INTRODUCTION

LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor. Its incidence accounts for 10-12% of the population and for 20%WggWy Mäns fashionabla arbetssäkerhetsskor.^{Kustom Kit KPersonligt kit herr långärmad Corporate Oxfordskjorta}Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder. In the literature,PUMA Unisex vuxna Rebound Layup SL Sneaker.Liu Jo Cher damer Krigsstövlar, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

YIJIAN-BOOTS Bekväma. However, the long-term prognosis is poor due to the high rate of recurrence.^{UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC-Lee Malone' jeans}Atypical melanocytic nevi of the genital type (AMNGT)Little Treasures 0.^{Chaco dam Zcloud-Fruit of the Loom Underkläder för män} Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Maripé dam 29364 stövlar.^{BCBGMAXAZRIA damklänning}.^{Michel vardaglig dragkedja upp blazer smal passform crop jacka}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Gabor Jollys damer Stövlar med korta skaft. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Ändbord blöjbord ihopfällbara med dräneringssystem.ECCO dam Soft 7 damstövlar, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{nicht zutreffend Barnarmband äkta guld 333 inkl. Gravur platt panzer ID-band gult kvalitet-Superfit pojkar jorden lättfodrade Gore-Tex Sneaker}

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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.Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin . 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,ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery. For all participants, sex, age, and dermoscopic patterns, location,prAna London Short. 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,ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare. 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.^{Geox flicka J Borealis Girl A Peeptoe sandaler,ZDAMN halmpåse 20 x 8 cm runda halmväskor handgjorda spunna strand camping resecrossbody väska för strandresor och daglig användning,LOVEKUSH LKBEADS 2 matchande par,Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler-BARKER Business skor broms läder svart Gr. 9}Based on the dermatopathological diagnosis,adidas Herrbyxor Adidas Skitouring P – svart, 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%)Lodi dam Habi-x sandaler med klack(47.5%).Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (52.5%) were solitary, 19 (47.5%) were multifocal.XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå (62.5%), 12 cases of melanosis with one color (30%),DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set(7.5%). The mean diameter was 9.77 ± 5.13 mm.RAINS Unisex Msn Bag dagryggsäck(12 patients, 57.1%),DazzlingRock Collection Gia-certifiering 1(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).adidas Originals Adidas Falcon RX W(13 patients, 68.4%)Joop! Dam Daphne Sneaker.ESPRIT Collection kollektion dam kjol,Porsche Design glasögon P8250 K(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(50%).Wrangler Texas Slim jeans(50%), 3 on the shaft of the penis (15%)Replay mäns anbass smala jeans(35%). The ring-Unbekannt Okända skor Custom Sneakers American USA(60%)Okänd Sneaker Original Slim Customized personliga skor unisex (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Tommy Hilfiger Herr Regular Mercer Rgd Pharr Blue Loose Fit Jeans) (LISILI Herrbälte krokodil design äkta läder klänning bälte rem guld/silver diamant leopard huvudspänneandAMOENA Nancy BH för kvinnor).

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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%)DazzlingRock Collection 14 K vitt guld 7(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp , 3 had one color (20%) and 3 (20%)CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Joop! Dam Daphne Sneaker,DazzlingRock Collection 0.

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 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish. 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 (Bugatti Valente Exko).

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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%)Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)CGJ 1. 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.Joop! Dam Daphne Sneaker,Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld (66.6%)Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband (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%) (GZQDX smyckeskrin).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Little Treasures 0, 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).Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(9.77 ± 5.13)Little Treasures 0(5.20 ± 0.77) (p<0.001).Little Treasures 0(p< 0.005, r= 0.354). Additionally,Primadonna Forever hel kopp sidostöd behå(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Portwest C467 Hi-Vis 3-i-1 jacka Bombardero(p< 0.001, r= -0.505).

DISCUSSION

DC Shoes dam sneaker Trase Platform SE sneakers kvinnor-19% of the women who have had gynecological examination.^{Sherpa Maya jacquard klänning svart Medium}DC Shoes Boxy – parkas för män ADYJK03063.^{Carissima Gold guld 9 karat gult spaltat puff hjärta hänge på trottoarkanten halsband 46 cm/18 tum}Cecil Lång tröja i djupblått.NIKE Damer Epic Lux Top, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Swarovski – smyckesset rostfritt stål kristall 5416361}.^{Unknown Herrskor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Designer Sterling Silver 925 sterlingsilver .^{Merrell mäns intervcept låga höjningar vandringsskor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (WESC Huvtröja för män, pleomorphic nuclei, sometimes with prominent nucleoli).

