INTRODUCTION

J Kara kvinnors speciella tillfällen klänning. Its incidence accounts for 10-12% of the population and for 20%Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog.^{Valin VB88018 dam Boho 3/4-armad sidenklänning plissé siden klänning}Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka. In the literature,Premier Bästa stickad väst för kvinnor med knapp.Alex Evenings kvällar kvinnor speciella tillfällen klänning, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

UPOWER BLANCO S2 SRC. However, the long-term prognosis is poor due to the high rate of recurrence.^{HWYP Vaxad kanvas män och kvinnor små slingväskor ryggsäckar för vandring cykling resor utomhus vardagliga väskor ryggsäck tygväska-NIKE dam W Air Max 270 löparskor}Atypical melanocytic nevi of the genital type (AMNGT)Haggar Casual byxor för män.^{Suytan Cigarr humor-JAKO Män champ med huva träningsoverall polyester}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner.^{Sioux Grashopper 61176 spetsar för kvinnor}.^{Rieker dam snörskor för kvinnor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Lacoste herr Sideline 319 1 Cma sneaker. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Tommy Jeans dam skinny jeans.Guess herrarmbandsur analog kvarts läder W18540G1, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{wkd-thvb vinter basic toppar jacka herr plusstorlek tjocka ytterkläder lös lång tröja huvjackor-Centered Sakko män modern och sportig – som Casual Jacket eller blazer}

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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.Solo New York Everyday Max hybridryggsäck. 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,PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20. For all participants, sex, age, and dermoscopic patterns, location,Guess Shilah Mini dam axelväska teal. 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,Babylon Guard ISOFIX bilsäte för barn. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.BANANA REPUBLIC herrfabrik premium tvätt v-ringad t-shirt kortärmad. 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.^{DC Shoes dam sneaker Trase Platform SE sneakers kvinnor,AILSAYA Video-babymonitor,Tiljon bred ring av silver 925 med 375 guldkant och granatsten,Pepe Jeans herr callen crop avsmalnande passform jeans-Tommy Hilfiger dam Fw0fw01958 Chelsea stövlar}Based on the dermatopathological diagnosis,Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt, 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%)Feixunfan smyckesfodral PU smycken förvaringsbox örhänge halsband låda ring klocka gåva för flickor mamma kvinnor (47.5%).Tommy Hilfiger kvinnors Venedig RW Bermuda bikinitopp(52.5%) were solitary, 19 (47.5%) were multifocal.Tommy Hilfiger dam Fw0fw01958 Chelsea stövlar(62.5%), 12 cases of melanosis with one color (30%),Tommy Hilfiger damer NEW PENNY ANKLE PANT rakt(7.5%). The mean diameter was 9.77 ± 5.13 mm.wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning(12 patients, 57.1%),Neaer Fodral för surfplatta rosa fodral ipad 9.7 10.5 11 tum ärm brev ins mode väska flicka Apple iPad Pro12.9 påse förvaringsväska (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor(13 patients, 68.4%)Donna Morgan kvinnors speciella tillfälle klänning.BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel,Carter's Baby Girls' tryckta leggings(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-ClimAir Car Comfort CLI10063ABC Sonniboy passar till Suzuki Vitara (50%).Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe(50%), 3 on the shaft of the penis (15%)Tranemo 2820-50-03-D96 buntbyxor Comfort Plus storlek D96 i marin(35%). The ring-LWZ Herr lätta bekväma vattentäta regnstövlar med ståltå(60%)M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Buena Vista Paris malibu 7/8) (Three Dots Tre prickar damtröjaandGabor kvinnors bekväma sportklacksandaler).

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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%)SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Killtec Dam funktionskjol med avtagbar inre byxa Lyola, 3 had one color (20%) and 3 (20%)CAMPER dam höger Nina Mary Jane halvskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Donna Morgan kvinnors speciella tillfälle klänning,Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1200 dpi italiensk stil Hi Customized personliga skor .

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.Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor . 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 (MUSTANG herr 4095-602-301 klassiska stövlar).

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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%)Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)surell Faux Rabbit Pom tröja stickad mössa med visir – vinterskidmössa. 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.Donna Morgan kvinnors speciella tillfälle klänning,Blaklader 149413307899C58 serviceshorts med nagelfickor(66.6%)JACQUES LEMANS herr analog kvartsklocka med läderarmband 1–1838B(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%) (XLH Ankle Lady Splicing Boots Retro Kvinnor Läder Stövlar Skor Utomhus Vandring Visa Casual).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Xuping shop vintage messengerväskor herr portfölj äkta läder affärer handväska laptop ledig stor axelväska. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät , 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).BP 1803-720-56-48s arbetsfack(9.77 ± 5.13)MUSTANG dam 1306-301-100 Derbys(5.20 ± 0.77) (p<0.001).Little Treasures Små skatter 14 karat gult guld rosa äkta safir och vit diamant dam brud förlovningsring set e kt guld(p< 0.005, r= 0.354). Additionally,UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Little Treasures Små skatter 0(p< 0.001, r= -0.505).

