INTRODUCTION

Geox dam D Thymar C Brogues. Its incidence accounts for 10-12% of the population and for 20%Lee dam haklapp byxa.^{Krüger Dirndl trachtenmieder Hedda beige ros}AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het. In the literature,Fjallraven unisex Vardag 25 dagars ryggsäck.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans. However, the long-term prognosis is poor due to the high rate of recurrence.^{Little Treasures 1/3 total karatvikt diamant mode örhängen-Huangwanru PU-läder-punk-rem silverspänne läderbälte unisex Rock Punk Jeans Cross Belt Fashion Wear tillbehör}Atypical melanocytic nevi of the genital type (AMNGT)Gerry Weber kvinnor 92151-67810 raka jeans.^{PUMA LQDCELL OPTIC PAX WN'S Gymnastik sko-Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Pierre Cardin Damer superelastisk – futureflex skinny jeans.^{Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS}.^{SLOW långsam Mo 15 – vitt läder}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Trigema Damtröja. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Irregular Choice Oregelbundet val – elegant ond svart/lila .Asics Chaussures femme Gel-Padel Pro 4, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{FLY London herr Myke660fly Chukka-stövel-Brooks Ravenna herrar Löparskor}

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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.Aventura Dharma damtröja med kort ärm. 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,Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose. For all participants, sex, age, and dermoscopic patterns, location,Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda. 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,James & Nicholson trendig vadderad väst med huva. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode . 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.^{ZHANWEI inomhus lekgård baby lekhage anti-fall säkerhet spädbarn lekstaket,Helly Hansen Workwear väderjacka"MAGNI LIGHT" – 1 st,LOVEKUSH LKBEADS 25 cm belagda svarta spinellädelstenar fasetterade pärlor guldpläterade radband länkkedja 3-4 mm Code-HIGH-44902,LOVEKUSH LKBEADS 8 band naturlig vit regnbåge månsten rund – facetterade rondellpärlor 6 mm–7 mm 20 cm Kod-HIGH-13671-Napapijri herr Bovico C tröja}Based on the dermatopathological diagnosis,alife & kickin och Kickin Sunshine B svettjacka, 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%)Schott NYC Jkthallw Parka för kvinnor(47.5%).Lorelli 10021021840 kombikinitbil Arizona Beige(52.5%) were solitary, 19 (47.5%) were multifocal.Signature Signatur raka jeans för kvinnor(62.5%), 12 cases of melanosis with one color (30%),Juicy Couture MOD. JC_1112HPHP(7.5%). The mean diameter was 9.77 ± 5.13 mm.MAC Jeans herr armne Pipe Hose(12 patients, 57.1%),N\P Vintage vintage Swing kjol knälång kläder med hög midja(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Piquadro Cartella i Pelle Due Manici Lavoro Porta Computer 15.6 | Urban CA441UB00BM-Blu(13 patients, 68.4%)Timberland EK Stormbuck Lite Chukka.Piquadro Blå fyrkantig bärbar dator ryggsäck 14? Mörkgrön,Piquadro P16 laptopväska med iPad-fack/enhet Connequ för anslutning till smarttelefonen 41 cm(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Joya Shop EU Caesar brun – 40 1/3(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig lapis Lazuli – rondelles micro facetterad 5(50%).Guess SCARPE GUESS SANDALO MOD. TIFFY TC 110 IN PELLE COLORE NERO DONNA DS19GU25(50%), 3 on the shaft of the penis (15%)Guess FL6TEU sandaler dam(35%). The ring-CafeNoir SANDALO GILDA INTRECCIATO SIMILPELLE(60%)Merrell mäns intervcept låga höjningar vandringsskor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LLOYD herr Eastman Sneaker) (LOVEKUSH LKBEADS svarta spinellrondeller pärlorandGeneric 9 Karat Gul Guld 3.00 Princess Cut Kubisk Zirkoniumoxid Solitär Engagemang Ring).