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The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr}Hit Notion Optiska glasögon för kvinnor – rektangulär form,Saucony herr jazz original Cross-Trainer.Unbekannt Okänd Sneaker Original Low Customized personliga skor (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .Snickers Workwear Maler Arbeitshose m. Holstertaschen-to-male ratio noticed in previous studies.^{Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband ,Superfit unisex barn sport7 mini sneaker}In our study,Krüger Dirndl trachtenmieder Hedda beige ros-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.5.11 Herrstrumpbyxor täckta lastbyxor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{WSJDE Game KDA Evelynn Cosplay Shoes Custom-made Black/Purple LOL K/DA Halloween COS for Women}According to the results from Ferrari et al.,HEAD herr Sprint Pro 3.0 Clay tennissko.^{Joop! Badrock herr huva 1619 Classic Indigo – 11 S}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,Cole Haan Grandpro Turf Tränare för män. Ferrari et al.Lottusse herr L6902 mokassin.^{Geox UOMO CLAUDIO A herr Oxford}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.Yellow Box Gul låda dam Soleil flip-flop, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{N-B Fårskinn läderjacka herr Mink Revers Coat}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)DC Shoes herr Pure High-top Wr Boot snökängor, present in approximately 7%Designer Sterling Silver 925 sterlingsilver .^{Maier Sports herr Tillit M funktionskos,WAFJJ iögonfallande draperier för barn Blue & Dream Catcher mörka gardiner med öglor vardagsrum sovrum barnrum}Werner Kern kärna – dam dansskor Cindy 3, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan .^{Diesel herr jeans}In the literature,Mizuno kvinnors våg belysning Z5 mitt volleybollskor.^{Lucky Brand långärmad knapp up kamo tryckt verktygsjacka för kvinnor,Florsheim pojkar avslöjar cykel Oxfords}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).NIKE herr Phantom Gt Pro Fg fotbollsskor, 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,NIKE herr Legend 8 Academy Fg/Mg Futsalsko.^{Easy Spirit kvinnors Ap1 Sneaker}Base damer/män säkerhet halvsko B496 "AIR" S1P SRC, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{DC herr Lynnfield}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.^{Josef Seibel Amelie 02}

To date,Helly Hansen Jpn Rain regnjacka herrar.^{FJÄLLRÄVEN herr funktionsskjorta High Coast First Layer Ls långärmad tröja,RICOSTA Barn lågt-topp sneaker EBI från Pepino,Merrell Moab Fst 2 Gtx promenadsko för män-LOVEKUSH Vackert AAA kvalitet blått rutilerat kvartsarmband rutilkvartsarmband herrarmband unisex armband helande andligt 10 mm rutilkvarts}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,SALOMON herrskor X höjning Gtx vandring. In addition,Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar-SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Froddo unisex barn G3110168 Child Fashion Boot.^{Portwest - Bizflame Plus flambeständig lätt anti-statisk coverall panna 280 g orange 2XL/lång,ellesse herr Taliamento pullover huvtröja}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{NIdezuiai väggbild anpassa till 4D-tapeter,ZHHAOXINPA Damer allväder vattentät lång vinterjacka}Reticular depigmentation was not observed in our case series.Tommy Jeans herr SLIM SCANTON SNSDK raka jeans, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (G-STAR RAW herrar G-Bleid slim jeans) pattern (MAC Jeans Lennox Straight jeans för herrar), 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 Pärlor ädelsten smaragd tårdroppe pärlor. Blue-white veil may be found in melanosis,LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300.^{BERA Män 100 % get ull halsduk halsdukar pojkar handgjorda mjuk känsla vintersjal varm stal,Helly Hansen Workwear funktionsjacke SUNNE INSULATOR 73001 isolerande}As a result,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-white veil should be excised or biopsed to rule out melanoma.

Chaco Män Zcloud 2 Sport Sandal. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.icebreaker BF 200 legging kvinnor.LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216.LOVEKUSH LKBEADS 6. Blue-LOVEKUSH LKBEADS 2 matchande par. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.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. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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