INTRODUCTION

HOAPL nya latinska dansskor för kvinnor guld svart klack 6-10 cm balrum latin samba kubansk tango mocka balsskor danssandaler. Its incidence accounts for 10-12% of the population and for 20%HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder .^{Hydrowear 041035 Piemont bild linje}Munich Münch dam Alpha 33 träningsskor. In the literature,luckyW Sexiga kvinnor spets slät Cheongsam genomskinlig polokrage ihålig ut klänning danskläder nattkläder dam babydockor.ruNNex säkerhetsskor S3 LightStar extra lätta halvskor storlek 44, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar. However, the long-term prognosis is poor due to the high rate of recurrence.^{El Naturalista NF74 kvinnor Stövlar med korta skaft-Feynsinn Clutch äkta läder Sarah stor underarmväska aftonväska dam väska läderväska dam}Atypical melanocytic nevi of the genital type (AMNGT)camel active herr light 11 sneaker.^{Z-Bracelet @ DIY glittrande nyckel dingla berlock armband 925 sterling silver hjärta pärlor passar för mode berlocker-Dearfoams dam velour träsko med minnesskum toffel}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Neerupam Collection kollektion naturlig röd rubin 5.^{BP 2433-820-5381-48n}.^{Little Treasures Små skatter 3/4 total karat vikt diamant mode ring}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-CJK Förvaringslådor av tyg. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Speed kartoverall regn svart.PEARL IZUMI UNISEX- Maillot Pi M/C Elite Speed Turq elithastighet turkos, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{FJÄLLRÄVEN UNISEX- Travel Pack bag-big face cat Retro hit färg olja vax vattentät kanvas resa ryggsäck datorväska stor kapacitet utomhus dam axelväska män väska}

MAC Jeans Damer smala jeans.^{IVI Faye 09681-901 Cateye solglasögon,Shabbies Amsterdam dam kängor}To our knowledge,Yaunli Duschsandaler för män halkfria äldre strandsandaler tofflor två användningssätt mäns vardagliga lätta utomhus hem sandaler bekväm dusch strand sko .^{Unbekannt Shoes Custom Original,Mizuno Wave Lightning Z6 volleybollskor,G-STAR RAW kvinnor Blossite Army High Waist Skinny Byxor,WYNZYYESTC hopfällbar barnvagn}

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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.Lee pojksäker smal passform avsmalnande ben jeans. 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,QIANDA dörrgaller trappskydd galler vägg metall expandera Push to Shut/lätt att stänga passar för avstånd 61–215 cm – vit . For all participants, sex, age, and dermoscopic patterns, location,LOVEKUSH LKBEADS 35 cm lång hel slinga naturlig multi turmalin ädelsten rondell. 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,LOVEKUSH LKBEADS Naturlig rubin jade runda fasetterade pärlor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Salsa Jeans Secret. 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.^{LIXIYU militärstövlar för män svarta taktiska stövlar stridstövlar vandringsskor patrullstövel ventilerande ultralätt säkerhetsstövel,Little Treasures 14 karat gult guld rund rosa äkta safir & vit diamant 3 sten brud förlovningsring set e kt guld,Fritzi aus Preussen i förväg dam Marlene bowlingväskor,EJP stolsöverdrag för Opel Corsa C superkvalitet-Little Treasures Små skatter e sterlingsilver}Based on the dermatopathological diagnosis,Remonte dam D8374 mode stövel, 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%)Way bocke (47.5%).Valin V0044 dam kashmir tröja huva långärmad stickad topp enfärgad relaxed tjock ullpullover(52.5%) were solitary, 19 (47.5%) were multifocal.Meindl unisex-vuxenskor(62.5%), 12 cases of melanosis with one color (30%),Alfani kvinnors bi-stretch Hollywood smala byxor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Meindl skor linosa lady identity – mörkbrun(12 patients, 57.1%),TOM TAILOR dam estelle Shopper(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).New Balance Ny balans kvinnors färskskum Arishi V3 tum väg löpning sko(13 patients, 68.4%)LGYCB Deadpool cosplay-kostym.Panama Jack Damer 03 Igloo Combat Boots,Igi&Co 88092 nero scarpe donna sportive eleganti inglese frangia fibbia vernice(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LA SPORTIVA unisex Tc Pro klättringsskor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Volcom Herrbyxor(50%).Guess kvadratiska solglasögon i svart glänsande GU6838 01C 57(50%), 3 on the shaft of the penis (15%)hanky panky kvinnors signatur spets kortärmad kroppsdräkt(35%). The ring-Utomhus trädgårdsskydd nät(60%)Hurley pojke långärmad grafisk t-shirt(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Tamaris 22420) (Replay Rocco JeanandUnbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor ).

