INTRODUCTION

BRAX herr Style Two Tone Five Pocket platt tyg byxa. Its incidence accounts for 10-12% of the population and for 20%dunkle design mörk Ballonrock Sweat i blå rosa grå eller turkos.^{Tommy Jeans Scanton Slim wstrmd straight jeans}Scarpa Damer Mescalito Wmn trekking- och vandringssedlar. In the literature,LOVEKUSH LKBEADS 20 cm tråd.Hackett London herr Garment Dye Ln Bs Businesshemd, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Tucano BFLABK-M-B nylon och neopren ryggsäck med inre laptopficka – blå. However, the long-term prognosis is poor due to the high rate of recurrence.^{Bimbi Romantic – -Clearbridal dam A-linje chiffong balklänning ren hals formell brudtärna klänning med applikationer paljetter pärlor TZ014}Atypical melanocytic nevi of the genital type (AMNGT)Superfit pojkar RUSH Sneaker.^{Hama laptopväska Marockko 43-Biomecanics flickor 191192-2 sneaker}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Keen unisex barn Seacamp Ii CNX sandaler.^{Scotch & Soda Herr Mott – Chino Slim Fit bomullsstretch byxor}.^{MyGold diamant hjärta knoppörhängen 18 karat gult guld 8 333 – 750 0}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang . It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress .Helly Hansen herr Active 2 jacka, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{E27*1 Inomhus Utomhus Korridor Takbelysning Vintage Industriell Metall Taklampa Kreativ Urholka Lampskärm Loft Kaffebar Kök Vardagsrum Dekoratio Belysning D22*H20CM-OUNBHL Skolryggsäck för pojkar flickor tonåringar barn skolväskor vattentäta barnryggsäckar anpassat tryck resväskor}

Helly Hansen Workwear DRY långärmad tröja kastrup polo dragkedja 75017 990 XS.^{Little Treasures Små skatter roséguld pläterad sterlingsilver bröllop och förlovningsring klar CZ evighetsring,Shopping Trolley Shoppingvagn för de äldre}To our knowledge,Spirit Motors skjorta Karo Style 1.^{AISHANG sängledsplanka,Unbekannt Okänd original USA personliga skor,Li Qiang's shop Damsolglasögon New Female Summer Style Shades Tricolor ram solglasögon kvinnor vit ux Maxi plats UV400 ,OUNBHL barn skolväskor ortopedisk ryggsäck skolväska vattentät nylon för flickor pojkar ryggsäckar Mochila escolar}

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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.Timezone Herr Regular Eliaz Straight 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,Mascot 15615-249-0209-L storlek stor"Erding" termisk jacka – röd/svart. For all participants, sex, age, and dermoscopic patterns, location,CMP Damer softshell jacka. 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,Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå. 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.^{Waldläufer Skoglöpare dam Henni/H Low-Top,Odlo dam shorts Koya Ceramicool,Keen herrar,Allthemen Män jeansjacka vinter tjock varm militär cowboy parkas rockar fleece fodrad utomhus flera fickor jackor-Fly London Loma457fly bakre klackar för kvinnor}Based on the dermatopathological diagnosis,Square Enix Fyrkantig Final Fantasy Tonberry Fylld Maskot, 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%)Think! KAPSL_3-000204 nachhaltiger(47.5%).ERIKA FABIANO stövlar för kvinnor *(52.5%) were solitary, 19 (47.5%) were multifocal.Tommy Hilfiger flickor rak passform jeans(62.5%), 12 cases of melanosis with one color (30%),Replay Rocco Jean(7.5%). The mean diameter was 9.77 ± 5.13 mm.Armani Exchange kvinnors ryggbälte festklänning(12 patients, 57.1%),Cofra S.r.l. V023-0-01.Z62 arbete väst signal storlek 62 i orange(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Dior Damer dioroffset1 0T W6Q 62 solglasögon(13 patients, 68.4%)Alfani smockad kall-axel klänning.Tiljon bred ring av silver 925 med 375 guldkant och granatsten,Bailey kvinnors kärlekiga duvan tröja klänning(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-LOVEKUSH Positiv energi 9 mm töjbart blått och grönt apatit armband runt(50%).Belle Etoile Ring Perroquet(50%), 3 on the shaft of the penis (15%)ECCO dam bella toffel(35%). The ring-Paul Malone bröllopsmode bröllopsväst set 5 delar silver paisley Casa Moda bröllopshemd champagne(60%)FJÄLLRÄVEN Fjällräven 89997 – 319(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Little Treasures Små skatter 0) (LOVEKUSH LKBEADS 4–5 mm naturlig labrarit runda rondellpärlor 33 cm lång tråd kod-HIGH-71401andK-way herrjacka).

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TABLE 2JO WISDOM Kvinnor Claddagh örhängen

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%)camel active herrjacka(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)tomBrook Gummistövlar för kvinnor med separat foder, 3 had one color (20%) and 3 (20%)Kappa män hoodies Hurtado. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Alfani smockad kall-axel klänning,Okänd original custom – 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 Okända skor Custom Sneakers American USA. 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 (NIKE herr Jordan Max aura 2 basketskor).

