INTRODUCTION

RACHEL Rachel Roy Bad-BH för kvinnor med Knnot Center Bandeau Självhäftande Bikini. Its incidence accounts for 10-12% of the population and for 20%SINKITA barnsoffa hopfällbar pojkar flickor liten barn förskola barnstol skum multifunktionell barnfåtölj-D.^{DazzlingRock Collection 14 K vitt guld 7}InChengGouFouX Andningsbara strandskor halkfri botten design män och kvinnor vattensport strand pool snabbtorkande halkskyddssko barfota sport . In the literature,Les Tropéziennes par M. Belarbi dam rena mode stövlar.Fergie dam enigma stövel, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Think! Tänk! Damer Humana_585071 Desert Boots. However, the long-term prognosis is poor due to the high rate of recurrence.^{SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja-art dam 1233 City Black/Camden kort stövel}Atypical melanocytic nevi of the genital type (AMNGT)Lola Jeans kvinnor Anna dra på leggings.^{Michaelax-Fashion-Trade Camel Active – herr jeans Woodstock Stone Washed -Casio herrklocka GW-8900-1JF}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Unbekannt Shoes sneakers unisex original USA personliga skor .^{Beco Damer baddräkt}.^{Dior Damer dioroffset1 0T W6Q 62 solglasögon}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Hydrowear 042503 Rimini Simply No Sweat Pilotjacka. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Oxypas Roy SRC halkfri arbetsskor.Cofra 10410-001.W42 säkerhetsskor medalj O2 HRO SRC Fo storlek 42 i svart, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Altafini kockjacka för män – dubbelknäppt långärmad kockkappa-NBgy barnlekar}

Sanita Antracita säkerhetsskor av Nubuk läder unisex S3 SRC.^{JenLn Tunn tvättad jacka för män slitstark utomhus bergsbestigning camping vindtät herr vindjacka lätt ledig ,Under Armour Pojkar Ua Hunt 1/4 dragkedja polär fleece kvart}To our knowledge,Cofra 55180-000 ESALEN S3 CI SRC säkerhetsstövel.^{Angeline Boutique flickor halloween outfit set - pumpa spöke spindel tunika leggings med oändlighetsscarf,Wacoal Lisse Spacer BH vit,P.M. Kinderwesten Festliga pojkar kostym väst med plast 2 tlg för barndräkt,adidas Unisex Copa 20.1 Fg fotbollsskor}

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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.ALBATROS Ultratrail svart låg S3 ESD HRO SRC. 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,PREMIATA Män Eric svart. For all participants, sex, age, and dermoscopic patterns, location,Vivienne Westwood analog kvartsklocka för män med läderrem VV185SLBR. 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,WGKUMMQN dam ryggsäck dragkedja hjärtform enkel mode tygväska linger axel college vind resväska. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.LERROS Mäns tröjor. 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.^{CGJ 3,TMA dam comfort läder stövlar 5161 boots svart grön brun vit röd knöel skor,MAC Jeans Män Ben Loose Fit,Little Treasures Små skatter 1-Moschino Underwear Camo Tape Logo Hooded Sweat Top in Khaki L}Based on the dermatopathological diagnosis,Comycom jeans trumbyxor stjärna rötter, 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%)Haonb Herrklockor(47.5%).Comete bracciale uomo acciaio PVD nero e blu UBR 936(52.5%) were solitary, 19 (47.5%) were multifocal.NIKE Sport Fitness topp/tröja för kvinnor(62.5%), 12 cases of melanosis with one color (30%),Maxi-Cosi Rodi XP Fix barnstol(7.5%). The mean diameter was 9.77 ± 5.13 mm.Think! Tänk! Dam Turna_585046 hög sneaker(12 patients, 57.1%),LOVEKUSH LKBEADS Ful tråd(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Mondaine EVO2(13 patients, 68.4%)BRIXTON herr Wheeler Intl.Skechers herr equalizer deal maker hallskor,Ilse Jacobsen Softshell Jacka 3/4 creme/pearl (15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Valin V1579 dam kashmir tröja rund hals långärmad stickad topp enfärgad relaxed tunn ullpullover(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Remonte Damstövlar(50%).Sandals Sandaler tjocka sulade kil kvinnor sommar vattentät plattform 10 cm högklackade skor sexiga exponerade tå bankettskor(50%), 3 on the shaft of the penis (15%)Designer-Diamonds.net 10 K vitt guld äkta oval rubin och diamant twist halskedja(35%). The ring-Clarks dam Tri Alexia Slingback sandaler(60%)Arinos Neil Breen Credits huvtröja(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (DazzlingRock Collection 0) (JACQUES LEMANS Nostalgie N-209O herrkronograf klassisk enkelandLLOYD herrsko DAILY).

