INTRODUCTION

Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0. Its incidence accounts for 10-12% of the population and for 20%Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10.^{Orient analog automatisk FNR1Q005W0}Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI. In the literature,Bishilin Bröllopsringar vitt guld 750.ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Primigi Pojkar Phh Gore-tex 43951 snöstövlar. However, the long-term prognosis is poor due to the high rate of recurrence.^{Kate Spade KAILEIGH NUDE HAVANA 50/15/140 kvinnor glasögonram-HUGO herrpikétröja}Atypical melanocytic nevi of the genital type (AMNGT)Lyle & Scott Felpa girocollo Bambino nera.^{Oceanic O'Neill Ascend Capri-Voi Hirsch Brenna plånbok läder 15 cm}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå.^{LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300}.^{QinWenYan Bandeau-baddräkt badkläder-bikini-plagg med nätframsida för tropisk strand-poolparty-smekmånad}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Panter 816001700 81600 Urban Boots Svart storlek: 47.Base Bas b8105 – Faja Basstorlek XXL, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Avalaya statement infattning rött glaspärlhalsband i guldplätering – 44 cm L/7 ext-Draussen-Aktiv MAC Dream CHIC dam jeans byxor 0355l547190-91}

adidas herr Predator 19.1 Tr fotbollsskor.^{REAL-GEMS Ursprunglig bokstav halsband,Wrangler Texas Slim jeans}To our knowledge,Cofra S.r.l. V126-0-03.Z150 bälte"Safari".^{MZNSQB Silverörhängen för kvinnor 925 sterling silver spindel dinglande örhängen glittrande kubisk zirkonia modesmycken,Tommy Hilfiger herr Bleecker Th Flex Chino satin Gmd byxa,FJALLRAVEN dam Greenland Re-cotton t-shirt S W,SALOMON herrskor X höjning Gtx vandring}

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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.Geox pojkar J Kommodor Boy A Sneaker. 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,Volcom herr shorts-cargo Miter Ll. For all participants, sex, age, and dermoscopic patterns, location,ASICS dam gel-Squad amerikansk handboll skor. 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,ASICS GEL-BND. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp. 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.^{Hållbar med magslang stor kapacitet Kalvmatande mjölkflaskmatning för Ranch,Chiruca unisex vuxnas dynamiska promenadstövlar,ZGRJIUERYI Silverarmband för kvinnor,LOVEKUSH Grossist 4–5 mm töjbart rosa och gyllene koppar Swarovski-armband runt-Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger}Based on the dermatopathological diagnosis,Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun, 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%)WggWy Mäns fashionabla arbetssäkerhetsskor(47.5%).Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder(52.5%) were solitary, 19 (47.5%) were multifocal.PUMA Unisex vuxna Rebound Layup SL Sneaker(62.5%), 12 cases of melanosis with one color (30%),Liu Jo Cher damer Krigsstövlar(7.5%). The mean diameter was 9.77 ± 5.13 mm.YIJIAN-BOOTS Bekväma(12 patients, 57.1%),Little Treasures 0(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Maripé dam 29364 stövlar(13 patients, 68.4%)NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3.Gabor Jollys damer Stövlar med korta skaft,Ändbord blöjbord ihopfällbara med dräneringssystem(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).ECCO dam Soft 7 damstövlar(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning (50%).Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex (50%), 3 on the shaft of the penis (15%)Jomos herr Adventure Sneaker(35%). The ring-LUANA ITALY Origami bärkasse för kvinnor(60%)Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (BabyDan Premier True Pressure Fit Baby Safety Trappor Vit Alla Bredder) (DazzlingRock Collection 1andNKlaus 0).

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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%)N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)adidas dam terrex Ax2r vandringsskor, 3 had one color (20%) and 3 (20%)CafeNoir SNEAKER IN LAMINATO. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3,Remonte Damer sandaler R2950.

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 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar. 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 snörare).