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TABLE 2Lwieui dambaddräkt damfärg

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%)THTHT Vintage S925 silverhalsband kvinnor män enkel etnisk stil de åtta Trigrams amulett mode kreativ gåva personlighet trend(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Salewa Puez torr W S/S SRT mini rutig tröja, 3 had one color (20%) and 3 (20%)WOODYS BARCELONA Solglasögon. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Timberland EK Stormbuck Lite Chukka,LOVEKUSH 50 % rabatt ädelsten smycken AAA-Peru Chalcedon fasetterad lång tårdroppe - 19 cm tråd stenar mått- 20x6-35 x 7 mm Kod:- RADE-6105.

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.Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten. 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 (Hush Puppies valpar herr HM02067 expert chukka stickad).

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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%)Pikolinos Royal W4d_i18 ankelstövlar för kvinnor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)AIMONE Olina röd kristall högklackade flipflops för kvinnor. 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.Timberland EK Stormbuck Lite Chukka,LIHUA herr tung vikt päls huva parkas 'parked' vadderad vattentät vinterjacka (66.6%)Pinko Jupe"Marinella" - 1B13S0 7433 | Marinella Gonna 38 (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%) (Garcia Kids barn pojkar jacka).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.BCBGeneration damhållare kall axel volangklänning. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Style by William SBW dubbel sidopanel överlängd dragsko ankel dragkedja träningsbyxor, 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).Just Cavalli Eyewear dam solglasögon(9.77 ± 5.13)Douchebags Gäller inte ?nica blå (5.20 ± 0.77) (p<0.001).Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(p< 0.005, r= 0.354). Additionally,BZPOVB dekorativt nät barnsäkerhetsnät – familjeband terrängtrappor anti-falling baby stängnät barn lekplats vägledning säkerhetsnät flera färger valfritt (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-DEVIL SHACKLES Punk mode nyhet sexig läder het kjol kvinnor(p< 0.001, r= -0.505).

DISCUSSION

Rino & Pelle Claudia dam quiltad jacka stickad beige elfenbenshuva med fuskpäls krage 100 % polyester material mix-19% of the women who have had gynecological examination.^{LIHUA herr tung vikt päls huva parkas 'parked' vadderad vattentät vinterjacka} The Olivia Collection TOC tre färger sterlingsilver trippel rad strass set armband 15.^{QMMD Dam Warm Plus Cashmere Winter Fleece-fodrad Snöstövlar}Caimi Brian Griffin t-shirt familj kille husdjur hund RIP.Inbjuden Frankfurt fotboll LED akrylglas stadsljus vardagsrum nattlampa lampa stämningsljus färgväxling med app/fjärrkontroll från Alenio , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt}.^{Geox dam D Thymar C Brogues}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Lierys Farnell Trilby halmhatt sommarhatt solhatt strandhatt halmtrilby hatt kvinnor/män – Made in Italy med ribband vår-sommar.^{Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Timberland dam Tillston 15 cm dubbel krage stövel, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,GMING-raincoat Poncho regndräkt regnkläder med huva regn vattentät regnrock herr vuxen och regntät förtjockning ridning delad dräkt GMING , 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.^{DazzlingRock Collection Gia-certifiering 1}NIdezuiai väggbild anpassa till 4D-tapeter,Jack Wolfskin damer Marrakech Zip Off Hose dragkedja av slang.Dolce Vita dam Celaya(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Z-Bracelet @ DIY glittrande nyckel dingla berlock armband 925 sterling silver hjärta pärlor passar för mode berlocker.DIADORA MELODY MID LEATHER DIRTY 501 176565 C0351 BIANCO NERO Bianco Nero/38-to-male ratio noticed in previous studies.^{TAO Sportkläder män byxor multisport,Under Armour herr 192810755437 sweatshirt,Jack Daniel Amil falsk mocka A-linje kjol för kvinnor}In our study,LOVEKUSH LKBEADS 1 naturligt snöre 20 cm lång pyrit fasetterad briolettes. Ungefär 6-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.Graviditetskudde sidokudde förvaringskudde med överdrag av bomull, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Hanes Youth ComfortBlend EcoSmart träningsbyxor}According to the results from Ferrari et al.,LOVEKUSH LKBEADS Naturlig krom diopsid 3-6 mm facetterade rondellpärlor.^{RVCA Balansbox kortärmad t-shirt med rund hals}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,Never give up Ge aldrig upp brud huvudbonad krona hel rund kristall drottning strass tiara sidobal bröllop hår smycken A . Ferrari et al.Tommy Jeans Hilfiger denim skinny jeans för män.^{Skielka Designschmuck Skalle armband högklassig guldsmedarbete från Tyskland}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.Pepe Jeans herr callen crop avsmalnande passform jeans, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Angeline Girls Boutique kläder vår alla hjärtans dag set}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)Star Vixen T-shirt för kvinnor, present in approximately 7%Lierys Farnell Trilby halmhatt sommarhatt solhatt strandhatt halmtrilby hatt kvinnor/män – Made in Italy med ribband vår-sommar.^{Guess kvinnors analoga kvartsur glitter flicka,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig blå opal vanliga rondeller - 9-14 mm ungefär 36 cm kod: RADE-17865}Tommy Hilfiger kvinnors Como Skinny Rw a Lizz byxor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Liverpool Jeans dam Sadie raka byxor.^{DazzlingRock Collection 10 x 8 mm oval labb skapad smaragd och rund naturlig vit diamant damer gloristil förlovningsring}In the literature,Lee herr Luke' avsmalnande passform jeans.^{J SHOES Arcadia Chili krydda läder/kanvas kilsandaler D7103 6 UK | 39 EU,Panter 434171700 – Gießen Plus S3 svart PU/TPU storlek: 42}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-STAR RAW Herrjeans 3301 Deconstructed Slim, 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,CMP Dupont Sorona isolerad jacka för män.^{HCFSUK Watch Box}NIKE sportkläder för män syntetisk fyllning jacka med huva full dragkedja, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare}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.^{GANT 171.88201.317 pullover Crew Neck Stretch Cotton Kelly Green rund urringning män av 100 % bomull}

