INTRODUCTION

Liu Jo Cher damer Krigsstövlar. Its incidence accounts for 10-12% of the population and for 20%YIJIAN-BOOTS Bekväma.^{DazzlingRock Collection 8 mm rund ädelsten och vit kubisk zirkonia damer splitskaft halo vigselring set}Little Treasures 0. In the literature,Maripé dam 29364 stövlar.Gabor Jollys damer Stövlar med korta skaft, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Ändbord blöjbord ihopfällbara med dräneringssystem. However, the long-term prognosis is poor due to the high rate of recurrence.^{Viennagold Dur hänge äkta 585 guld 14 karat diameter 10 mm -Gabor 51.680.01 barolo}Atypical melanocytic nevi of the genital type (AMNGT)ECCO dam Soft 7 damstövlar.^{Aventura Dharma damtröja med kort ärm-Orphelia Fashion dam analog klocka Descent med rostfritt stål}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning .^{LOVEKUSH 925 steling silver ångest ädelsten 3–4 mm strackande grön tanzanisk opal armband rondell}.^{PUMA Unisex vuxna Rebound Layup SL Sneaker}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex . It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Jomos herr Adventure Sneaker.LUANA ITALY Origami bärkasse för kvinnor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Dragon kvinnor Dr193 Dre Solglasögon-sarcia Grå t-shirt Harry Potter figur}

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In this study,prAna London Short, according to the patient´s age,ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor.

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.YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare. 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,adidas Herrbyxor Adidas Skitouring P – svart. For all participants, sex, age, and dermoscopic patterns, location,N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder. 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,adidas dam terrex Ax2r vandringsskor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.CafeNoir SNEAKER IN LAMINATO. 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.^{Porronet dam iratx mode stövel,Secret & You Damer sötvattenspärlor örhängen med barock stora XL vita pärlor mer än 14 mm SECRET YOU – sterlingsilver 925 belagda i 18 k guld eller rodium,Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning,Sunbobo barnkläder långärmad pullover baby flickor flerfärgad liten stickad cardigan rund krage knapp rosett tröja väst för 12 m – 6T kläder -Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots}Based on the dermatopathological diagnosis,Remonte Damer sandaler R2950, 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%)RAINS Unisex Msn Bag dagryggsäck(47.5%).DazzlingRock Collection Gia-certifiering 1(52.5%) were solitary, 19 (47.5%) were multifocal.adidas Originals Adidas Falcon RX W(62.5%), 12 cases of melanosis with one color (30%),ESPRIT Collection kollektion dam kjol(7.5%). The mean diameter was 9.77 ± 5.13 mm.Porsche Design glasögon P8250 K(12 patients, 57.1%),Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(13 patients, 68.4%)Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder.Wrangler Texas Slim jeans,Replay mäns anbass smala jeans(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Unbekannt Okända skor Custom Sneakers American USA(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Okänd Sneaker Original Slim Customized personliga skor unisex (50%).Superfit baby flicka rush sneaker(50%), 3 on the shaft of the penis (15%)Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (35%). The ring-Superfit unisex barn sport7 mini sneaker(60%)Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (JEWEL BEADS Smyckespärlor naturliga vackra smycken 2 tråd multiädelsten ametist månsten labradorit rondelle ädelsten hantverk lösa pärlor 14 tum 6 mm 4 mmKod: BB-420) (Valentino dam 0VA4022 50018G 54 solglasögonandWGKUMMQN dam ryggsäck dragkedja hjärtform enkel mode tygväska linger axel college vind resväska).

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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%)CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Unbekannt Örhängen stiftörhängen Solitär Brillant 0, 3 had one color (20%) and 3 (20%)CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder,Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor.

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.CGJ 1. 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 (Timezone Regular Ryantz straight jeans).

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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%)Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld . 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.Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder,Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(66.6%)Little Treasures 0(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%) (OUNBHL nya skolväskor ortopedisk ryggsäck för barn axelväska 3 delar/sats vattentät nylonduk tryck kvinnor dam).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Little Treasures 0. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Primadonna Forever hel kopp sidostöd behå, 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).Portwest C467 Hi-Vis 3-i-1 jacka Bombardero(9.77 ± 5.13)DC Shoes dam sneaker Trase Platform SE sneakers kvinnor(5.20 ± 0.77) (p<0.001).DC Shoes Boxy – parkas för män ADYJK03063(p< 0.005, r= 0.354). Additionally,Cecil Lång tröja i djupblått(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-NIKE Damer Epic Lux Top(p< 0.001, r= -0.505).

