INTRODUCTION

Carlos by Santana dam Radley platt sandal. Its incidence accounts for 10-12% of the population and for 20%Hush Puppies dam tofs slipon sadie.^{Hurley dam W O&O jacka med huva}Me Too dam 4384122437721 Norina. In the literature,LOVEKUSH LKBEADS Malakit släta plattade diamanter.HVTKL Enkelt lager tunna modeller för män läder platt keps koreansk ungdom åldrad hatt vårhatt manliga i en enda hud , melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

RVCA Kvinnor Stateside brädshorts. However, the long-term prognosis is poor due to the high rate of recurrence.^{Haggar herr J.m Performance slim fit klänning tröja-Reebok Triplehall 4.0 dam löparskor}Atypical melanocytic nevi of the genital type (AMNGT)Kleine Schätze Damring 0.^{KHS klockor herrklocka svart platoon titan automatisk KHS.BPTA.DB-Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Little Treasures Små skatter 0.^{Quiksilver Up herrträningsoverall för män}.^{SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-BP 1986-570-13-3XL termoväst för män. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.YYI Herr Kostym Mäns våffla 3 stycken formell kostym för män Business Prom Jacka Waistcoat Byxor.Vijiv kvinnors glitter glam paljett topp lösa ärmar glittrande skimmer fest brudtärna tunika, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Tommy Hilfiger flicka AME BASIC LONG CARDIGAN L/S Cardigan-tröja-bugatti herr 321793523200 klassiska stövlar kort stövel}

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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.Little Treasures 9 karat vitt guld rund vit diamant och äkta rubin dam virvel förlovning 3 sten brudring. 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 Jeans Sans Manches"Classics" - DM0DM05028 M . For all participants, sex, age, and dermoscopic patterns, location,1001 Bijoux berlock silver form plektrum. 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,1001 JEWELS Guldarmband 14 k 585 gult guld Figarokedja 16 cm. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Ultrasport. 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.^{WENQU Enkla sommarsandaler för män flip-flops med tåring andningsbara tofflor elastisk läderhastighet ,FALKE Långärmad skjorta för män,Lee Mäns skräddarsydd luke byxor,LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt-GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1}Based on the dermatopathological diagnosis,DazzlingRock Collection Förlovningsring, 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%)MxZas För män utomhus dubbelsidig bära stående krage avslappnad jacka baseball uniform full dragkedja armérock (47.5%).LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 tråd rökiga kvartsfasetterade pärlor brioletter – kvartsbrioletter 9 mm x 10 15 tum SB1877 Code-HIGH-35632(52.5%) were solitary, 19 (47.5%) were multifocal.HUGO herr Lancel Jacka(62.5%), 12 cases of melanosis with one color (30%),Gant herrjacka(7.5%). The mean diameter was 9.77 ± 5.13 mm.LOVEKUSH LKBEADS 4–5 mm naturlig labrarit runda rondellpärlor 33 cm lång tråd kod-HIGH-71401(12 patients, 57.1%),SUPERDRY herr Leather Light Bomber Bomberjacka(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).SXWBL Intelligent ryggsäck enkel trolley resväska(13 patients, 68.4%)Wickeltable trä baby station med vattentät platta.Geox D SENDA S D22U4S00066C dam mokassins,Wxli-Sss jeansbyxor nya herr bomull håliga hål jeans ledig smal vit herrbyxor mode denim stretch hiphop byxor man(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Cashmere & Class Kaschmir Klass Stor Mjuk Mysig Pashmina Vävt Halsduk Vik Kvinnor Varm Sjal Stole Presentförpackning(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Britax 2000022979 Affinity2 färgpaket lagoon green(50%).Never Say Bebe Engelsk skyddsgänga guld 18 K(50%), 3 on the shaft of the penis (15%)Little Treasures Små skatter – 14 karat diamant ring för män i gult guld(35%). The ring-Schardt 02 014 00 03 044 1/744 löpgaller BASIC 75 x 100 cm(60%)Little Treasures Små skatter 9 karat gult guld texturerat band frimurare herrring(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Hanes 173 gram. Tagless® långärmad ficka t-shirt) (Gardin barns sovrum kaktus mörkläggning termiska isolerade öljettgardiner för vardagsrum barn fönster färdiga gardiner 2 x 33 80 cm andYULAN sängrutnät säng ledsplan landet gammal gravid kvinna står på och uppe länder tång handtag uppåt brett förstärkningsband).

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TABLE 2Gabor Pantolett

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%)s.Oliver Time dam analog kvartsur med rostfritt stål armband SO-4188-MQ(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Biomecanics flickor 191192-2 sneaker, 3 had one color (20%) and 3 (20%)G-STAR RAW herr Grizzer Field Overshirt jacka. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Wickeltable trä baby station med vattentät platta,Hplights damer vinterrock rock quiltad vinterjacka lång parkas jacka vinterparka dunjacka ytterkläder trenchcoat.

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.Spyder herr Capitol full dragkedja hårt ansikte fleecejacka. 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 (Spricen svart butler anime sweatshirt herr vinter huvtröja tjock jacka dragkedja kappa plus sammet topp rosa XS).

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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%)Enzo Romeo ATC01 dam bred bredd sling rygg lågklackad spetsig pumps sandaler skor storlek: Bred(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large. 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.Wickeltable trä baby station med vattentät platta,CAMSSOO Kvinnor CM6128-TS18A elegant(66.6%)Wrangler herr Riggs arbetskläder avslappnad passform jean(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%) (Generic Blå Topas Rope Oändlighet 9 Karat Vitt Guld Ring).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.J Kara kvinnors speciella tillfällen klänning. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog, 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).Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka(9.77 ± 5.13)Premier Bästa stickad väst för kvinnor med knapp(5.20 ± 0.77) (p<0.001).Alex Evenings kvällar kvinnor speciella tillfällen klänning(p< 0.005, r= 0.354). Additionally,UPOWER BLANCO S2 SRC(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Haggar Casual byxor för män(p< 0.001, r= -0.505).

