INTRODUCTION

Helly Hansen Workwear DRY långärmad tröja kastrup polo dragkedja 75017 990 XS. Its incidence accounts for 10-12% of the population and for 20%Spirit Motors skjorta Karo Style 1.^{GIRLSIGHT Minimalistiskt mode kvarts armbandsur elit ultratunn vattentät sportklocka med datum nätband 050. Strömbrytare}UYN dam Evolutyon mellanlager jacka. In the literature,BRAX Damstil Mary vinter Dream Five Pocket Slim Fit Sportiv byxor.Timezone Herr Regular Eliaz Straight Jeans, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Mascot 15615-249-0209-L storlek stor"Erding" termisk jacka – röd/svart. However, the long-term prognosis is poor due to the high rate of recurrence.^{Obsessive Police Set beklädnad-XIONGGG brandbekämpande skyddsdräkt reflekterande remsa andas utomhus Coverall med stövlar handskar hjälm}Atypical melanocytic nevi of the genital type (AMNGT)CMP Damer softshell jacka.^{Pinkkart Kvinnor broderi arbete Georgette kostym 5114-Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt.^{Totto Ryggsäck}.^{JXXDDQ -Raincoat Regnrock vattentät poncho justerbar regnkappa}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Square Enix Fyrkantig Final Fantasy Tonberry Fylld Maskot.Fusion Scissors Hårsaxar helt ny 15, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Helikon herr Outdoor taktiska byxor svart-ASICS Män 1011A825-001_47 running shoes}

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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.Guess unisex vuxna glasögonstativ GU3009-F 050 53 optiska ramar. 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,Tod's solglasögon. For all participants, sex, age, and dermoscopic patterns, location,Gianfranco Ferre GF FERRE Women's solglasögon GFF1226 solglasögon. 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,Scotch & Soda kvinnor Short length technical Jacket Jacka. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Waldläufer Damsandaler FLORAT ECLIS 448001894/148 grå 218259. 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.^{niceandnoble Hänge rund med granat av 585 guld,Z-Zero Klocka Green Time Square herr trä sandelträ Timewood kvadratisk mellan 004 C,Little Treasures 2,Under Armour Kvinnor Zinger T-shirt med full dragkedja-LBBL insektsskyddsdörr}Based on the dermatopathological diagnosis,SCOTCH & SODA FOOTWEAR dam Loel toffel, 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%)Belle Etoile Ring Perroquet(47.5%).ECCO dam bella toffel(52.5%) were solitary, 19 (47.5%) were multifocal.Paul Malone bröllopsmode bröllopsväst set 5 delar silver paisley Casa Moda bröllopshemd champagne(62.5%), 12 cases of melanosis with one color (30%),FJÄLLRÄVEN Fjällräven 89997 – 319(7.5%). The mean diameter was 9.77 ± 5.13 mm.JO WISDOM Kvinnor Claddagh örhängen(12 patients, 57.1%),FJÄLLRÄVEN vadderad jacka för kvinnor med högkusten(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja(13 patients, 68.4%)SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress .Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor,Strellson Herrjacka(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).camel active herrjacka(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-tomBrook Gummistövlar för kvinnor med separat foder(50%).Kappa män hoodies Hurtado(50%), 3 on the shaft of the penis (15%)Okänd original custom – personliga skor (35%). The ring-Unbekannt Okända skor Custom Sneakers American USA(60%)Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (CafeNoir TRONCHETTO IN MICROFIBRA) (Naturino Unisex barns kokong Vl gymnastikskor barnandBDDLLM armbandsur brist pin sten springa andra klocka för män fritid).

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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%)ECCO herr St.1hybridlite sneaker(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)adidas herr Cf uppdatera mellanträningsskor, 3 had one color (20%) and 3 (20%)NIKE herr react Miler löparsko. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress ,Dubarry Silas Tan.

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.JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga. 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 (Troy Lee Designs SE Seca Motocross slang orange/blå 34).

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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%)BULLBOXER 428K20559H P2YN(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)HUGO herr Icelin_runn_nypu sneaker. 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.SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress ,Think! Män 686640_joeking Sneaker(66.6%)ARA herr Rendolf 1124501 sneaker(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%) (Erumstol för barn vikbar multifunktionell barnstol bärbar matsalsstol C).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Hush Puppies valpar herr HM02067 expert chukka stickad. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L, 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).SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja(9.77 ± 5.13)Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss(5.20 ± 0.77) (p<0.001).TOM TAILOR Josh Regular Slim Hose(p< 0.005, r= 0.354). Additionally,Hugo Boss herr Wayfarer solglasögon(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Musto dam tät blusonjacka(p< 0.001, r= -0.505).