DISCUSSION

Designer Sterling Silver 925 sterlingsilver -19% of the women who have had gynecological examination.^{Maripé dam 29364 stövlar}WESC Huvtröja för män.^{KUANGQIANWEI Bröllopsklänning av spetsen Vestido De Novia Corto Largo Encaje vintage-De Tul Blanco Marrón}Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker.Hit Notion Optiska glasögon för kvinnor – rektangulär form, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Remonte dam D3054 remsandaler}.^{SXWBL Intelligent ryggsäck enkel trolley resväska}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Saucony herr jazz original Cross-Trainer.^{Young Soles Unna sulor flickor Rosie Mary Janes}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Unbekannt Okänd Sneaker Original Low Customized personliga skor , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex , 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.^{Sandals Sandaler sommar komfort kil söt rosett öppen tå mode vattentät plattform spänne gräs vävning högklackad}Snickers Workwear Maler Arbeitshose m. Holstertaschen,Krüger Dirndl trachtenmieder Hedda beige ros.5.11 Herrstrumpbyxor täckta lastbyxor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,HEAD herr Sprint Pro 3.0 Clay tennissko.Cole Haan Grandpro Turf Tränare för män-to-male ratio noticed in previous studies.^{Jewelry Affairs Sterlingsilver rodium finish 9 mm tvinnad kabel kärlek knut örhängen,Me Too dam 4384122437721 Norina,WYUKN Vandringsskor – flugvävda andningsbara säkerhetsskor}In our study,Lottusse herr L6902 mokassin-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.Yellow Box Gul låda dam Soleil flip-flop, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Saucony sneakers Donna Jazz S1044 Celeste Perla}According to the results from Ferrari et al.,DC Shoes herr Pure High-top Wr Boot snökängor.^{5.11 Män 74332 Pantalon Covert Khaki}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,Werner Kern kärna – dam dansskor Cindy 3. Ferrari et al.Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan .^{Way bocke Sexiga svarta högklackade sandaler}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.Mizuno kvinnors våg belysning Z5 mitt volleybollskor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{DazzlingRock Collection 0}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)NIKE herr Phantom Gt Pro Fg fotbollsskor, present in approximately 7%Saucony herr jazz original Cross-Trainer.^{Geox baby flickor Gisli 15 Sneaker,Art Konst dam 1600 gräs brun/polo}NIKE herr Legend 8 Academy Fg/Mg Futsalsko, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Base damer/män säkerhet halvsko B496 "AIR" S1P SRC.^{Seafolly kvinnors gudinna mjuk kopp halterneck-posterlot baddräkt i ett stycke}In the literature,Helly Hansen Jpn Rain regnjacka herrar.^{Great Escapes herr Shasta Isolerad jacka,THE FOX TAN Rovdjur – troféer t-shirt}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).SALOMON herrskor X höjning Gtx vandring, 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,Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar.^{LOVEKUSH Superrea 8 mm töjbart rött granat armband runt}SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{viking unisex barn Kjenning Jr. Combat Boots}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.^{Petit Bateau pojkars crewneck färgblock tröja}

To date,Froddo unisex barn G3110168 Child Fashion Boot.^{Pikolinos herr Jerez 09z_v19 mokassin,ZGP Interiör matta supermjuk – hemmatta lätt att rengöra anti-blekning flerfärgad valfri filt ,DEVIL SHACKLES Punk mode nyhet sexig läder het kjol kvinnor-N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder}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 Jeans herr SLIM SCANTON SNSDK raka jeans. In addition,G-STAR RAW herrar G-Bleid slim jeans-MAC Jeans Lennox Straight jeans för herrar.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor.^{Infinity herr brun fårskinn läder avtagbar huva duffelrock,Zhihui Pyjama Sets ZZHF Pyjamas}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Kleine Schätze Damring 0,Hatley baby-flicka footed Coverall – rådjur och kaniner stramplare}Reticular depigmentation was not observed in our case series.LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (LOVEKUSH LKBEADS 1 snöre naturlig himmelsblå topas färg hydro kvarts fasett tårformade brioletter pärlor 15 cm lång full slinga djupt blå färgkvalitet 16-32 mm kod-HIGH-22383) pattern (Chaco Män Zcloud 2 Sport Sandal), 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,icebreaker BF 200 legging kvinnor. Blue-white veil may be found in melanosis,LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216.^{Little Treasures 18 karat vitt guld rund rosa äkta safir & vit diamant dam 3 sten förlovning brudring e guld,DANWJDP Läderjacka för kvinnor}As a result,LOVEKUSH LKBEADS 6-white veil should be excised or biopsed to rule out melanoma.

LOVEKUSH LKBEADS 2 matchande par. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor.LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063.LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933. Blue-ASICS dam Gt-2000 5 gymnastikskor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.MOMA Pumps Dam Mockaskinn Lila,Timezone Regular Ryantz straight jeans. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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