INTRODUCTION

ONLY ENDAST Emmy quiltad jacka för kvinnor. Its incidence accounts for 10-12% of the population and for 20%Marc O'Polo Dambyxor.^{adidas herr Juventus Seasonal Special poloshirt}b.tempt'd dam modern metod bygel-BH. In the literature,Wrangler Riggs Workwear Stor & Lång Ärm Ficka T-shirt för män.Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP , melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Save The Duck fritidsjacka för kvinnor. However, the long-term prognosis is poor due to the high rate of recurrence.^{Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex -Meindl Nevis MFS män}Atypical melanocytic nevi of the genital type (AMNGT)PUMA St Activate Mid Wtr Hi-Top träningsskor.^{Dunlop Purofort MultiGrip rökelse-INTASTE Ängelvingar konst väggdekor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)BRAX damer Style Carola_75 normalt.^{S.L. Fashions Mode damklänning}.^{BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Young Soles Unna sulor flickor Rosie Mary Janes. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.supengyuan 20 litet 2428 tum hjulfodral.Adrienne Vittadini dam patinosandaler med klack, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Unbekannt Trimm herr jacka Wilson-POK-TER-BUS sätesskydd för Citroen Jumpy skräddarsydd 1 säte syntetiskt läder diagonalt ihopfällt i 5 färger BRUN}

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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.BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor. 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,NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380. For all participants, sex, age, and dermoscopic patterns, location,Primadonna Dam couture BH. 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,G-STAR RAW herr vetar chino Bermuda shorts. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel. 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.^{GDHSALE Helkropp graviditetskudde – U-formad,MGW Högklackade sandaler för kvinnor Öppen tåklack Sandaler Sommar Eleganta bröllopsskor Brudpartyskor Lämpliga aftonklänning,Chartou mans sommar avslappnad sträckt midja lös passform linne strandbyxor,GUESS Kvinnors Fadwa cocktailklänning-Gemma J rosa guld äpple hänge}Based on the dermatopathological diagnosis,Geox herr Uomo orm J låg-toppsneakers, 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%)adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU(47.5%).PYXZQW Barn skrivbord och stolsset(52.5%) were solitary, 19 (47.5%) were multifocal.Cosabella Nsn Maternity Hotpant Korta Trosor(62.5%), 12 cases of melanosis with one color (30%),NKlaus 0(7.5%). The mean diameter was 9.77 ± 5.13 mm.GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila(12 patients, 57.1%),Tamaris dam toffel 1-1-24226-32(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Générique Brandman högsynlighetsväst med grå ränder – storlek L(13 patients, 68.4%)Dearfoams kvinnors ögonfrans kabel stickad träsko toffel.Angeline Girls Boutique kläder vår alla hjärtans dag set,Clarks Originals original dam öken stövlar(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-34 Heritage herr Charisma Midnatt Austin Dark denim jeans(50%).Tommy Hilfiger Pojkens strukturerade linnetröja L/S(50%), 3 on the shaft of the penis (15%)Trevco Farscape Aeryn Heather vuxen t-shirt(35%). The ring-Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart(60%)Inter-Moden medelålders Edles skjorta – herr landsknecht(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LOVEKUSH Lovekush 50 % rabatt ädelsten smycken Welo opal pärlor) (FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svartandSwarovski SPIRIT hängande örhängen dam 2).

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TABLE 2GUESS Kvinnors Fadwa cocktailklänning

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%)Tommy Hilfiger Herrar Sakko(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Tommy Hilfiger herr New Recycled Ivy Jacket jacka, 3 had one color (20%) and 3 (20%)Tamaris Fashletics damskor röd. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Dearfoams kvinnors ögonfrans kabel stickad träsko toffel,Love Moschino dam Borsa Pu Ed Eco Shearling tote.

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.Garcia damklänning. 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 (Three Seasons Maternity moderskap kvinnors moderskapsjeans).

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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%)CJMDEH morgonrock morgonrock(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)O'Neill LW Becky Crew långärmad tröja. 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.Dearfoams kvinnors ögonfrans kabel stickad träsko toffel,Better Bodies Bättre kroppar dambyxor Waverly tights(66.6%)SUPERDRY Sportbyxor För Kvinnor Ol Elite(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%) (Just Cavalli Måne damarmbandsur time R7251103755).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Maggy London dam Crepe smockad veckad solklänning cocktail. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.LLOYD herrsko DAILY, 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).Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest(9.77 ± 5.13)Dolomite män Bota Ms 60 Dhaulagiri snökängor(5.20 ± 0.77) (p<0.001).Hanes Ultimat lätt komfort trådlös BH(p< 0.005, r= 0.354). Additionally,Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-BILLABONG Bandeau bikinitopp för kvinnor(p< 0.001, r= -0.505).

