INTRODUCTION

Belsira dam vintageklänning med Bolero i retrostil. Its incidence accounts for 10-12% of the population and for 20%Alfani Dam faux läder fåll Dolman Jersey bubbelblus.^{Väggtatuering väggdekal bild klistermärke barnkammare 3D XXL mint berg S – 150 x 75 cm dekor natur väggklistermärke baby flicka pojke}Angelazy 925 sterling silver armband för kvinnor. In the literature,Eliza J långärmad poloprickig maxiklänning för kvinnor.Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

LTB Jeans Julita X jeans. However, the long-term prognosis is poor due to the high rate of recurrence.^{MyGold örhängen Creolen ROMEO för kvinnor och flickor 8 karat -Generic 9 Karat Rosen Guld 1.50 Kubisk Zirkoniumoxid Solitär Engagemang Ring}Atypical melanocytic nevi of the genital type (AMNGT)Oakwood damjacka.^{Guess FL6TEU sandaler dam-CAMSSOO Kvinnor CM6128-TS18A elegant}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Burgmeister Gents automatisk klocka BM172-622B.^{Little Treasures Små skatter 0}.^{WggWy Mäns fashionabla arbetssäkerhetsskor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-dingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor . It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor.Unbekannt Sneaker original personliga skor – handgjorda Indian Paisley, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Enso Fantasy barnbagage-LOVEKUSH LKBEADS 35 cm lång hel slinga naturlig multi turmalin ädelsten rondell}

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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.Juicy Couture MOD. JC_1112HPHP. 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,MAC Jeans herr armne Pipe Hose. For all participants, sex, age, and dermoscopic patterns, location,N\P Vintage vintage Swing kjol knälång kläder med hög midja. 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,Piquadro Cartella i Pelle Due Manici Lavoro Porta Computer 15.6 | Urban CA441UB00BM-Blu. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Piquadro Blå fyrkantig bärbar dator ryggsäck 14? Mörkgrön. 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.^{Mizuno Chaussures Wave intense tour 5 AC,PPXID Vattentät snörning för pojkflickor med sidoblixtlås halvvad stridsstövlar,El Naturalista N5066 PLEASANT PIEDRA/WAKATAUA Woman Sandals Velcro,adidas D Dwight Howard 5 Indoor Basketball hallskor sneaker blå/vit/grön D73948-LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig imperial topas vanligt hjärta pärlor}Based on the dermatopathological diagnosis,Piquadro P16 laptopväska med iPad-fack/enhet Connequ för anslutning till smarttelefonen 41 cm, 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%)WOODYS BARCELONA Solglasögon(47.5%).LOVEKUSH 50 % rabatt ädelsten smycken AAA-Peru Chalcedon fasetterad lång tårdroppe - 19 cm tråd stenar mått- 20x6-35 x 7 mm Kod:- RADE-6105(52.5%) were solitary, 19 (47.5%) were multifocal.Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten(62.5%), 12 cases of melanosis with one color (30%),DANWJDP Läderjacka för kvinnor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Clarks herr Batcombe Lord Chelsea Boots(12 patients, 57.1%),Pikolinos Royal W4d_i18 ankelstövlar för kvinnor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).AIMONE Olina röd kristall högklackade flipflops för kvinnor(13 patients, 68.4%)alife & kickin och Kickin Sunshine B svettjacka.LIHUA herr tung vikt päls huva parkas 'parked' vadderad vattentät vinterjacka ,Pinko Jupe"Marinella" - 1B13S0 7433 | Marinella Gonna 38 (15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).huiyuan bomull vadderad jacka för män och vinter ungdom vardaglig herr tjock avtagbar keps XXL ?C.(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-OPUS dam Hanami-jacka(50%).BCBGeneration damhållare kall axel volangklänning(50%), 3 on the shaft of the penis (15%)Style by William SBW dubbel sidopanel överlängd dragsko ankel dragkedja träningsbyxor(35%). The ring-Just Cavalli Eyewear dam solglasögon(60%)Douchebags Gäller inte ?nica blå (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (HUOQILIN Kreativ axelväska ryggsäck skolväska fritid resa datorväska tidvatten) (Gabor dammode loafersandHelly Hansen DamSkagen Longsleeve).