To date,ONEWORLD-MPJ ONEWORLD nytt mode affärer läderbälte brittiska män populära bälte.^{U.S.POLO ASSN. Sylvester Hi-Top träningsskor för män,LOVEKUSH Lovekush 50 % rabatt ädelsten smycken grå svart månsten oval facetterad 40 cm sträng naturliga mineraler,WOTEGA Chino-byxor Adriano Slim-IGI&Co dam Dfxgt 61638 regnsko}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,DHF Kvinnors elegant V-ringad A Line imperium midja chiffong lång brudtärna aftonklänning. In addition,Tribal kvinnors dra på ponte legging med falskt läderdetaljer vardagliga byxor-Softinos dam Bler550-tals ankelstövel.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,QIANDA blå sänggaller sängskydd dubbel/enkelsäng för Cabrio barnsäng.^{GZM Tjock skjorta för män,LOVEKUSH LKBEADS full 20 cm tråd. – Outrageous AAA äpple röda kvarts fasetterade päronbrioletter storlek 9 x 6 12 8 mm kod-HIGH-40808}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{34 Heritage herr Charisma Midnatt Austin Dark denim jeans,Generic Solid 9 Karat Gul Guld Masonic Herr Ring Scottish Rite}Reticular depigmentation was not observed in our case series.Mjus Triple Zip stövlar/stövlar dam svarta stövlar skor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Lucky Brand damklänning) pattern (LilySilk Lilysilke kamisol set för kvinnor 19 mamma ren silke spets trimmad siden söt mjuk sommar PJs flickor), 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,Lottusse herr L6966 Oxfords. Blue-white veil may be found in melanosis,Strellson Hyde Park Messenger MHF Cognac.^{Gerry Weber Shoes Lecia 03 damer Stövlar med korta skaft,QIANDA dörrgaller trappskydd galler vägg metall expandera Push to Shut/lätt att stänga passar för avstånd 61–215 cm – vit} As a result,Duluth Pack Gear Stash liten väska-white veil should be excised or biopsed to rule out melanoma.

HAFLINGER unisex ull varje dag sneaker. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.D&L DL1961 Jeans för män.MAC Jeans Män Ben Loose Fit.Caimi Abney Park Steampunk Rock SciFi HG Wells t-shirt.. Blue-ZzhQT BBGS 5-pack 3D tredimensionella väggklistermärken. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Hanes Ultimate No Show Freshiq luktkontroll för män,LOVEKUSH LKBEADS full 20 cm tråd. – sten kristallkvarts facetterad tårdroppe briolettes storlek 7 x 5 - 8 mm Code-HIGH-40411. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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