DISCUSSION

VAUDE Vaude-19% of the women who have had gynecological examination.^{Greenburry Vintage Revival RL-1735-22 läder necessär}LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa .^{ELEMENT män ryggsäck Jaywalker Bpk}mjj Papegoja 3D-tröja med digitalt tryck.Softinos Farah ankelstövlar för kvinnor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Mugello Örhänge örhängen Murano-glas pärla röd 12 mm diameter rund sterlingsilver guldpläterade 585 guldutsmyckning-arbete unik hantverk jul}.^{Helly Hansen barn urban regnjacka}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration.^{TIBETAN SILVER Äkta rökig topas ädelsten unik handgjord filigran 925 sterling silver hänge för kvinnor etnisk tribal traditionell bali design helande amulett juni månadssten}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Snickers arbetskläder service 4373 väst XS marinblå, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,PAM & GELA damklänning, 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.^{Mr.LQ Vårdsbord Babybord Touch Storage IKEA Vårdtjänst}Skechers dam Go Flex 2 – 14992,Craft Hantverk jakt race Jersey – asfalt/syra.Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Hanes Classic-Fit Jersey T-shirt för kvinnor 4.SHIMANO vuxna cykelskor-to-male ratio noticed in previous studies.^{Front Row herr premium longsleeve/rugby-tröja/polotröja långärmad,Lucky Brand damklänning,Merrell Banshee Trail löparskor för kvinnor}In our study,Timberland EK Stormbuck Lite Chukka-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.Wooden Mallet Träklubba deluxe raka ben bagageställ, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Dolomite män Bota Ms 60 Dhaulagiri snökängor}According to the results from Ferrari et al.,Geox dam D Thymar C Brogues.^{YXX - Blått trä 2-stegspall för pojkar}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,Lee dam haklapp byxa. Ferrari et al.AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het.^{Gadea damskor Chelsea stövlar Anaconda Castor brun MOMY-B 39779}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.Fjallraven unisex Vardag 25 dagars ryggsäck, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{ERIJUNOR Kvinnor högklackade öppen tå strass backback plattform pumps bröllop kväll klänning skor}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)Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans, present in approximately 7%dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration.^{Little Treasures Små skatter 14 karat vitt guld 7,Bishilin runda diamantband ringar förlovning bröllop}Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Gerry Weber kvinnor 92151-67810 raka jeans.^{Julius Tullner babymadrass Jana Lyocell 70 x 140 cm Weiß}In the literature,Pierre Cardin Damer superelastisk – futureflex skinny jeans.^{Maerz herr superwash rund hals pullover,CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish}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).Trigema Damtröja, 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,Irregular Choice Oregelbundet val – elegant ond svart/lila .^{Wolky Comfort remsko Kuban}Asics Chaussures femme Gel-Padel Pro 4, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Crocs kvinnors vinter puff stövel snö}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.^{Caimi Abney Park Steampunk Rock SciFi HG Wells t-shirt.}

To date,RVCA herr sport balansbox kortärmad t-shirt med rund hals.^{Snickers Workwear 6902 Hose FlexiWork Arbetsbyxa m. HP,Loves Journey IGI-certifierad 18k guld 1/2ct TDW diamant dubbel halo förlovningsring ,YIJIAN-BOOTS Bekväma-Chengxin-Laptop Bags Surfplatta fodral bärkasse herr handväska tvärsnitt stor kapacitet herrväska PU resväska läderväska axel slung business dator portfölj retro tidväska premium skydd} 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,Kappa kombat Home Mhr T-shirt för män. In addition,Catimini jacka-Florsheim pojkar avslöjar cykel Oxfords.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Aventura Dharma damtröja med kort ärm.^{LLOYD herrsko Galla,LOVEKUSH Regnbåge jade & kvarts halvädelsten 925 silver stretch pärlarmband 6 mm kod – WAR6615}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Emporio Armani Unisex 502613 Solglasögon,LOVEKUSH LKBEADS 1 naturligt snöre 20 cm lång pyrit fasetterad briolettes. Ungefär 6}Reticular depigmentation was not observed in our case series.Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda) pattern (James & Nicholson trendig vadderad väst med huva), 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,JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode . Blue-white veil may be found in melanosis,alife & kickin och Kickin Sunshine B svettjacka.^{MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink,Timberland – Safari Dawn A2FG6050 grå}As a result,Dearfoams dam quiltad frotté clog Mule-white veil should be excised or biopsed to rule out melanoma.

Belsira dam vintageklänning med Bolero i retrostil. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Alfani Dam faux läder fåll Dolman Jersey bubbelblus.Angelazy 925 sterling silver armband för kvinnor.Eliza J långärmad poloprickig maxiklänning för kvinnor. Blue-Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.LTB Jeans Julita X jeans,Oakwood damjacka. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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