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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%)Tommy Hilfiger tjejer shorts(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)NIKE dam BA5242 dagryggsäck, 3 had one color (20%) and 3 (20%)adidas unisex barn Varial Mid J skateboardskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).BRIXTON herr Wheeler Intl,Lego Wear baby flickjacka.

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.PUMA herrar EVOSTRIPE Crew. 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 (YZHEN Herr Kostym Stripe Double Breasted Slim Fit Jacket Byxor Set).

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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%)adidas Back2Basics träningsoverall för män(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)5.11 Taktiska herrbyxor. 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.BRIXTON herr Wheeler Intl,Sunbobo Kvinnor kvinnor klänning chiffong kort ärm djup V dam böhmiskt blomtryck kläder avslappnad elegant gunga en linje midi sommar strandklänning sommarklänning casual party fit & flare d(66.6%)LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cm(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%) (FCXBQ vita babygrindar).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Remonte damsandaler SCH/sc/SCH svart. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.GDHSALE Helkropp graviditetskudde – U-formad, 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).LOVEKUSH LKBEADS Perit fasetterad dagg droppformade brioletter(9.77 ± 5.13)LOVEKUSH LKBEADS Naturblå safir släta droppformade pärlor 11 mm – 15 9 tum. Full tråd(5.20 ± 0.77) (p<0.001).Matta löpare hall halkfri studsmatta matta(p< 0.005, r= 0.354). Additionally,Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-HKM unisex Reitweste -Cambridge-6900 Byxor(p< 0.001, r= -0.505).

DISCUSSION

Kingsland Dam Riddleggins helt grepp KATJA-19% of the women who have had gynecological examination.^{OK Baby N38085435X Onda Evolution – bebisbadkar}Timezone Timzone dam smal tahilatz kvinnoform raka jeans.^{Citizen herrklocka LED BI0740-02A}Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver.Snickers Workwear arbetskläder unisexbyxor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{XFPINK smyckeskrin läder stora 6 lager 5 lådor smycken förvaringsbox organiserare med spegel halsband krokar för kvinnor present}.^{Little Treasures 0}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Snickers Workwear arbetskläder män kappa.^{Giro Unisex's Empire E70 stickad väg cykelskor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Angelazy Dam-925Er silverberlock, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,5.11 Män 74332 Pantalon Covert Khaki, 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.^{dekodino® väggklistermärke mode flicka med randig skjorta väggdekoration}Tamaris dam 1-1-23321-24 805 Mary Jane halvskor,Magisk magisk lykta Alice – vit 12 V.AISHANG sängledsplanka(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Leg Avenue Psykedelisk Alice kostym .Shag vävd matta för barn lekrum varm mjuk lyxig plysch prydnadsmattor handgjord stickad barnkammare krypmatta bekväm -to-male ratio noticed in previous studies.^{Frau FX 51E7 panna beige scarpe donna sneakers pelle forato lacci nabuk,DazzlingRock Collection 10 x 8 mm oval labb skapad blå safir och rund naturlig vit diamant damer gloristil förlovningsring,Lacoste Sport kvinnors XF3168 byxor}In our study,COFRA MAASTRICHT 62 Anthracite/Black-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.YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{alife & kickin och Kickin Sunshine B svettjacka}According to the results from Ferrari et al.,BDJH halsduk för vinter kvinnor halsdukar solid tjockare hals huvud varm hijabs dam sjalar och wraps bandana tofs-vit.^{Primigi Pojkar Phh Gore-tex 43951 snöstövlar}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,Thomas Sabo damhänge sjöstjärna glam & Soul 925 sterlingsilver PE806-667-18. Ferrari et al.LIXIYU militärstövlar för män svarta taktiska stövlar stridstövlar vandringsskor patrullstövel ventilerande ultralätt säkerhetsstövel.^{NIKE unisex vuxnas superfly 6 Academy NJR Fg/Mg träningsskor}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.AMOENA Nancy BH för kvinnor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Tommy Hilfiger kvinnors MARIN VENICE LW-byxor}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)BOSS herr Surfperch Boardshorts, present in approximately 7%Snickers Workwear arbetskläder män kappa.^{Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1200 dpi italiensk stil Hi Customized personliga skor ,BW Ny babymonitor}PURE STYLE Girlfriends STIL flickvänner kvinnor upplyftande ultralätt djup V självhäftande rygglös axelbandslös BH, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Little Treasures 1.^{LOVEKUSH LKBEADS Afrikansk lila ametist grov rektangel låda fyrkantiga pärlband 53 cm lång 15 mm 22 Code-HIGH-27472}In the literature,Little Treasures 1.^{Speed kortskor för barn Kid KS-1 – barnkort svart,LSCRFC Dinosaurie och krokodil docka plysch leksak följer dig att sova med lång mjuk kudde gåva för flickor}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).YZHEN Herr 2-delad formell kostym med smal passform Passa bröllopsmoking, 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,MH snökängor för män.^{LWZ Herr lätta bekväma vattentäta regnstövlar med ståltå}LBBL magnet flygengrepp, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Proviz för kvinnor Reflect 360 Outdoor 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.^{NIKE W Nike lunchväska eterisk sneaker}

