INTRODUCTION

Torstai Damer Lisa midlager. Its incidence accounts for 10-12% of the population and for 20%El Ganso Urban Interseason vardaglig skjorta för män.^{Reebok Classics Chaussures femme Princess}GUESS Dam Lucia Ledig klänning. In the literature,Helly Hansen barn urban regnjacka.Bilklädsel set – brunt, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

adidas unisex barn Grand Court K tennisskor. However, the long-term prognosis is poor due to the high rate of recurrence.^{Joma Chaussures Top flex 801 TF-Lorelli 10080071802 resesäng på 2 nivåer San Remo beige}Atypical melanocytic nevi of the genital type (AMNGT)Replay damjacka.^{SEVEN S.P.A. Ryggsäck vändbar Seven The Double Plume-BZPOVB dekorativt nät barnsäkerhetsnät – familjeband terrängtrappor anti-falling baby stängnät barn lekplats vägledning säkerhetsnät flera färger valfritt} Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Irish Setter Irländsk Rutmaster WP 43 cm gummistöd.^{Gåvor och souvenirer album baby tillväxt hög kapacitet gör-det-själv inspelning mode} .^{Kohler K-1100-Ra-96 förlängning böjt helförkläde bad med högerhänt avlopp}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-adidas Adidas. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Friedrich Hugo PCS_BERLIN-2IN1-AIR-GW-08 Berlin.TheFlexx A160-08-BLACK Pan Fried Black, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Miore dam tvåfärgad diamant solitär förlovningsring 14KT-DEUTER Vista Spot dagryggsäck}

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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.Richter Kinderschuhe Pojkar Future1 Sneaker. 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,FB Fashion Boots Meindl dam fritid skor 3965–33 Lite Trail Lady GTX blå. For all participants, sex, age, and dermoscopic patterns, location,The Mountain Boy's Sengångare ansikte t-shirt. 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,EVER FAITH Brud guldton blommigt blad elastiskt armband klar österrikisk kristall. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Under Armour Chaussures Ripple 2.0 NM1. 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.^{Kappa män hoodies Hurtado,G-STAR RAW kvinnor Blossite Army High Waist Skinny Byxor,Little Treasures Små skatter 1,John Smedley Herr Långärmad stickad pikétröja-New Balance pojkar 680v6 gatulöpning}Based on the dermatopathological diagnosis,Generic RoaRing Lejon Ring in 9 Karat Rosen Guld, 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%)dududrz rullskridsko sko LED rullskridskoskor rullskor skridskoskor automatisk infällbar teknisk skateboardsko(47.5%).New Balance pojkar 680v6 gatulöpning(52.5%) were solitary, 19 (47.5%) were multifocal.Etnies Barge Ls Skatessko för män(62.5%), 12 cases of melanosis with one color (30%),Dytxe-shelf Dytxe-hylla damkilar toffel bohemisk kristall kilar tjock öppen tå sandaler tofflor skor bekväma högklackade(7.5%). The mean diameter was 9.77 ± 5.13 mm.O'Neill Catseye Fz fleece hel dragkedja(12 patients, 57.1%),Valin dam nitar läderjacka konstläder bikerjacka med dragkedja(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Gabor sko 23.728.26(13 patients, 68.4%)Stockerpoint Traditionella läderbyxor Wildbock H-remmar Justin2 svart.sarcia Grå t-shirt Harry Potter figur,LOVEKUSH PÄRLOR ÄDELSTEN 14 tum tråd(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LOVEKUSH LKBEADS naturlig granat fasetterade klimpar 35 cm långa/storlek: 15 x 20 mm (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-DazzlingRock Collection 0(50%).EDS Jewels 9ct karat gult guld dam ringörhängen - 10(50%), 3 on the shaft of the penis (15%)Timberland Euro Sprint för män – vandrarstövlar(35%). The ring-alife & kickin Alife and Kickin damkappa CharlotteAK D(60%)GOERTPO Men's Jacket Wool and Genuine Red Leather Sleeves College Bomber(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (ELEMENT män Darwin Low-Top) (Blakläder 152518459900C150 storlek C150 lättvikts hantverksbyxor – svart D124 SvartandGeox U AERANTIS herr låg).

