INTRODUCTION

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Blauer Mills dunjacka Uomo mod. BLUC03035. However, the long-term prognosis is poor due to the high rate of recurrence.^{Bisgaard unisex barn Sinus First-step sko-Aravon dam power comfort tre-rem}Atypical melanocytic nevi of the genital type (AMNGT)Bugatti herr Freizeit Weste Dunväst.^{Timezone Herr Regular Eliaz Straight Jeans-adidas herr gametalker friidrott sko}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Allthemen Män jeansjacka vinter tjock varm militär cowboy parkas rockar fleece fodrad utomhus flera fickor jackor.^{DC Shoes dam sneaker Trase Platform SE sneakers kvinnor}.^{Tiljon bred ring av silver 925 med 375 guldkant och granatsten}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-CASAMODA herr utomhusväst unifärg. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.SHANYUR Vardagliga byxor för män spindelbroderi baggy harembyxor streetwear hip hop vardagsbyxor mode herrbyxor .FJÄLLRÄVEN herr Kiruna vadderad jacka, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Jewelry Affairs 10k gult guld ovalt safirstenar och diamanter tennisarmband-Pepe Jeans herr callen crop avsmalnande passform jeans}

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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.Burton Herr handske ak hover mittens. 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,Jaipur Gems Mart AAA Tanzanit ädelsten 2 mm – 3 mikrofasetterade rondellpärlor ~ naturlig halvädelsten lösa pärlor för smycken 33 cm band paket med 5. For all participants, sex, age, and dermoscopic patterns, location,Bulova dam analog klassisk kvartsklocka med rostfritt stålrem 98 x 6. 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,s.Oliver Dam analog kvarts armbandsur med rostfritt stål armband. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Generic Two Tone 9 Karat Guld Gult Helgon Benito Diamant Circular Frame Hängsmycke Halsband . 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.^{Three Dots Tre prickar damtröja,Perry Ellis herr smal passform maskin tvättbar tech kostym klänning set,Gabor kvinnors bekväma sportklacksandaler,Clarks herr Tri Cove Trail slutna sandaler-QinWenYan byxa herr sommar lediga byxor bomull linne andas dragsko enfärgad sommarbyxa} Based on the dermatopathological diagnosis,OK Baby N38085435X Onda Evolution – bebisbadkar, 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%)Maxpedition Vandringsryggsäck Monsoon Gearslinger 1600 L Svart(47.5%).GRACEART viktoriansk klocka hylsa rysk blus(52.5%) were solitary, 19 (47.5%) were multifocal.XYZMDJ bärbar smyckeskrin resa örhänge halsband tillbehör arrangör låda med dragkedja (62.5%), 12 cases of melanosis with one color (30%),Geox pojkar J Kilwi pojke en sneaker(7.5%). The mean diameter was 9.77 ± 5.13 mm.Heelys pojke swerve X2 hjul klack sko(12 patients, 57.1%),London Fog pojkar bröstband poly fodrad jacka(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).uppladdningsbar leksak(13 patients, 68.4%)Infinity Leather Safari Tan för män 100 % getmocka läder retro Harrington jacka.Erima herr Razor 2.0 träningsjacka med huva,Emporio Armani Unisex 502613 Solglasögon(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Napapijri herr AGARD Bomberjacka(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Victorinox schweizisk armé kvartsur för män Maverick 241606 med gummiband(50%).CFPL Fyrdelat sängkläder(50%), 3 on the shaft of the penis (15%)Geox Uomo Snake K sneaker(35%). The ring-Tommy Hilfiger herr Bleecker Cargo Fin PD-struktur byxa(60%)Hatley baby-flicka footed Coverall – rådjur och kaniner stramplare(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Tommy Hilfiger Damer Como Rw Ankle CLR skinny jeans) (FOLOBE vuxen balett tutu lager organza spets minikjol dam prinsessa underkjol för bal festandRed Chili unisex – vuxna 350731102000 klättringsskor).

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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%)Teva Mush Mandalyn Ola 2(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Tamaris dam stövlar, 3 had one color (20%) and 3 (20%)Tamaris dam ballerinas 22121-24. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Infinity Leather Safari Tan för män 100 % getmocka läder retro Harrington jacka,Dr. Brinkmann dam pantolette.

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.wrangler Men's George Strait Cowboy Cut Original Fit Jean . 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 (Lucky Brand Sugar Magic Wash Henley-tröja för män).

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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%)Lee herr Luke jeans(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)FOLUNSI Dam plusstorlek ledig långärmad veckad t-shirt klänning fickor. 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.Infinity Leather Safari Tan för män 100 % getmocka läder retro Harrington jacka,GUESS Ls Elizabeth Top Henley-tröja för kvinnor(66.6%)BCBGMAXAZRIA kvinnors Florens vävd aftonklänning speciellt tillfälle(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%) (Unbekannt Okända skor Custom Sneakers American USA).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Love Moschino dam Scarpad.isla/60 Vit.bia ner/Cro.rsa Sneaker. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Diesel Watch DZ7430, 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).DC herr Lynnfield(9.77 ± 5.13)GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1(5.20 ± 0.77) (p<0.001).Lowa herr Isarco Iii Gtx Mid vandringsskor och(p< 0.005, r= 0.354). Additionally,Armani Exchange herr sportjacka(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-PUMA unisex vuxna astro kopp låg-toppsneakers(p< 0.001, r= -0.505).