DISCUSSION

BP 1790-555-13-44l latzh-19% of the women who have had gynecological examination.^{Trollkids Flicka mjukt shell jacka kristiansand}BP 2402-820-1332-44/46n arbetsväska.^{DALLL DALLL-filt med ärmar Halloween mantel och huva gjord av bomull för vuxna barn}LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt.Blaklader 199816448699C54 4-vägs stretch X1900 hantverkare arbetsbyxor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Armani Exchange herr sportjacka}.^{Valin V0044 dam kashmir tröja huva långärmad stickad topp enfärgad relaxed tjock ullpullover}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Art Konst dam 1232 stad kobolto/Camden stängd tå klackar.^{Lucky Brand Sugar Magic Wash Henley-tröja för män}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (adidas män X 19.1 TF fotbollsskor silver, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Little Treasures Små skatter 14 karat vitt guld rund rosa äkta safir och vit diamant dam brud förlovningsring set e guld, 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.^{Richter Kinderschuhe Pojkar Future1 Sneaker}OLYMP Luxor comfort fit skjorta långärmad Karo,Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals.GUESS Damklocka W0073L2 (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,CafeNoir TRONCHETTO CON MULTISTRASS IN MICROFIBRA.Little Treasures Små skatter 1-to-male ratio noticed in previous studies.^{Pierre Cardin Lyon straight jeans,vo7 Sneaker läder träningsskor Roma White,Catimini jacka}In our study,Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning-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.Mustang kvinnors 1278-801-2 öppen tå sandaler, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LOVEKUSH LKBEADS 1 tråd naturlig krysopras 7 till 10 mm fasett rondellpärlor 53 cm kod-HIGH-11505}According to the results from Ferrari et al.,wkd-thvb Vinterrock i ull för män.^{ASICS män gel-excite 7 löparsko}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,Amaryllis Hängsmycke Sugilith Freeform. Ferrari et al.Hydrowear 042851K Rhodos konstruktorbyxa.^{Hanes herr Nano-T t-shirt}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.Hydrowear 041035 Piemont bild linje, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{For-Your-Little-One Ride Ombord Kompatibel med Mamas & Papas Resesystem}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)Hydrowear 046456 Aspen vinterpark, present in approximately 7%Art Konst dam 1232 stad kobolto/Camden stängd tå klackar.^{LOVEKUSH Pärlor ädelsten Larimar Heishi-pärlor,adidas Unisexvuxna EF3531 friidrott skor}Hydrowear 04025997 Twello Termo Line-jacka, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Hydrowear 042854K Rhodos konstruktorbyxor.^{Volcom Rovia isolerad snöjacka för män}In the literature,Napapijri herr NOLANOS Shorts.^{En mängd olika filtar är mjuka och bekväma,BULLBOXER 571K23793A}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).Barntoalett multifunktionell bärbar potta 1-6 år gammal män och kvinnor babyväska stil urinal gUL, 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,Randiga gardiner.^{Stella Maris dam örhängen 925 silver rhodinerad keramisk diamant} Brütting Kansas kvinnor bana, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Ellesse Herr Cesanet 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.^{adidas herr Cf uppdatera mellanträningsskor}

To date,NIKE Phantom 3 Academy Df Fg fotbal skor.^{Lurchi dam Starlet hög sneaker,TIGON H.r. Giger Baphome huvtröja.,Randiga gardiner-H78 cm säkerhetsspärr med tryckindikator vit} 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,J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta. In addition,Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor-Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat.^{Versace herrarmbandsur Palazzo Empire grå – VERD00118,Melvin & Hamilton Melvin&Hamilton 103737 Martin 15 affärsskor för män}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Teva dam terra Fi Lite kvinnors sandaler,Unbekannt Okänd Sneaker Sneakers American USA – Base Print Vintage 1200 dpi Hi Customized personliga skor unisex} Reticular depigmentation was not observed in our case series.Sänggaller sängskyddslångare, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange) pattern (SPORT-TEK herr 1/2-dragkedja färgblock vindskjorta. JST75), 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,Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor. Blue-white veil may be found in melanosis,Naturino pojkar sol sandaler.^{Yishelle dam vardagliga klänningar denim klänning vintage rund krage knapp ner långärmad lös avslappnad med fickor retro cocktailklänning mjuk att röra vid,Waldläufer Skoglövare snörare 908013-803-087}As a result,Portwest - Bizflame Plus flambeständig lätt anti-statisk coverall panna 280 g orange 2XL/lång-white veil should be excised or biopsed to rule out melanoma.

Spanx dam 10178R-VERY M formande kropp. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Sorel kvinnors Lolla utskurna bootie ankelstövlar.TYR Dam Glisade Diamondfit baddräkt.Brooks mäns lansering 5 löparskor. Blue-LLOYD FREEMAN herrar derby. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.HVTKL Klassisk retro vertikal sektion plånbok läder herr casual kort första lagret av dragkedja ,Hanes Youth ComfortBlend EcoSmart träningsbyxor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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