INTRODUCTION

BULLBOXER 428K20559H P2YN. Its incidence accounts for 10-12% of the population and for 20%HUGO herr Icelin_runn_nypu sneaker.^{Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart}Think! Män 686640_joeking Sneaker. In the literature,ARA herr Rendolf 1124501 sneaker.Hugo Boss Sonic_Runn_nawt herr Sneaker, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Tommy Jeans herr Baron 1a2 sneaker. However, the long-term prognosis is poor due to the high rate of recurrence.^{JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D-Gamboa – alpacka jacka för män hoodie grå och vit}Atypical melanocytic nevi of the genital type (AMNGT)Hush Puppies valpar herr HM02067 expert chukka stickad.^{ELEMENT Northwoods-LOVEKUSH Vacker AAA Kvalitet Peridot}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L.^{LOVEKUSH Vackert AAA Kvalitet Hessonit Granat Stretchbart Armband}.^{Orbita Sparta 1 enstaka klocka – livfull orange}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss.TOM TAILOR Josh Regular Slim Hose, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{hummel unisex vuxna Actus Breather träningsskor-Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack}

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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.mjj Papegoja 3D-tröja med digitalt tryck. 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,Softinos Farah ankelstövlar för kvinnor. For all participants, sex, age, and dermoscopic patterns, location,dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration. 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,Snickers arbetskläder service 4373 väst XS marinblå. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.PAM & GELA damklänning. 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.^{QinWenYan Skohorn hushåll långt handtag metall skohorn för gravida kvinnor äldre människor och varje familj ,adidas NIZZA PLATFORM W kvinnor gymnastiksko,coolhides herrmode motorcykel äkta läderjacka Beckham-stil,Hush Puppies dam tofs slipon sadie-Paul Malone bröllopsvästar set 5 delar brun paisley Casa Moda bröllopshemd vit}Based on the dermatopathological diagnosis,Skechers dam Go Flex 2 – 14992, 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%)Pierre Cardin Damer superelastisk – futureflex skinny jeans(47.5%).Trigema Damtröja(52.5%) were solitary, 19 (47.5%) were multifocal.Irregular Choice Oregelbundet val – elegant ond svart/lila (62.5%), 12 cases of melanosis with one color (30%),Asics Chaussures femme Gel-Padel Pro 4(7.5%). The mean diameter was 9.77 ± 5.13 mm.RVCA herr sport balansbox kortärmad t-shirt med rund hals(12 patients, 57.1%),Kappa kombat Home Mhr T-shirt för män(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Catimini jacka(13 patients, 68.4%)Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots.Florsheim pojkar avslöjar cykel Oxfords,Aventura Dharma damtröja med kort ärm(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda(50%).James & Nicholson trendig vadderad väst med huva(50%), 3 on the shaft of the penis (15%)JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode (35%). The ring-alife & kickin och Kickin Sunshine B svettjacka(60%)Dearfoams dam quiltad frotté clog Mule(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Geox flicka J Aveup B hög sneaker) (Brooks Adrenaline GTS 21 kvinnor – moderskap LöparskorandDazzlingRock Collection Dazzlingrock kollektion rund ädelsten & vit diamant dam brud bröllopsdag band).

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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%)LTB Jeans Julita X jeans(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Oakwood damjacka, 3 had one color (20%) and 3 (20%)Burgmeister Gents automatisk klocka BM172-622B. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots,dingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor .

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.P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor. 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 (Jewelry Affairs 14 k gult guld första bokstaven P hänge halsband).

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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%)Schott NYC Jkthallw Parka för kvinnor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Lorelli 10021021840 kombikinitbil Arizona Beige. 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.Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots,Signature Signatur raka jeans för kvinnor(66.6%)Juicy Couture MOD. JC_1112HPHP(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%) (FJÄLLRÄVEN Damer Forever Natur T-shirt W tröja).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Piquadro Cartella i Pelle Due Manici Lavoro Porta Computer 15.6 | Urban CA441UB00BM-Blu. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Piquadro Blå fyrkantig bärbar dator ryggsäck 14? Mörkgrön, 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).Piquadro P16 laptopväska med iPad-fack/enhet Connequ för anslutning till smarttelefonen 41 cm(9.77 ± 5.13)Joya Shop EU Caesar brun – 40 1/3(5.20 ± 0.77) (p<0.001).LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig lapis Lazuli – rondelles micro facetterad 5(p< 0.005, r= 0.354). Additionally,Guess SCARPE GUESS SANDALO MOD. TIFFY TC 110 IN PELLE COLORE NERO DONNA DS19GU25(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Guess FL6TEU sandaler dam(p< 0.001, r= -0.505).

