INTRODUCTION

Square Enix Fyrkantig Final Fantasy Tonberry Fylld Maskot. Its incidence accounts for 10-12% of the population and for 20%Fusion Scissors Hårsaxar helt ny 15.^{Brooks Adrenaline GTS 21 kvinnor – moderskap Löparskor}Mizuno Chaussures Wave intense tour 5 AC. In the literature,Mizuno Chaussures Wave Lightning Neo.Meindl 2120 49 Catani Junior flickor pojkar utomhussko av nät med fotbädd, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

New Balance dam 373 Wl373fb2 medium sneaker. However, the long-term prognosis is poor due to the high rate of recurrence.^{DazzlingRock Collection Dazzlingrock kollektion rund ädelsten & vit diamant dam brud bröllopsdag band-Little Treasures 14k roséguld SolitaireBlue Topaz och diamantrep design förlovning/löfte ring Metall: Rosguld Center-sten: Blå topas form storlek: Smaragd skärning}Atypical melanocytic nevi of the genital type (AMNGT)Guess unisex vuxna glasögonstativ GU3009-F 050 53 optiska ramar.^{KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv-Maxine Of Hollywood dambrädshorts}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Tod's solglasögon.^{Zimmert Rum män äkta lång läder läderjacka Sid in Lammnappa tvättad brun whiskey mörk cognac vinterjacka}.^{Jewelry Affairs 14 k gult guld första bokstaven P hänge halsband}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Gianfranco Ferre GF FERRE Women's solglasögon GFF1226 solglasögon. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Scotch & Soda kvinnor Short length technical Jacket Jacka.Waldläufer Damsandaler FLORAT ECLIS 448001894/148 grå 218259, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Meltin' Pot MELTIN'POT byxa spik grå W33L34-Little Treasures 1}

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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.ERIKA FABIANO stövlar för kvinnor *. 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 flickor rak passform jeans. For all participants, sex, age, and dermoscopic patterns, location,Replay Rocco Jean. 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,Armani Exchange kvinnors ryggbälte festklänning. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Cofra S.r.l. V023-0-01.Z62 arbete väst signal storlek 62 i orange. 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.^{Guess Shilah Mini dam axelväska teal,GIRLSIGHT Minimalistiskt mode kvarts armbandsur elit ultratunn vattentät sportklocka med datum nätband 398.Vikingringar träd rostfritt stål klocka,Lucky Brand Lyckligt märke dam kortärmad v-ringad pintuck blus,Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8-Tuscany Silver Toscana silver sterling herringben mönster läder inlägg ring}Based on the dermatopathological diagnosis,Dior Damer dioroffset1 0T W6Q 62 solglasögon, 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%)camel active herrjacka(47.5%).tomBrook Gummistövlar för kvinnor med separat foder(52.5%) were solitary, 19 (47.5%) were multifocal.Kappa män hoodies Hurtado(62.5%), 12 cases of melanosis with one color (30%),Okänd original custom – personliga skor (7.5%). The mean diameter was 9.77 ± 5.13 mm.Unbekannt Okända skor Custom Sneakers American USA(12 patients, 57.1%),Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex (13 patients, 68.4%)Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt.Paul Malone bröllopsmode bröllopsväst set 5 delar svart paisley Casa Moda bröllopshemd vit,Jomos herr Credo toffel(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Sendra Boots Westernboots 3241 Rabe Flora/Sprinter(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-camel active herr Portland madrass(50%).ECCO herr St.1hybridlite sneaker(50%), 3 on the shaft of the penis (15%)adidas herr Cf uppdatera mellanträningsskor(35%). The ring-NIKE herr react Miler löparsko(60%)Dubarry Silas Tan(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Mephisto Dam öppen tå strand tofflor) (Save The Duck J3865U-MEGAX barnjackaandUNOde50 halsband).

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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%)Think! Män 686640_joeking Sneaker(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)ARA herr Rendolf 1124501 sneaker, 3 had one color (20%) and 3 (20%)Hugo Boss Sonic_Runn_nawt herr Sneaker. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt,Tommy Jeans herr Baron 1a2 sneaker.

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.Hush Puppies valpar herr HM02067 expert chukka stickad. 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 (Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe).

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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%)Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)TOM TAILOR Josh Regular Slim Hose. 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.Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt,Hugo Boss herr Wayfarer solglasögon(66.6%)Musto dam tät blusonjacka(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%) (Roots Original Rötter original RO23095 Flamma Bus TER2 Nordic Work Overaller Storlek 68 Marin).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.mjj Papegoja 3D-tröja med digitalt tryck. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Softinos Farah ankelstövlar för kvinnor, 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).dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration(9.77 ± 5.13)Snickers arbetskläder service 4373 väst XS marinblå(5.20 ± 0.77) (p<0.001).PAM & GELA damklänning(p< 0.005, r= 0.354). Additionally,Skechers dam Go Flex 2 – 14992(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Craft Hantverk jakt race Jersey – asfalt/syra(p< 0.001, r= -0.505).