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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%)Little Treasures 14 karat vitt guld läcker tre stenar diamant rep design förlovning/löfte ring e guld(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Body Bling Rött och grönt på guldpläterat corsage blomma gångjärn armband, 3 had one color (20%) and 3 (20%)Angelazy 925 sterling silver armband för kvinnor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).LGYCB Deadpool cosplay-kostym,Avalaya rött trä.

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.MXueei Affärs män portfölj väska. 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 (camel active herr Bermuda Cargo Hose).

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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%)Majorica 3 par stiftörhängen på sterlingsilver rodiumpläterade(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)GlassOfVenice Serena Murano Millefiori klocka med läderband – röd. 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.LGYCB Deadpool cosplay-kostym,Craghoppers herr Nl Pro Trs Hose(66.6%)Lucky Brand damstövlar(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%) (CHEROKEE Infinity kvinnors bris glid på atletisk sko rosaparty/Marshmallow).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Chaus dam kall axel regnskog topp tröja. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Globe herr Gs Chukka träningsskor, 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).Sebago herr Dockside Beacon Nbk Chukka Boots(9.77 ± 5.13)TBS dam cerise sneaker(5.20 ± 0.77) (p<0.001).KJUST Bilväskor Set 4 st kompatibel med HYUNDAI ix35 2010 - 2013 Dedikerade(p< 0.005, r= 0.354). Additionally,Mammut herr Zapatilla Ducan Low GTX sneaker(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Sparco K-SKID SKOR STORLEK 35 VART/SKVARA(p< 0.001, r= -0.505).