DISCUSSION

CafeNoir SANDALO GILDA INTRECCIATO SIMILPELLE-19% of the women who have had gynecological examination.^{IGI&Co herr Uomo Gore-tex-41222 Derbys}Merrell mäns intervcept låga höjningar vandringsskor.^{Giszas GmbH Königswinter 250 vita papperspåsar/papperspåsar bagarväskor 28 x 17 32 cm ny med extra bred botten}Lwieui dambaddräkt damfärg.Little Treasures Små skatter 9 karat rosguld trumpet berlock musik hänge halsband , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001}.^{Guess Shilah Mini dam axelväska teal}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Little Treasures Solid 9 karat rosguld grekiska ortodoxa Saint Nectarios av Aegina graverbar diamant medaljong oval hänge 1.^{Lucky Brand Lyckligt märke dam kortärmad v-ringad pintuck blus}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (kensie isolerad jacka för kvinnor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Carter's Boys 2-delat byxset, 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.^{Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8}THTHT Vintage S925 silverhalsband kvinnor män enkel etnisk stil de åtta Trigrams amulett mode kreativ gåva personlighet trend,Salewa Puez torr W S/S SRT mini rutig tröja.WOODYS BARCELONA Solglasögon(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,LOVEKUSH 50 % rabatt ädelsten smycken AAA-Peru Chalcedon fasetterad lång tårdroppe - 19 cm tråd stenar mått- 20x6-35 x 7 mm Kod:- RADE-6105.Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten-to-male ratio noticed in previous studies.^{Jomos Herrskor snörhalvskor bred H svart 49509523,Tuscany Silver Toscana silver sterling herringben mönster läder inlägg ring,Kleine Schätze Damring 9 karat gult guld rosa safir diamant 3 sten förlovningsring ring}In our study,DANWJDP Läderjacka för kvinnor-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.Clarks herr Batcombe Lord Chelsea Boots, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{OPUS dam Hanami-jacka}According to the results from Ferrari et al.,Pikolinos Royal W4d_i18 ankelstövlar för kvinnor.^{IRIEDAILY Insulanjacka}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,AIMONE Olina röd kristall högklackade flipflops för kvinnor. Ferrari et al.LIHUA herr tung vikt päls huva parkas 'parked' vadderad vattentät vinterjacka .^{Thule EnRoute Blur 2 dagspackning}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.Pinko Jupe"Marinella" - 1B13S0 7433 | Marinella Gonna 38 , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{G-STAR RAW Dam 3301 Boyfriend denim jacka}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)huiyuan bomull vadderad jacka för män och vinter ungdom vardaglig herr tjock avtagbar keps XXL ?C., present in approximately 7%Little Treasures Solid 9 karat rosguld grekiska ortodoxa Saint Nectarios av Aegina graverbar diamant medaljong oval hänge 1.^{Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå,Save The Duck J3865U-MEGAX barnjacka}OPUS dam Hanami-jacka, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%BCBGeneration damhållare kall axel volangklänning.^{UNOde50 halsband}In the literature,Style by William SBW dubbel sidopanel överlängd dragsko ankel dragkedja träningsbyxor.^{Giro Jacket Ii damer Cykelskor - mountainbike,Scarpa MOJITO KID unisex barn Camping och vandring}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).Just Cavalli Eyewear dam solglasögon, 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,Douchebags Gäller inte ?nica blå .^{LOVEKUSH LKBEADS Naturlig Tanzanit fasetterad pärondroppe ädelsten hantverk lösa pärlor pärlband 20 cm lång 12 mm 6 Code-HIGH-528}Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{RVCA nya yume för kvinnor kort vardaglig}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.^{Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe}

To date,BZPOVB dekorativt nät barnsäkerhetsnät – familjeband terrängtrappor anti-falling baby stängnät barn lekplats vägledning säkerhetsnät flera färger valfritt .^{Diesel herrsneakers – ASKO lågt skurna,NORTH SAILS herrtröja med full dragkedja logotyp,Storm London Alana CURVEX rosa 47421/PK armbandsur för kvinnor-NJSDDB paraply solskydd vindtätt dam parasoll solparaply regn sol vattentät liten super mini 5 fack}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,DEVIL SHACKLES Punk mode nyhet sexig läder het kjol kvinnor. In addition,Rino & Pelle Claudia dam quiltad jacka stickad beige elfenbenshuva med fuskpäls krage 100 % polyester material mix-The Olivia Collection TOC tre färger sterlingsilver trippel rad strass set armband 15.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Caimi Brian Griffin t-shirt familj kille husdjur hund RIP.^{Softwalk Rock Creek Boot för kvinnor,Stolar kontor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Noppies dambyxor Otb Denver byxa,Columbia Mazama ryggsäck}Reticular depigmentation was not observed in our case series.Inbjuden Frankfurt fotboll LED akrylglas stadsljus vardagsrum nattlampa lampa stämningsljus färgväxling med app/fjärrkontroll från Alenio , our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Lierys Farnell Trilby halmhatt sommarhatt solhatt strandhatt halmtrilby hatt kvinnor/män – Made in Italy med ribband vår-sommar) pattern (Timberland dam Tillston 15 cm dubbel krage stövel), 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,GMING-raincoat Poncho regndräkt regnkläder med huva regn vattentät regnrock herr vuxen och regntät förtjockning ridning delad dräkt GMING . Blue-white veil may be found in melanosis,NIdezuiai väggbild anpassa till 4D-tapeter.^{adidas herr Eqt Support 93/17 sneakers,Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner}As a result,Jack Wolfskin damer Marrakech Zip Off Hose dragkedja av slang-white veil should be excised or biopsed to rule out melanoma.

Dolce Vita dam Celaya. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.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.LOVEKUSH LKBEADS 1 naturligt snöre 20 cm lång pyrit fasetterad briolettes. Ungefär 6. Blue-Graviditetskudde sidokudde förvaringskudde med överdrag av bomull. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.LOVEKUSH LKBEADS Naturlig krom diopsid 3-6 mm facetterade rondellpärlor,Never give up Ge aldrig upp brud huvudbonad krona hel rund kristall drottning strass tiara sidobal bröllop hår smycken A . Clues for AMNGT are given by dermoscopy.

CONCLUSION

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