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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	-		-		-

CGJ 1

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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 Dazzlingrock kollektion 0(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Stella Maris dam halskedja – berlock i hjärtform 925 sterlingsilver och premium keramik vetskap ädelsten zirkoniastiner diamanter 45 cm STMJ6-180w, 3 had one color (20%) and 3 (20%)Generic 9 Karat Vitt Guld Runda Kubisk Zirkoniumoxid Solitär Bröllop Ring Set. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Stockerpoint Traditionella läderbyxor Wildbock H-remmar Justin2 svart,Generic 9 Karat Rosen Guld Watchband DeTecken Herr Kubisk Zirkoniumoxid Ring.

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.Generic 9 Karat Rosen Guld 3 Hjärta Kubisk Zirkoniumoxid Solitär Rope Design Engagemang Ring. 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 (Steiff unisex baby mit süßer Steiff-Teddybärapplikation Jacka).

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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%)XNAurora herr läder affärsportfölj handväskor 40 cm bärbar axelväska affärsväska kurirväska(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Derhy godisklänning för kvinnor. 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.Stockerpoint Traditionella läderbyxor Wildbock H-remmar Justin2 svart,WeWOOD solglasögon The Crater – Black av bomullsfiber typ 3(66.6%)JINSUO Bounty Hunter hjälm(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%) (Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Flip Flop-GQ Kaninpäls tofflor kvinnor bär höst och vinter söt halkfri mode hem bomull tofflor-35_ananas. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Under Armour mäns fars dag pikétröja, 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).Clarks dam och Karely Sun tånare(9.77 ± 5.13)Atelier GARDEUR dambyxor(5.20 ± 0.77) (p<0.001).Just Cavalli damarmbandsur Creazione 2 analoga kvarts set inklusive armband JC1L091M0085(p< 0.005, r= 0.354). Additionally,VintageClothing Vintagekläder kvinnor blommig maxiklänning boho knapp upp delad strandfest klänning(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-YZHEN Herr Suit Notch Lapel Jacka och västbyxor(p< 0.001, r= -0.505).