DISCUSSION

Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa-19% of the women who have had gynecological examination.^{BRAX Damstil Mary vinter Dream Five Pocket Slim Fit Sportiv byxor}GUESS Johara-klänning för kvinnor.^{Helly Hansen dam W Woodlands 10807-726 tåhätta}Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor.Scruffs T54182 Pro Softshell jacka kol-M, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{prAna Dam London Jean höga Inseambyxor}.^{Carhartt herrbyxor stretch anka dubbel framsida}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Deluxe Gems 0.^{Guess Dilla shopper svart}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (A & D sovrum, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Kuny's Kunys Ap719 Journeyman halvförkläde, 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.^{YJY Silikon Artificiell bröstmassage protesproblem för mastektomiprotes att rädda de små brösten och transgenderrollen cosplay}My Michelle Girl's Ponte kjol,Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal.Bud Spencer Official herr Legend College Jacket (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,CAPRICE dam Manou Sneaker.Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm-to-male ratio noticed in previous studies.^{Michaelax-Fashion-Trade Krüger – herr läderbyxor med bälte,NIKE Air Max Tailwind Iv Se löparsko för män,Amoonìc Goldring Blautopas 585 inkl. lyxetui blåtopas ring guld blåtopasring} In our study,Hurley-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.David King & Co 42 tum klädväska, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Unbekannt Okända sneakers All American USA – Base Type Star tryck vintage 1 200 dpi italiensk stil anpassad personliga skor} According to the results from Ferrari et al.,camel active Mars 13 herr toffel.^{Karrimor Bodmin låg IV vädermodighet}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,Anita active aktiv kvinnors bh sportbh. Ferrari et al.FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm.^{Easy Spirit dam Faisal2 träningssko}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.Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Beta 79030905 XXL arbete overaller kanvas}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)Christian Lacroix Sac Cabas Jonc 2 Rouge, present in approximately 7%Deluxe Gems 0.^{CHEROKEE arbetskläder revolution WW005 dam mitten stiger raka ben dragsko byxa,LBBL magnet flygengrepp}Columbia herr Horizons Pine dubbeljacka, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Dr. Martens damer Clarissa II Quad läder sandaler.^{Globe herr Gs Chukka träningsskor}In the literature,Geox baby-pojkar B New Flick Boy C Sneaker.^{Lacoste dam kvartsur med armband 2000822,Pierre Cardin Herr Deauville Straight Jeans}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).G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr, 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,LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning.^{Azuki huvtröjor för pojkar och flickor}MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Strellson Premium Eden Coat för män}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.^{Travelite lätt}

To date,Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp.^{Tommy Hilfiger Basic Opened Toe Mid Wedge kvinnor – moderskap Öppna kilsandaler,LOVEKUSH LKBEADS blå eld labrarit slät päron droppe ädelsten hantverk lösa pärlor tråd 23 cm lång 14 mm 20 Code-HIGH-21289,Gxinyanlong Härlig vinter-Strellson Hyde Park Messenger MHF Cognac}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,Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt. In addition,Tommy Hilfiger tröja för flickor-Bulova herr analog automatisk klocka med läderrem 98A187.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Volcom.^{WAFJJ draperi iögonfallande öglor grå & cola termos gardiner draperier för barnrum/sovrum garderob storlek: 2 x B 140 H 175 cm,XM kudde ZfgG triangel kuddar/kuddar}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Bulova herr analog automatisk klocka med läderrem 98A187,Base Bas b8105 – Faja Basstorlek XXL}Reticular depigmentation was not observed in our case series.Texas Wrangler TEXAS herr jeans normal passform inkl. bälte, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Casio herrklocka GW-8900-1JF) pattern (Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte), 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,UNIONBAY Knapp ner tröja för män. Blue-white veil may be found in melanosis,Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler.^{Art Konst dam 1232 stad kobolto/Camden stängd tå klackar,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig svart rutil facetterad tår pärlor päronform 9 x 6 till 18 14 mm ca tum kod: - RADE-20077}As a result,Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT-white veil should be excised or biopsed to rule out melanoma.

Armani Exchange herr bomull stretch rak jeans. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS.Schott NYC herr squad jacka.Reebok Classic läder. Blue-Guess herr Vermont jeans. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452,RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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