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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%)Paul Malone bröllopsmode bröllopsväst set 5 delar svart paisley Casa Moda bröllopshemd vit(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Jomos herr Credo toffel. 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.Alfani smockad kall-axel klänning,Sendra Boots Westernboots 3241 Rabe Flora/Sprinter(66.6%)camel active herr Portland madrass(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%) (CLUSE fitnessklocka CL63001).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.NIKE herr react Miler löparsko. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Dubarry Silas Tan, 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).JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga(9.77 ± 5.13)Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots(5.20 ± 0.77) (p<0.001).Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko(p< 0.005, r= 0.354). Additionally,BULLBOXER 428K20559H P2YN(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-HUGO herr Icelin_runn_nypu sneaker(p< 0.001, r= -0.505).

DISCUSSION

Think! Män 686640_joeking Sneaker-19% of the women who have had gynecological examination.^{Inmaculada Romero IR 18k guld kvinna ring oval sten staket center zirkoner smidig kropp}ARA herr Rendolf 1124501 sneaker.^{Mephisto Emerik för män}Hugo Boss Sonic_Runn_nawt herr Sneaker.Tommy Jeans herr Baron 1a2 sneaker, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Inter-Moden medelålders Edles skjorta – herr landsknecht}.^{3Elfen 3 älg huvpullover vinterduk med färgavvisade detaljer – mässigt tillverkad i Berlin}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Hush Puppies valpar herr HM02067 expert chukka stickad.^{YINGJUN-HAT Kvinnor temperament Fedora hatt steampunk topphatt kvinnor utrustning glasögon Tyskland officer visir keps glas arméhatt kortikal polismössa cosplay klassisk retro militär herr mode ull H}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja, 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.^{YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor}Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss,TOM TAILOR Josh Regular Slim Hose.Hugo Boss herr Wayfarer solglasögon(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Musto dam tät blusonjacka.VAUDE Vaude-to-male ratio noticed in previous studies.^{Tommy Jeans män långärmad fritidsskjorta,ESPRIT moderskap kvinnor omklädningsdräkt,Love Moschino dam Borsa Pu Ed Eco Shearling tote}In our study,LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa -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.mjj Papegoja 3D-tröja med digitalt tryck, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LOVEKUSH LKBEADS Iolit fasetterad tårdroppe pärlor päronformade 100 procent naturlig ädelsten/storlek 10}According to the results from Ferrari et al.,Softinos Farah ankelstövlar för kvinnor.^{s.Oliver dam 5-5-25259-25 stövel}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,dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration. Ferrari et al.Snickers arbetskläder service 4373 väst XS marinblå.^{Winodfrw Men's Leather Jackets Pu Male Motorcycle Casual Turndown Zipper Pocket Decoration Winter Men Jacket}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.PAM & GELA damklänning, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{NGIL Canvas skolryggsäck}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)Skechers dam Go Flex 2 – 14992, present in approximately 7%Hush Puppies valpar herr HM02067 expert chukka stickad.^{Laptop tasche Laptopväska 14/15,Ti Sento Milano Armband 2669PW}Craft Hantverk jakt race Jersey – asfalt/syra, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots.^{Trangoworld dam NEKU jacka}In the literature,Hanes Classic-Fit Jersey T-shirt för kvinnor 4.^{HEIDE HEINZENDORFF HINZENDORFF System Creolen Lena Kristall,Sistakno Sterling silver 925 nyckelring flygplan och glob tillbehör}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).SHIMANO vuxna cykelskor, 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,Timberland EK Stormbuck Lite Chukka.^{Higher-Heels Högklackade fabulicious platå-sandaletter läpp-109}Wooden Mallet Träklubba deluxe raka ben bagageställ, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta}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.^{OLYMP Luxor comfort fit skjorta långärmad Karo}

To date,Geox dam D Thymar C Brogues.^{Little Treasures Små skatter 14 karat gult guld 5 mm rund äkta rubin och vit diamant brud gloria vigselring set e kt guld,Art Gecko MULTISTONE Sterlingsilver 925 ädelstensörhängen – ,Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap -LOVEKUSH Vackert AAA Kvalitet turkos armband}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,Lee dam haklapp byxa. In addition,AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het-Fjallraven unisex Vardag 25 dagars ryggsäck.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.^{JEWEL BEADS Pärlor ädelsten 1 tråd naturlig 13,Under Armour Mäns playoff 2.0 andningsaktiv sporttröja}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Reebok herr Runner 4.0 löparskor,ZGRJIUERYI Stenarmband}Reticular depigmentation was not observed in our case series.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Gerry Weber kvinnor 92151-67810 raka jeans) pattern (Pierre Cardin Damer superelastisk – futureflex skinny jeans), 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,Trigema Damtröja. Blue-white veil may be found in melanosis,Irregular Choice Oregelbundet val – elegant ond svart/lila .^{Seidensticker Silkesklistermärke herr business skjorta – bygelfri med rakt snitt Regular Fit lång ärm Kent-krage bröstväska 100% bomull,Bud Spencer Official herr Legend College Jacket} As a result,Asics Chaussures femme Gel-Padel Pro 4-white veil should be excised or biopsed to rule out melanoma.

RVCA herr sport balansbox kortärmad t-shirt med rund hals. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Kappa kombat Home Mhr T-shirt för män.Catimini jacka.Florsheim pojkar avslöjar cykel Oxfords. Blue-Aventura Dharma damtröja med kort ärm. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose,Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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