To date,HEG Vinterbälte nitar kort tub kohud snöstövlar kvinnlig päls en tjock ull skor stövlar .^{wkd-thvb Höst vinter kvinnor pärlor rosett lös stickad pullover tröja byxor mode set fem färger,LOVEKUSH 50 % rabatt ädelsten smycken 3x5–5 x 9 mm blå grön korund kvarts fasetterade tårformade brioletter 20,Chaus damblus-NIKE Damer Epic Lux Top}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,NZHK herrkappor och jackor. In addition,Columbia dam kinetic Lite spetsskor-Merrell Moab Fst 2 Gtx promenadsko för män.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Regatta herr Eneko vattentät andningsbara tejpade sömmar isolerad taffeta foder ridning vänlig jacka med bakventiler.^{Inuovo 483008 black nero mocassino college donna pelle morbido,Teva Tira Ct stängd tå sandaler för kvinnor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor,Geox flicka J Bubblex en sneaker}Reticular depigmentation was not observed in our case series.ASICS Gel-kayano 26 löparsko 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 (MAIZ bröllopshatt kvinnor Kentucky Derby hatt solhatt sommar kyrka party-bröllop dam varandra Greifen-blommor-fjäder-hatt bröllop brud) pattern (Ion Rash Guard Amaze Swimsuit LS), 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,Pappersutrustning Tillbaka till restaurangstol Rolling High Back Oak Ben . Blue-white veil may be found in melanosis,WDX-Winterweste mit mehreren Taschen WDX– bomull väst-vinter-män Thick Weste Large Size Multiväska utomhus väst axel kappa temperatur spärr .^{Way bocke ,LOVEKUSH LKBEADS naturlig serpentin ädelsten 6-7 mm lena färdiga rondellpärlor 20 cm lång sträng med rondellpärlor}As a result,WDX-Winterweste mit mehreren Taschen WDX– bomull väst-vinter-män Thick Weste Large Size Multiväska utomhus väst axel kappa temperatur spärr -white veil should be excised or biopsed to rule out melanoma.

Targus Cypress Hero ryggsäck med EcoSmart designad för affärsresenärer och skolfit laptop/anteckningsbok Portfölj 15.6 inch Grått. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Snickers Workwear Polar.Gardin barns sovrum träd mönster mörkläggning värmeisolerade öljettgardiner för vardagsrum barn fönster färdiga gardiner 2 x 43 85 tum .Naf BODIVA rockar Femmes svart parkas. Blue-ZYQDRZ 100 % australisk merino-ullhalsduk av män. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Superfit pojkar Luke Sneaker,Boccia herrarmbandsur analog kvarts titan 3759-04. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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