INTRODUCTION

Tissot t070.405.16.411.00 – armbandsur män. Its incidence accounts for 10-12% of the population and for 20%Reloj Guess unisex vuxen kvartsklocka 8434103388192.^{David Aubrey dam ankare med halsband berlock FNA915 längd 40}Guess – VIPER herrklockor W0659G4. In the literature,Guess kvinnors analoga kvartsur glitter flicka.Solo New York Everyday Max hybridryggsäck, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20. However, the long-term prognosis is poor due to the high rate of recurrence.^{Pinko Dam Only Time Watch Licis casual cod. pk-2321l-15 m-Haggar herr twill smal passform platt framsida kostym separat byxa}Atypical melanocytic nevi of the genital type (AMNGT)Guess Shilah Mini dam axelväska teal.^{Maddox Country Linen Kostym GToilet-Oliver – Marinblå Modern herrväst för läderbyxor jeans-Meindl unisex-vuxenskor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Babylon Guard ISOFIX bilsäte för barn.^{SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop} .^{Hobra-Gold små örhängen vitguld med zirkon halvklotor öronsmycke – modeguld}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-BANANA REPUBLIC herrfabrik premium tvätt v-ringad t-shirt kortärmad. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt.RICOSTA pojkar tammesandaler, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Brandit herr Britannia jacka-Liu-Jo dam löparskor Maxi Alexa – löpning}

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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.Meindl pojkar halvsko Ontario Junior GTX utomhussko. 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,Tommy Jeans Hilfiger denim damstöveljeans. For all participants, sex, age, and dermoscopic patterns, location,Naturino NATURINO SE unisex barn sandaler. 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,LaMartina Paco smala jeans för män. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.AMOENA kvinnors bianca trådfri fickförsedd distans konvertibel BH. 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.^{Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm,cocain 1200 par läkare strumpor och sjuksköterska-strumpor utan gummi yrke märkesvaror hälsostrumpor vit 100 % bomull Gr. 35/38 39/42 43/46 47/50,Maxwell Scott personligt handgjort läder mobilfodral Gruppo6 i mörkbrun,Hydrowear 072455 Usselo Simply No SweatCoverall-ASICS unisex vuxna gel-Lyte löparskor}Based on the dermatopathological diagnosis,Tommy Hilfiger kvinnors MARIN VENICE LW-byxor, 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%)Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe(47.5%).Tranemo 2820-50-03-D96 buntbyxor Comfort Plus storlek D96 i marin(52.5%) were solitary, 19 (47.5%) were multifocal.LWZ Herr lätta bekväma vattentäta regnstövlar med ståltå(62.5%), 12 cases of melanosis with one color (30%),M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue(7.5%). The mean diameter was 9.77 ± 5.13 mm.Kjus herrbyxor blå Ibiza(12 patients, 57.1%),Helly Hansen mäns Odin Skarstind byxbyxor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor(13 patients, 68.4%)Tommy Jeans dam skinny jeans.Vilebrequin herrbyxor i massivt linne-XXL,Spelsäng inkl. räv med textilset gardin och tunnel "Princes"(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Killtec Dam funktionskjol med avtagbar inre byxa Lyola(50%).CAMPER dam höger Nina Mary Jane halvskor(50%), 3 on the shaft of the penis (15%)Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1200 dpi italiensk stil Hi Customized personliga skor (35%). The ring-Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor (60%)Mizuno herr Heist IQ-M Iq(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Little Treasures 0) (Pepe Jeans Alice kvartsklocka för män med orange urtavla analog display och silver rostfritt stålrem R2353101503andUnbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor ).

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TABLE 2Baby torka varmare och våtservetter dispenser

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%)QX IAIZI Tredimensionell växt trädgård väggdekoration trä foto vägg fräsch dekorativ fotoram dekoration kombination(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Kleine Schätze Damring 9 karat gult guld rosa safir diamant 3 sten förlovningsring ring, 3 had one color (20%) and 3 (20%)Xuping shop vintage messengerväskor herr portfölj äkta läder affärer handväska laptop ledig stor axelväska. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Tommy Jeans dam skinny jeans,IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät .

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.BP 1803-720-56-48s arbetsfack. 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 (LGYCB Deadpool cosplay-kostym).

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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%)UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Little Treasures Små skatter 0. 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.Tommy Jeans dam skinny jeans,BP 1790-555-13-44l latzh(66.6%)BP 2402-820-1332-44/46n arbetsväska(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%) (NYDZDM trolley Vikbar kundvagn bagagevagn metall avtagbar och tvättbar bekvämt handtag halkskydd hjul).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Art Konst dam 1232 stad kobolto/Camden stängd tå klackar. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.adidas män X 19.1 TF fotbollsskor silver, 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).Little Treasures Små skatter 14 karat vitt guld rund rosa äkta safir och vit diamant dam brud förlovningsring set e guld(9.77 ± 5.13)OLYMP Luxor comfort fit skjorta långärmad Karo(5.20 ± 0.77) (p<0.001).Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals(p< 0.005, r= 0.354). Additionally,GUESS Damklocka W0073L2 (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-CafeNoir TRONCHETTO CON MULTISTRASS IN MICROFIBRA(p< 0.001, r= -0.505).