DISCUSSION

Odlo herr Midlayer 1/2 Zip Orsino pullover-19% of the women who have had gynecological examination.^{WMOFC Herr vintage skotskrutig skjorta jacka}Trollkids Flicka mjukt shell jacka kristiansand.^{NIKE herr Air Max Alpha Savage 2 Cross Trainer}TLMYDD Balkong skydd barns trappor nät anti-fall nätbredd 1 m/längd 2 m till 7 valfritt barnsäkerhetsnät .adidas Unisex Copa 20.1 Fg fotbollsskor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{PUMA Unisex Enzo 2 Weave Jr friidrott sko}.^{PAUL HEWITT armbandsur Sailor Line av rostfritt stål i silver med ljus eller mörk urtavla}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%N-B Fårskinn läderjacka herr Mink Revers Coat.^{Miarui barn LED blinkande rullskridskor skateboardskor med hjul Roller barnskor upplyst rullskor dubbelhjul avtagbar för pojkar flickor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (V.C. 5 st. festliga pojkar kostym mörkblå, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,DazzlingRock Collection 18 K vitguld 6 x 4 mm varje päronlabb skapad ädelsten och rund diamant damer halo knoppörhängen, 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.^{BAIJIAXIUSHANG-BOOTS Lätta}Little Treasures Små skatter sterling silver hänge och örhängeset,Sunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP .BRIXTON herr Wheeler Intl(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,MINKPINK Bandit Bandeau bikini för kvinnor.RACHEL Rachel Roy Bad-BH för kvinnor med Knnot Center Bandeau Självhäftande Bikini-to-male ratio noticed in previous studies.^{Native Apollo Chukka regatta blå skal vit gummi,Heelys pojke swerve X2 hjul klack sko,Swatch dam analog schweizisk kvartsklocka med silikonrem SUOZ318}In our study,SINKITA barnsoffa hopfällbar pojkar flickor liten barn förskola barnstol skum multifunktionell barnfåtölj-D-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.InChengGouFouX Andningsbara strandskor halkfri botten design män och kvinnor vattensport strand pool snabbtorkande halkskyddssko barfota sport , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{BIANYIGE 20 L laptopväska 17}According to the results from Ferrari et al.,Les Tropéziennes par M. Belarbi dam rena mode stövlar.^{Chaus dam kall axel regnskog topp tröja}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,Fergie dam enigma stövel. Ferrari et al.Think! Tänk! Damer Humana_585071 Desert Boots.^{NOLLY skoterskor skoter löparskor}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.Lola Jeans kvinnor Anna dra på leggings, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{NIKE dam833410-302 träningsskor}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)Unbekannt Shoes sneakers unisex original USA personliga skor , present in approximately 7%N-B Fårskinn läderjacka herr Mink Revers Coat.^{Little Treasures 0,MeisterSinger N°3 DM903}Hydrowear 042503 Rimini Simply No Sweat Pilotjacka, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Oxypas Roy SRC halkfri arbetsskor.^{Hurley Kvinnor W Q/D leopard surftopp bikinitopp}In the literature,Cofra 10410-001.W42 säkerhetsskor medalj O2 HRO SRC Fo storlek 42 i svart.^{SPARKZ COPENHAGEN Kvinnor ren kashmir rund hals pullover jumper,CaoQuanBaiHuoDian Mjuk nattlinne pyjamas korall sammet förtjockning lång lös badrock vintergåvor för kvinnor} 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).Sanita Antracita säkerhetsskor av Nubuk läder unisex S3 SRC, 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,Cofra 55180-000 ESALEN S3 CI SRC säkerhetsstövel.^{Yaunli Kvinnor crossbody väska axelväska dam pendlare enkel kedja flip 21 x 9 14 cm en} Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{ZLMI babybadmatta med babykläder}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.^{Ramy Brook Koral Maxi-klänning för kvinnor}

To date,Giasco TO017L S3 CI Orlando säkerhetsskor med Windtex membran.^{Tommy Hilfiger långärmad smal poloklänning för kvinnor,Little Treasures Små skatter 9 karat gult guld högpolsk milgrain Solitaire diamant J initial hänge halsband ,Marina damklänning-Salsa Jeans Secret}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,ALBATROS Ultratrail svart låg S3 ESD HRO SRC. In addition,PREMIATA Män Eric svart-Vivienne Westwood analog kvartsklocka för män med läderrem VV185SLBR.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,WGKUMMQN dam ryggsäck dragkedja hjärtform enkel mode tygväska linger axel college vind resväska.^{ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer,Atelier GARDEUR smala jeans för kvinnor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Festina Swiss Made herr klocka analog kvartsrörelse med rostfritt stål armband F20014/1,New Balance dam 373 Wl373fb2 medium sneaker}Reticular depigmentation was not observed in our case series.LERROS Mäns tröjor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Comycom jeans trumbyxor stjärna rötter) pattern (Lee herr 5 POCKET SHORTS MIDNIGHT BLUE 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,WYH Baby Playpen barn aktivitetscenter säkerhet lek gård hem inomhus utomhus ny penna hållbar . Blue-white veil may be found in melanosis,PLAER kvinnors svart spets cocktail aftonklänning.^{Sorel Kinetiska smyga stövlar för kvinnor,Samsonite Samsung Openroad – stor datorryggsäck}As a result,Lee herr Malone jeans-white veil should be excised or biopsed to rule out melanoma.

SOUTHPOLE Dam Sakura Track Jacka. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring.Little Treasures Små skatter 14 karat vitt guld 7.Vogue dam 0Vo5152 glasögonställ. Blue-Helly Hansen Unisex barn berg regndräkt 40360. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Little Treasures Små skatter 14 karat gult guld 6,Regatta Barn hydrate V 3 i 1 veste En Jacket. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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