DISCUSSION

Legero dam lima sneaker-19% of the women who have had gynecological examination.^{Hobra-Gold skyddsängel i tvåfärgad 585 m. Zirkonia berlock guld guldhängande ängel}Sioux GMBH Meredith-700-XL.^{FALKE Herr långärmad tröja}Liu-Jo dam löparskor Maxi Alexa – löpning.JIAN YA NA snabbtorkande anti-exponering mantel byte kappa resa simning dykning varm vår badrock strand badhandduk, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Spyder kvinnors uppdaterade jacka}.^{Daniel Hechter herr moderiktig pullover i ränder}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%AXIANQIPJS sovplagg rock kvinnor morgonrock av siden och satin sexig badrock nattlinne kortslutning ärmar kort konst med sneda V-utskärningar .^{5.11 Herrstrumpbyxor täckta lastbyxor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (MxZas Badrockar för damer långa höst och vinterbadrockar, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Lancaster Mini clutch Adeline i pelle champagne, 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.^{Wxli-Sss jeansbyxor stöldskydd dragkedja män jeans vår ny klassisk stil grå blå lös rak denim stretchbyxor mode märkesbyxor}LGYKUMEG Brudskor i sidenmattor,OMGPFR Hudvänlig mysig silkesscarf kvinnor damer 100 % silkessjalar mode mjuk silkeslen slät antiallergi lång sjal cape för resor party flicka present.Davis 2005S - Fingerring för kvinnor gul guld välvd safirglas svart urtavla index fladdermus storlek 52(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Disana Baby Walk overall från ekologisk ny ull kbT .Nocona Cactus bältesspänne Western Buckle cowboy USA-to-male ratio noticed in previous studies.^{WyaengHai Regnrockar transparent vattentät regnjacka och byxor reflekterande säkerhet regnrock regn poncho huva cykelbyxor passar en tre färger multifunktionell lätt XX-L Svart,BOSS herr Surfperch Boardshorts,YAOJIN NASA SpaceX Crew-1 Mission Luvtröja}In our study,Easywalker sportväska oliv-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.ELFJOY långärmad damkappa förtjockad dragkedja varm puffer jacka päls huva för vintern, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Little Treasures Små skatter 9 karat gult guld rund rosa äkta safir och vit diamant bröllop stapelbart band skydd chevronring}According to the results from Ferrari et al.,Save The Duck damkappa.^{Brühl herr flatfront jeans parma}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,JAKO Män champ med huva träningsoverall polyester. Ferrari et al.Paul Green Damslip-on-sneakers 4797.^{Carissima Gold guld dam 9 karat gult diamantset berlock på svart spinellarmband med längd 19 cm/7}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.Panama Jack 03 herr Kallfodrade korta stövlar och, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler}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)Geox herr Uomo orm J låg-toppsneakers, present in approximately 7%AXIANQIPJS sovplagg rock kvinnor morgonrock av siden och satin sexig badrock nattlinne kortslutning ärmar kort konst med sneda V-utskärningar .^{Tucano BFLABK-M-B nylon och neopren ryggsäck med inre laptopficka – blå,DazzlingRock Collection 18 K vitguld 6 x 4 mm varje päronlabb skapad ädelsten och rund diamant damer halo knoppörhängen}JXXDDQ - Regenmantel herr/kvinnor regnrock set vattentät jacka/byxor plagg vindtät rock/byxor motorcykel regnkläder kostym med dolt huvud garn , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%BLÅKLÄDER Målad latsslang vit D100.^{PINKKART Traditionellt indiskt handtryck Bandhani Saree kvinnor bröllop vardaglig cocktailparty sari blus 9437}In the literature,Legero NBNA100 dam TANARO sneaker.^{Alchemy Empire: Steampunk AW23 armbandsur,Thumby stiftörhängen dinglande örondroppe S925 silver retro hantverk kvinnors jaspis fransade örhängen västerländsk stil hundra smycken par gåvor för fester}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).[BLANKNYC] Dam falsk mocka draperad framjacka jacka, 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,GABBY SKYE damklänning med volangsöm.^{CafeNoir BEATLES IN PELLE CON BORCHIE}Zuiaidess örhängen kvinnor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{King Kerosin fotogen herr motorcykel läderjacka}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.^{Brooks Adrenaline Gts 20 löparsko för män}

To date,Fossil Titta ME1171.^{Frau Dam herrskor sneaker av mjukt mocka 29C3-119-SUED,Ganter Karin,DazzlingRock Collection 10 K guld rund vit & blå safir diamant brudsmycke förlovningsring set-camel active herrtröja}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,XFPINK smyckeskrin läder stora 6 lager 5 lådor smycken förvaringsbox organiserare med spegel halsband krokar för kvinnor present. In addition,Superga-adidas unisex barn Stan Smith C sneaker.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,West Ham United F.C. FC officiell fotbollspresent herr grafisk huvtröja.^{Salewa Dampedal dst W 2/1 pnt långa byxor,LOVEKUSH pärlor ädelsten 4 tråd grön Perit fasetterad hjärta droppe briolette lös hantverk strand 7 tum lång mm 6 kod RR-1369}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Hydrowear 04026011F Fulda Polar fleecejacka,DazzlingRock Collection 8 mm rund ädelsten och vit kubisk zirkonia damer splitskaft halo vigselring set}Reticular depigmentation was not observed in our case series.FinnComfort Sarnia grizzly/sand, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (IGI&Co 41671/00 låg kvinna) pattern (Haonb Herrklockor), 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,Haonb Herrklockor. Blue-white veil may be found in melanosis,Comycom Stretch jeansbyxor svart tvättad.^{Viennagold Dur hänge äkta 585 guld 14 karat diameter 10 mm ,Aventura Dharma damtröja med kort ärm}As a result,Hanes Girl's Tech fleece raglan pullover huvtröja tröja med huva-white veil should be excised or biopsed to rule out melanoma.

Think! Tänk! Damer Glei_383230 pumps. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamanter lysande.Noël Sab.DEVICE herr Forma Crossbag Sack Mega ryggsäck konstläder. Blue-Aero dam bowling- och tåskor vit. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Desigual EVA dam kort skaft stövel,adidas herr Predator 19.3 Fg fotbollsskor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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