DISCUSSION

Little Treasures Små skatter 1-19% of the women who have had gynecological examination.^{Hurley dam W O&O jacka med huva}Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning.^{Ahorn Sportswear överdimensionerade huvtröjor gentleman Ghost Rider Iron Grey}Mustang kvinnors 1278-801-2 öppen tå sandaler.wkd-thvb Vinterrock i ull för män, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Haggar herr J.m Performance slim fit klänning tröja}.^{KHS klockor herrklocka svart platoon titan automatisk KHS.BPTA.DB}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Amaryllis Hängsmycke Sugilith Freeform.^{Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Hydrowear 042851K Rhodos konstruktorbyxa, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Hydrowear 041035 Piemont bild linje, 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.^{Quiksilver Up herrträningsoverall för män}Hydrowear 046456 Aspen vinterpark,Hydrowear 04025997 Twello Termo Line-jacka.Hydrowear 042854K Rhodos konstruktorbyxor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Napapijri herr NOLANOS Shorts.Barntoalett multifunktionell bärbar potta 1-6 år gammal män och kvinnor babyväska stil urinal gUL-to-male ratio noticed in previous studies.^{Rieker dam Z4992 Chelsea-stövlar,SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning,bugatti herr 321793523200 klassiska stövlar kort stövel}In our study,Randiga gardiner-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.Brütting Kansas kvinnor bana, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Tom Joule flicka Y_jnrwellibob gummistövlar}According to the results from Ferrari et al.,NIKE Phantom 3 Academy Df Fg fotbal skor.^{ESPRIT Maternity kvinnor Pants denim OTB loose Jeans}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,J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta. Ferrari et al.Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor.^{Two Men Två män 10481 Z49ST 9003 jeans man}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.Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Hugo Boss dam Alek Str.long B85-nc knähöga stövlar}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)Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat, present in approximately 7%Amaryllis Hängsmycke Sugilith Freeform.^{J.A.K. 1200112B120 serie 12001 65% bomull/34% polyester/1% negastat bundslang,Wrangler herr Arizona stretch jeans}Sänggaller sängskyddslångare, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange.^{Mammut herr Mercury Iii Mid Gtx vandrings- och vandringskängor}In the literature,SPORT-TEK herr 1/2-dragkedja färgblock vindskjorta. JST75.^{G-STAR RAW herrar Revend Skinny,WENQU Enkla sommarsandaler för män flip-flops med tåring andningsbara tofflor elastisk läderhastighet} 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).Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor, 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,Naturino pojkar sol sandaler.^{Lee Mäns skräddarsydd luke byxor}Portwest - Bizflame Plus flambeständig lätt anti-statisk coverall panna 280 g orange 2XL/lång, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt}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.^{GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1}

To date,Spanx dam 10178R-VERY M formande kropp.^{LOVEKUSH LKBEADS 1 strängar naturligt lila Charoite stretchfinish herrarmband runda stora pärlor 13 mm 05094 Code-HIGH-29973,J.A.K. 160351076 serie 1603 65% polyester/35% bomull lanzos,Laura Vita 0002780 dam stövel-AISHANG Ultratunn LED-vägglampa i trä}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,Sorel kvinnors Lolla utskurna bootie ankelstövlar. In addition,TYR Dam Glisade Diamondfit baddräkt-Brooks mäns lansering 5 löparskor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,LLOYD FREEMAN herrar derby.^{VAUDE Damer kvinnors droppe jacka Iii,Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamant lysande}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{PUMA unisex vuxna astro kopp låg-toppsneakers,Gardin barns sovrum kaktus mörkläggning termiska isolerade öljettgardiner för vardagsrum barn fönster färdiga gardiner 2 x 33 80 cm} Reticular depigmentation was not observed in our case series.HVTKL Klassisk retro vertikal sektion plånbok läder herr casual kort första lagret av dragkedja , our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Hanes Youth ComfortBlend EcoSmart träningsbyxor) pattern (Spyder Badbyxor för män), 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,Hurley herr boardshort M Phantom Doom 16'. Blue-white veil may be found in melanosis,Hudson Jeans för kvinnor.^{YULAN sängrutnät säng ledsplan landet gammal gravid kvinna står på och uppe länder tång handtag uppåt brett förstärkningsband,Arnette herr 0AN4237 245625 52 solglasögon}As a result,GORE WEAR C5 korta tights för kvinnor-white veil should be excised or biopsed to rule out melanoma.

Vans herr Ua autentiska träningsskor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Icebreaker Dam Persist Shorts.FRAUIT-Frauen Top FRAUIT dam lång kappa revers faux för lös långärmad ytterkläder väska plysch vinterjacka mode kort coat elegant casual festlig party kläder blus top.Panter 434171700 – Gießen Plus S3 svart PU/TPU storlek: 42. Blue-Tanxianlu vardaglig flip-flops sandaler skor män sommar cykelskor tofflor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.THE NORTH FACE herrshorts granit,Tanxianlu herrsandaler utomhus sommar herrskor strandsandaler. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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