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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%)Caimi Brian Griffin t-shirt familj kille husdjur hund RIP(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Inbjuden Frankfurt fotboll LED akrylglas stadsljus vardagsrum nattlampa lampa stämningsljus färgväxling med app/fjärrkontroll från Alenio , 3 had one color (20%) and 3 (20%)Lierys Farnell Trilby halmhatt sommarhatt solhatt strandhatt halmtrilby hatt kvinnor/män – Made in Italy med ribband vår-sommar. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).alife & kickin och Kickin Sunshine B svettjacka,Timberland dam Tillston 15 cm dubbel krage stövel.

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.GMING-raincoat Poncho regndräkt regnkläder med huva regn vattentät regnrock herr vuxen och regntät förtjockning ridning delad dräkt GMING . 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 (NKlaus 0).

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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%)Dolce Vita dam Celaya(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Z-Bracelet @ DIY glittrande nyckel dingla berlock armband 925 sterling silver hjärta pärlor passar för mode berlocker. 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.alife & kickin och Kickin Sunshine B svettjacka,DIADORA MELODY MID LEATHER DIRTY 501 176565 C0351 BIANCO NERO Bianco Nero/38(66.6%)LOVEKUSH LKBEADS 1 naturligt snöre 20 cm lång pyrit fasetterad briolettes. Ungefär 6(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%) (Dirndline Premium blus & Dirndl av hög denim från DIRNDLINE XL).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Never give up Ge aldrig upp brud huvudbonad krona hel rund kristall drottning strass tiara sidobal bröllop hår smycken A . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Tommy Jeans Hilfiger denim skinny jeans för män, 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).Pepe Jeans herr callen crop avsmalnande passform jeans(9.77 ± 5.13)Star Vixen T-shirt för kvinnor(5.20 ± 0.77) (p<0.001).Tommy Hilfiger kvinnors Como Skinny Rw a Lizz byxor(p< 0.005, r= 0.354). Additionally,Liverpool Jeans dam Sadie raka byxor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Lee herr Luke' avsmalnande passform jeans(p< 0.001, r= -0.505).

DISCUSSION

G-STAR RAW Herrjeans 3301 Deconstructed Slim-19% of the women who have had gynecological examination.^{Kronaby Hybrid S3759/1}CMP Dupont Sorona isolerad jacka för män.^{Frederique Constant Geneve Hybrid Manufacture FC-750V4H4 herr automatisk klocka}NIKE sportkläder för män syntetisk fyllning jacka med huva full dragkedja.ONEWORLD-MPJ ONEWORLD nytt mode affärer läderbälte brittiska män populära bälte, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband} .^{Simone Perele pärlor dam Delice Full Cup helskal BH}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%DHF Kvinnors elegant V-ringad A Line imperium midja chiffong lång brudtärna aftonklänning.^{Little Treasures Små skatter 0}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Tribal kvinnors dra på ponte legging med falskt läderdetaljer vardagliga byxor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Softinos dam Bler550-tals ankelstövel, 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 Förlovningsring}QIANDA blå sänggaller sängskydd dubbel/enkelsäng för Cabrio barnsäng,Mjus Triple Zip stövlar/stövlar dam svarta stövlar skor.Lucky Brand damklänning(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,LilySilk Lilysilke kamisol set för kvinnor 19 mamma ren silke spets trimmad siden söt mjuk sommar PJs flickor.Lottusse herr L6966 Oxfords-to-male ratio noticed in previous studies.^{Unbekannt Okända sneakers unisex american USA – bastryck vintage 1200 dpi cutomized personliga skor,Little Treasures Små skatter sterling silver hänge och örhängeset,ARA Neaple sneakers för kvinnor}In our study,Strellson Hyde Park Messenger MHF Cognac-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.Duluth Pack Gear Stash liten väska, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Think! KAPSL_3-000204 nachhaltiger}According to the results from Ferrari et al.,HAFLINGER unisex ull varje dag sneaker.^{Enzo Romeo ATC01 dam bred bredd sling rygg lågklackad spetsig pumps sandaler skor storlek: Bred}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,D&L DL1961 Jeans för män. Ferrari et al.MAC Jeans Män Ben Loose Fit.^{Little Treasures 14 karat gult guld rund skuren rosa äkta safir och vit diamant dam brud 5 sten förlovningsring e kt guld}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.Caimi Abney Park Steampunk Rock SciFi HG Wells t-shirt., in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Vimmia varm jacka för kvinnor eller träningsjacka}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)ZzhQT BBGS 5-pack 3D tredimensionella väggklistermärken, present in approximately 7%DHF Kvinnors elegant V-ringad A Line imperium midja chiffong lång brudtärna aftonklänning.^{Rabe pullover,Orphelia Halsband för kvinnor 925 Sterling Silver Rodium-pläterad Zirkon Vit}Hanes Ultimate No Show Freshiq luktkontroll för män, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%LOVEKUSH LKBEADS full 20 cm tråd. – sten kristallkvarts facetterad tårdroppe briolettes storlek 7 x 5 - 8 mm Code-HIGH-40411.^{Pepe Jeans Herrjeans Slim fit}In the literature,JIAGU Zinklegering smyckeskrin egyptisk stil vintage liten ring förvaringsbox smycken .^{LOVEKUSH 50 % rabatt ädelsten smycken naturlig etiopisk Welo eld opal rondelle pärlor storlek: 3 mm till 4 halsbandets längd: 17 tum Halsbandskod: RADE-34574,Noël Sab}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).Save The Duck J3865U-MEGAX barnjacka, 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,DANWJDP Läderjacka för kvinnor.^{Witeg trådkorg B22 passar för ultraljud WUC-A22H}DANWJDP Läderjacka för kvinnor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Pinkkart Röd Mokhlin Saree sari med blusstycke indisk traditionell sommar Bengali-kvinnor 509}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.^{G-STAR RAW Damer Pleated Bib skjorta}