DISCUSSION

Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots-19% of the women who have had gynecological examination.^{Columbia Mazama ryggsäck}Hanes Classic-Fit Jersey T-shirt för kvinnor 4.^{Geox herr U Leitan B mokassin}SHIMANO vuxna cykelskor.Timberland EK Stormbuck Lite Chukka, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{adidas herr Eqt Support 93/17 sneakers}.^{Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Wooden Mallet Träklubba deluxe raka ben bagageställ.^{Skechers kvinnors cyklister freeway minnesskum slip-on loafer}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Geox dam D Thymar C Brogues, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Lee dam haklapp byxa, 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.^{IGI&Co dam Scarpa Donna DPN 51668 gymnastikskor}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.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.Gerry Weber kvinnor 92151-67810 raka jeans-to-male ratio noticed in previous studies.^{Lee Jeans för män,Skechers Skech-Air Element 2.0-Lomarc 232036/WBK herr snöskor,JEWEL BEADS Pärlor ädelsten naturlig blå kordierit vatten safir facetterad fin droppe lös hantverk pärlor strand 20 cm lång 9 mm 5 kod – HIGH-26694}In our study,Pierre Cardin Damer superelastisk – futureflex skinny jeans-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.Trigema Damtröja, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning}According to the results from Ferrari et al.,Irregular Choice Oregelbundet val – elegant ond svart/lila .^{MAC Jeans Lennox Straight jeans för herrar}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,Asics Chaussures femme Gel-Padel Pro 4. Ferrari et al.RVCA herr sport balansbox kortärmad t-shirt med rund hals.^{Vince Camuto Womens Novalla läder spetsig tå klassisk pump}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.Kappa kombat Home Mhr T-shirt för män, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Bobux I-Walk signet stövlar}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)Catimini jacka, present in approximately 7%Wooden Mallet Träklubba deluxe raka ben bagageställ.^{Napapijri Regnskog för män vinter en jacka,Converse – Ctas bekymrad Hl Scarpe sportig Nere Borchie}Florsheim pojkar avslöjar cykel Oxfords, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Aventura Dharma damtröja med kort ärm.^{Montane Meteor vattentät jacka – AW20}In the literature,Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose.^{Little Treasures 14 karat gult guld diamant läcker matchande vigselring e kt guld,Sunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP} 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).Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda, 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,James & Nicholson trendig vadderad väst med huva.^{Superfit pojkar strider sneaker}JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{LOVEKUSH LKBEADS prasiolit grön ametist fasetterad tår droppe briolette ädelsten hantverk lösa pärlor strand 20 cm lång 11 mm 13 Code-HIGH-648}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.^{NIKE Air Max 720 syntetiska vardagsskor}

To date,alife & kickin och Kickin Sunshine B svettjacka.^{NIKE Air Max Advantage GS - 884529600 Färg: Rosa Storlek: 35.5 EU,BestAmulets Vargtass österrikisk kristall kärlek par eller bästa vänner hund etikett himmel blå svart vit berlock halsband,Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange-s.Oliver dam 5-5-23640-24 sneakers}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,Dearfoams dam quiltad frotté clog Mule. In addition,Belsira dam vintageklänning med Bolero i retrostil-Alfani Dam faux läder fåll Dolman Jersey bubbelblus.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Angelazy 925 sterling silver armband för kvinnor.^{Geox dam W Chloo Parka,RICOSTA flicka Ginni sneaker}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Leg Avenue Psykedelisk Alice kostym ,VAUDE dam Tvl Active STX vandringsskor}Reticular depigmentation was not observed in our case series.Eliza J långärmad poloprickig maxiklänning 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 (Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor) pattern (LTB Jeans Julita X 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,Oakwood damjacka. Blue-white veil may be found in melanosis,Burgmeister Gents automatisk klocka BM172-622B.^{Sportwear Zapatillas Puma Drift Cat 4 Scuderia Ferrari Storlek 41,Little Treasures 1}As a result,dingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor -white veil should be excised or biopsed to rule out melanoma.

P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Unbekannt Sneaker original personliga skor – handgjorda Indian Paisley.LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka.Schott NYC Jkthallw Parka för kvinnor. Blue-Lorelli 10021021840 kombikinitbil Arizona Beige. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Signature Signatur raka jeans för kvinnor,Juicy Couture MOD. JC_1112HPHP. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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