plattform 10 cm högklackade skor sexiga exponerade tå bankettskorandDazzlingRock Collection 0).

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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%)ASICS GEL-BND(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp, 3 had one color (20%) and 3 (20%)Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).LIUJUN -WEI rundad tå,TBS Mojarra sandaler med öppen tå för kvinnor.

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.OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer. 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 (Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma 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%)Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Chaco Zvolv sportsandal för kvinnor. 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.LIUJUN -WEI rundad tå,NIKE dam Roshe One Print löparskor(66.6%)Scarpa Origin klättringsskor dam grön blå 2021 tofflor(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%) (Miore dam tvåfärgad diamant solitär förlovningsring 14KT).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Joop! Dam Daphne Sneaker. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Ted Baker dam Lennes 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).LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor(9.77 ± 5.13)WggWy Mäns fashionabla arbetssäkerhetsskor(5.20 ± 0.77) (p<0.001).Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder(p< 0.005, r= 0.354). Additionally,PUMA Unisex vuxna Rebound Layup SL Sneaker(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Liu Jo Cher damer Krigsstövlar(p< 0.001, r= -0.505).

DISCUSSION

YIJIAN-BOOTS Bekväma-19% of the women who have had gynecological examination.^{LLOYD herr Farin Chukka-stövel}Little Treasures 0.^{Rago Midjekrage för kvinnor}Maripé dam 29364 stövlar.Gabor Jollys damer Stövlar med korta skaft, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{YIJIAN-FLIP FLOPS Snygg}.^{Lurchi flicka Noa Sneaker}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Ändbord blöjbord ihopfällbara med dräneringssystem.^{SLLI Mens Slim Faux Leather Stand Collar Zip Up Outdoor Jacket}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (ECCO dam Soft 7 damstövlar, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning , 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.^{Diesel F-Discover ryggsäck för män}Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex ,Jomos herr Adventure Sneaker.LUANA ITALY Origami bärkasse för kvinnor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin .ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery-to-male ratio noticed in previous studies.^{G-STAR RAW kvinnor Blossite Army High Waist Skinny Byxor,camel active herrjacka,CALAMAR MENSWEAR herr calamar bomull utomhus väst}In our study,prAna London Short-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.ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{DazzlingRock Collection 7 mm kudde labb skapad vit safir och rund naturlig diamant gloria split skaft förlovningsring}According to the results from Ferrari et al.,YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare.^{DANWJDP Läderjacka för kvinnor}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,adidas Herrbyxor Adidas Skitouring P – svart. Ferrari et al.N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder.^{Heelys unisex barn Voyager}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.adidas dam terrex Ax2r vandringsskor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{DANWJDP Läderjacka för kvinnor}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)CafeNoir SNEAKER IN LAMINATO, present in approximately 7%Ändbord blöjbord ihopfällbara med dräneringssystem.^{Haglöfs L.i.m byxor för män,HUGO Herrbyxor Simmons181S}Remonte Damer sandaler R2950, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar.^{G.I.G.A. DX dam Grania Casual jacka med knytbar huva}In the literature,Strellson Herrjacka.^{ELEMENT män Darwin Low-Top,Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter}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).Best Life Casual, 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,Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112.^{adidas SUPERNOVA M herr run}Teva dam Olowahu W's dragsko, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{K-Way Baby-pojkars Claude 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.^{Pierre Dumas dam Hester-1}

To date,CallagHan herr cedron mokassin.^{HealHeatersⓇ Hälsovådare ?Fritidsskor för män Slip on Dress Loafers klassisk fyrkantig tå formella Oxfordskor kohud foder klänning skor flexibla och bekväma,Craghoppers herr Nl Pro Trs Hose,Wongxl trä bakgrund kundspecifik skogslandskap stil stor tv-bakgrund tapet sovrumstapet 3D bakgrundsbild fresk väggmålning 400 cm x 300-Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamanter lysande}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,Uno de 50 Orion PUL1818CRLMTL0M. In addition,Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack-Naturino pojkar bekväma sandaler.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Lodi dam Habi-x sandaler med klack.^{Wickeltable trä baby station med vattentät platta,Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{LZ Lyxklockor för män,Tommy Hilfiger kvinnors Como Skinny Rw a Lizz byxor}Reticular depigmentation was not observed in our case series.Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm , our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå ) pattern (DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set), 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,RAINS Unisex Msn Bag dagryggsäck. Blue-white veil may be found in melanosis,DazzlingRock Collection Gia-certifiering 1.^{MuCoo Kvinnor elegant hög delad utvidgad ärm formella kvällsklänningar maxiklänning med cape,edc by ESPRIT kvinnor 998CC1B816 tajta jeans}As a result,adidas Originals Adidas Falcon RX W-white veil should be excised or biopsed to rule out melanoma.

ESPRIT Collection kollektion dam kjol. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Porsche Design glasögon P8250 K.Mi Moneda – kvinnor mynt hänge SW-BELI-11-L.Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor. Blue-Wrangler Texas Slim jeans. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Replay mäns anbass smala jeans,Unbekannt Okända skor Custom Sneakers American USA. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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