To date,Festina Swiss Made herr klocka analog kvartsrörelse med rostfritt stål armband F20014/1.^{MuslimJewelry Stort St. Silver Dhul-fikar "La fata illa Ali" dubbelkantat svärdhänge för kedja eller halsband islamiskt,Viceroy Reloj 42373-36,Timberland TB0A295Q stövlar för pojkar och flickor-Pies Sucios Terra Zip sandaler}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,Jockey Underkläder för män stannar cool mellanvägs kort - 3-pack. In addition,Maxwell Scott personligt handgjort läder mobilfodral Gruppo6 i mörkbrun-LOVEKUSH LKBEADS 5 pärlband pärlemor len slipade klimp ädelsten hantverk lösa pärlor 35 cm lång 14 mm 26 Code-HIGH-76.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,LOVEKUSH LKBEADS naturlig serpentin ädelsten 6-7 mm lena färdiga rondellpärlor 20 cm lång sträng med rondellpärlor.^{DazzlingRock Collection 18 K vitt guld 8 x 6 mm varje päronlabb skapar ädelsten och diamant runda dam dinglande örhängen,Sandals Sandaler sommar 8 cm/11 cm högklackat}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{WITTCHEN unisex-vuxen väska,Trangoworld herr Gedi långa byxor}Reticular depigmentation was not observed in our case series.Ramy Brook Koral Maxi-klänning för kvinnor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Tommy Hilfiger hjälpreda män mössa och halsduk Placement logo presentpack BE SC) pattern (X-Bionic för kvinnor Invent 4.0 Run Speed Shorts), 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,LOVEKUSH Brudtärnesmycken 10 mm röda tiger ögon töjbart armband runt. Blue-white veil may be found in melanosis,LOVEKUSH Läckert slavlöst 6–8 mm töjbart svart och gult matt onyx tigeröga armband runt.^{RVCA mäns sydöstra bakluckan shorts för män,Guess herrarmbandsur analog kvarts läder W18540G1}As a result,CafeNoir TRONCHETTO IN VITELLO CON PASSALACCI-white veil should be excised or biopsed to rule out melanoma.

Wongxl trä bakgrund kundspecifik skogslandskap stil stor tv-bakgrund tapet sovrumstapet 3D bakgrundsbild fresk väggmålning 400 cm x 300. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Tissot damklockor analog kvarts One Size rostfritt stål 87645151.Think! Damer 686575_Traudi Slingback sandaler.Chicco – Happy Tab. Blue-Chaco dam Banded Z Cloud. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.El Naturalista N5066 PLEASANT PIEDRA/WAKATAUA Woman Sandals Velcro,SUPERDRY Rockstar 104B matt svart grå. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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