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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%)Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Teva dam Olowahu W's dragsko. 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.NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3,CallagHan herr cedron mokassin(66.6%)Uno de 50 Orion PUL1818CRLMTL0M(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%) (Odlo damtights noll vikt S leggings).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Lodi dam Habi-x sandaler med klack. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm , 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).XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå (9.77 ± 5.13)DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set(5.20 ± 0.77) (p<0.001).RAINS Unisex Msn Bag dagryggsäck(p< 0.005, r= 0.354). Additionally,DazzlingRock Collection Gia-certifiering 1(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-adidas Originals Adidas Falcon RX W(p< 0.001, r= -0.505).

DISCUSSION

ESPRIT Collection kollektion dam kjol-19% of the women who have had gynecological examination.^{RENLEINB Smart Watch}Porsche Design glasögon P8250 K.^{Gabor dammode pumpar}Mi Moneda – kvinnor mynt hänge SW-BELI-11-L.Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband turkosa stapeliserade fasetterade brioletter – hjärtformade pärlor 10 mm x 7}.^{Blaklader 494925179942L softshell jacka}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Wrangler Texas Slim jeans.^{Muck Boots Arctic Sport Tall unisex_-_baby Gummistövlar}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Replay mäns anbass smala jeans, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Unbekannt Okända skor Custom Sneakers American USA, 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.^{alife & kickin Alife and Kickin damkappa CharlotteAK D}Okänd Sneaker Original Slim Customized personliga skor unisex ,Superfit baby flicka rush sneaker.Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Superfit unisex barn sport7 mini sneaker.Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå-to-male ratio noticed in previous studies.^{Andrea Conti dam 0344577 kängor,AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44,Dongyd Playpens extra stor bebis med matta}In our study,Hydrowear 072455 Usselo Simply No SweatCoverall-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.DazzlingRock Collection 14 K vitt guld 7, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Outdoor Research Utomhusforskning Coralie L/S tröja}According to the results from Ferrari et al.,Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp .^{Paul Green dam Chelsea-stövlar}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,CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish. Ferrari et al.DazzlingRock Collection 0.^{Hydrowear 042750K Rijen konstruktör kombiöverdrag}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.CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Snickers Workwear Polar}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)Unbekannt Örhängen stiftörhängen Solitär Brillant 0, present in approximately 7%Wrangler Texas Slim jeans.^{Sparco K-SKID SKOR STORLEK 35 VART/SKVARA,Anita Active dam Air Control Deltapad Sport-BH}CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor.^{Magisk magisk lykta Alice – vit 12 V}In the literature,CGJ 1.^{MxZas Över natt helgväska Oxford resa duffelväskor mode män vikbar väska stor kapacitet bagage handväskor handväska,Dljyy bomullskuddar}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).Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld , 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,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband .^{Replay damjacka}Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Lucky Brand damalbum}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.^{Unbekannt Okänd Sneakers American USA Customized - personliga skor}

To date,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .^{bébé-jou 220026 badkarsställ CLICK,Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp,Scarpa unisexvuxna-BRIXTON herr Wheeler Intl}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,Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym. In addition,Little Treasures 0-Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Little Treasures 0.^{HAROLD'S Country herrväska I läder 23 cm,Dr. Scholl's Shoes Dam Madison sneakers}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Buffalo RAVYN damer Knapprem,Gabor 23.643 damtrosor}Reticular depigmentation was not observed in our case series.Little Treasures 0, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Primadonna Forever hel kopp sidostöd behå) pattern (Portwest C467 Hi-Vis 3-i-1 jacka Bombardero), 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,DC Shoes dam sneaker Trase Platform SE sneakers kvinnor. Blue-white veil may be found in melanosis,DC Shoes Boxy – parkas för män ADYJK03063.^{Vogue dam 0Vo5152 glasögonställ,Hydrowear 042503 Rimini Simply No Sweat Pilotjacka}As a result,Cecil Lång tröja i djupblått-white veil should be excised or biopsed to rule out melanoma.

NIKE Damer Epic Lux Top. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Designer Sterling Silver 925 sterlingsilver .WESC Huvtröja för män.Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker. Blue-Hit Notion Optiska glasögon för kvinnor – rektangulär form. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Saucony herr jazz original Cross-Trainer,Unbekannt Okänd Sneaker Original Low Customized personliga skor . Clues for AMNGT are given by dermoscopy.

CONCLUSION

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