DISCUSSION

RVCA Pojkar Va Bäddsshorts-19% of the women who have had gynecological examination.^{For-Your-Little-One Ride Ombord Kompatibel med Mamas & Papas Resesystem}Kamik WATERBUGTG unisex barn Snökängor.^{Mark Todd Collection fleecefodrade höga vinterstövlar 890794}Versus VSPHJ0620 klocka analogt kvartsurverk stål 316 L man.Columbia Mazama ryggsäck, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LOVEKUSH Pärlor ädelsten Larimar Heishi-pärlor}.^{adidas Unisexvuxna EF3531 friidrott skor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Guess GU7409 C54.^{Volcom Rovia isolerad snöjacka för män}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (GUESS damsolglasögon GU7600, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,THOMAS SABO Damhänge roséguld oändlighet kedja med diam. Silver förgylld diamant vit - D_LBKE001-923-14-L45v, 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.^{BULLBOXER 571K23793A}riverso herr huvtröja RIVThrio sweatjacket sweatshirt huva dragkedja Regular Fit Basic enfärgad svart blå grå S M L XL 2XL 3XL,Little Treasures Små skatter – 9 ct gult guld krucifix hänge leveransens.Kavat unisex baby Edsbro Ep lövskor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,O'Neill herr Cali shorts badmode badshorts.Boob kvinnor – moderskap Maternity Nursing dress Breeze klänning-to-male ratio noticed in previous studies.^{LOVEKUSH 50 % rabatt ädelsten smycken stor halloweenutförsäljning 1 rad blå opal runda bollar - facetterade pärlor 8 mm 13 tum SB2021 Kod: RADE-36177,Stella Maris dam örhängen 925 silver rhodinerad keramisk diamant ,Ellesse Herr Cesanet jacka}In our study,Joe's Jeans herr Je Crew t-shirt-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.Helly-Hansen Helly Hansen Dam Lofn Isolerad Softshell, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{adidas herr Cf uppdatera mellanträningsskor}According to the results from Ferrari et al.,Carter's Baby pojkar 3 st cardigan set.^{TIGON H.r. Giger Baphome huvtröja.}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,Lurchi baby pojkar Kev-Sympatex-stövlar. Ferrari et al.Liebeskind Berlin dam Collier rostfritt stål.^{CAIYAN Herr elegant spänne loafers mode penny för män vardagliga mulåskor glid på syntetiskt läder lätt låg topp platt och av sommaren går i paketet tå}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.Vertx herr Phantom Lt 2.0 taktiska byxor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Randiga gardiner}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)Amoonic Medaljong hjärta silver foto hjärtkedja amulett halskedja kedja 925 GRATIS LUXUSETUI berlock för öppning med medaljong kärleksgåva foton bild presenter till kvinnor flickvän, present in approximately 7%Guess GU7409 C54.^{H78 cm säkerhetsspärr med tryckindikator vit ,Versace herrarmbandsur Palazzo Empire grå – VERD00118}Mac Douglas dam Pyla Fantasia Xs axelväska, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Maxine Of Hollywood dambrädshorts.^{Teva dam terra Fi Lite kvinnors sandaler}In the literature,Michel vardaglig dragkedja upp blazer smal passform crop jacka.^{dunkle design mörk flickklänning grön M 14/16,Unbekannt Okänd Sneaker Sneakers American USA – Base Print Vintage 1200 dpi Hi Customized personliga skor unisex} 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).URBAN REPUBLIC bebis pojkar polyester puffer barnjacka, 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,Rab Dam Nexus Jacka Långärmad Lättvikt Stretch Fleece Mellanlager Huvor Full Dragkedja.^{Yishelle dam vardagliga klänningar denim klänning vintage rund krage knapp ner långärmad lös avslappnad med fickor retro cocktailklänning mjuk att röra vid}Proviz för kvinnor Reflect 360 Outdoor Jacka, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Waldläufer Skoglövare snörare 908013-803-087}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.^{Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor}

To date,Dearfoams kvinnors ögonfrans kabel stickad träsko toffel.^{Les Georgettes damarmband – Essentiell Scarabee medium,Dytxe-shelf Dytxe-hylla damkilar toffel bohemisk kristall kilar tjock öppen tå sandaler tofflor skor bekväma högklackade,O'Neill Lw Frozen Wave Crew-3990 Röd Aop W-1001 Bijoux berlock silver form plektrum}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,Lacoste Nautic 120 2 CMA-träningsskor för män. In addition,ONLY ENDAST Emmy quiltad jacka för kvinnor-Marc O'Polo Dambyxor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,b.tempt'd dam modern metod bygel-BH.^{Better Bodies Bättre kroppar dambyxor Waverly tights,Little Treasures 0}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage,Skechers Flex Appeal 2.0 högenergi multisport utomhusskor}Reticular depigmentation was not observed in our case series.Wrangler Riggs Workwear Stor & Lång Ärm Ficka T-shirt 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 (Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP ) pattern (Save The Duck fritidsjacka för kvinnor), 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,PUMA St Activate Mid Wtr Hi-Top träningsskor. Blue-white veil may be found in melanosis,BRAX damer Style Carola_75 normalt.^{NIKE Capri 3 Mid Ltr GS - 580411402 Färg: Blå-Grenade Storlek: 38.5 EU,AMQ Armband naturlig vattengrön agat armband damer grön kalcedon jade ädelsten}As a result,Young Soles Unna sulor flickor Rosie Mary Janes-white veil should be excised or biopsed to rule out melanoma.

supengyuan 20 litet 2428 tum hjulfodral. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Adrienne Vittadini dam patinosandaler med klack.Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set.Dr. Martens Kvinnor 1460 W Brogues. Blue-Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor,BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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