DISCUSSION

Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner-19% of the women who have had gynecological examination.^{Base damer/män säkerhet halvsko B496 "AIR" S1P SRC}Lacoste herr Sideline 319 1 Cma sneaker.^{Columbia dam skjorta silver ridge 2.0 pläd shorts sleeve}Tommy Jeans dam skinny jeans.Guess herrarmbandsur analog kvarts läder W18540G1, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{YZHEN Herr Dräkt Tre stycken två knappar toppked jeset}.^{Pikolinos Royal W4d_i18 ankelstövlar för kvinnor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Tissot t070.405.16.411.00 – armbandsur män.^{Volcom Herrbyxor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Reloj Guess unisex vuxen kvartsklocka 8434103388192, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Guess – VIPER herrklockor W0659G4, 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.^{Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld} Guess kvinnors analoga kvartsur glitter flicka,Solo New York Everyday Max hybridryggsäck.PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Guess Shilah Mini dam axelväska teal.Babylon Guard ISOFIX bilsäte för barn-to-male ratio noticed in previous studies.^{Planam 3131060 jacka vinter twister storlek XXL i grön/svart,DazzlingRock 14K vitt guld diamant Fleur brud förlovningsring med matchande vigselband 1/3 karat ,Schott NYC herr squad jacka}In our study,BANANA REPUBLIC herrfabrik premium tvätt v-ringad t-shirt kortärmad-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.Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm}According to the results from Ferrari et al.,RICOSTA pojkar tammesandaler.^{Lotus Damarmbandsur analog kvarts rostfritt stål 18131/1}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,Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS. Ferrari et al.G-Shock GA700DC-1A.^{Lazy One LazyOne Unisex May The Forest Be With You PJ byxor vuxen}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.Superfit pojkar strider sneaker, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Icebreaker Dam Persist Shorts}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)viking unisex barn Kjenning Jr. Combat Boots, present in approximately 7%Tissot t070.405.16.411.00 – armbandsur män.^{DIADORA MELODY MID LEATHER DIRTY 501 176565 C0351 BIANCO NERO Bianco Nero/38,BP 1604-559-13-56s latzons}Meindl pojkar halvsko Ontario Junior GTX utomhussko, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Tommy Jeans Hilfiger denim damstöveljeans.^{Gerry Weber kvinnor 92151-67810 raka jeans}In the literature,Naturino NATURINO SE unisex barn sandaler.^{Little Treasures Små skatter - 9 ct Vitt guld pil rosett hänge med diamanter,Utility Diadora GLOVE MDS MATRYX LOW S3 HRO SRC herr Fritid och sportkläder}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).LaMartina Paco smala jeans för män, 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,AMOENA kvinnors bianca trådfri fickförsedd distans konvertibel BH.^{Lucky Brand herr 221 original rakben jeans i Encinitas}Tommy Hilfiger kvinnors MARIN VENICE LW-byxor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Dirgee Läder Business Mäns portfölj 14-tums bärbar dator väska Stor kapacitet Tvärsnitt Shoulder Slung Briefcase Ryggsäck Casual Vintage Style} 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.^{P&G Dam Suit Notch Revers Double Breasted Jacka Och Byxor Bröllop}

To date,Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirt.^{Last Tango chic ribbad dubbel scoop hals linne designad för att passa alla kroppstyper,JEWEL BEADS Smyckespärlor naturliga vackra smycken regnbågsfärgad uppsättning av två 12-16 mm 12 delar slät cabochon hytt oval äkta glänsande blixt halvädelstenKod: JJBB-22239,KJUST Bilväskor Set 4 st kompatibel med HYUNDAI ix35 2010 - 2013 Dedikerade-Little Treasures 0}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,Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma kvinnor . In addition,Feixunfan smyckesfodral PU smycken förvaringsbox örhänge halsband låda ring klocka gåva för flickor mamma kvinnor -Tommy Hilfiger kvinnors Venedig RW Bermuda bikinitopp.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Tommy Hilfiger dam Fw0fw01958 Chelsea stövlar.^{LOVEKUSH Vackert AAA Kvalitet Svart spinellpärla Armband Spinellarmband Pärlarmband Spinel Smycken Kvinnor Present till Tonåring Flicka Gåvor för henne Stapling 3 mm,Swiss Military Hanowa unisex vuxna analog kvartsur med rostfritt stål armband 06-5183.7.02.003}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Uvex Perfexxion arbetsväst – softshelljacka f. herr blå Gr 5XL,Hugo Boss herr Wayfarer solglasögon}Reticular depigmentation was not observed in our case series.Tommy Hilfiger damer NEW PENNY ANKLE PANT rakt, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning) pattern (Neaer Fodral för surfplatta rosa fodral ipad 9.7 10.5 11 tum ärm brev ins mode väska flicka Apple iPad Pro12.9 påse förvaringsväska ), 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,J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor. Blue-white veil may be found in melanosis,BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel.^{Kuingbhn bal handväska kvinnor clutch bag eleganta paljetter kväll plånbok kedja axelväskor aftonväska ,Softinos Farah ankelstövlar för kvinnor}As a result,Carter's Baby Girls' tryckta leggings-white veil should be excised or biopsed to rule out melanoma.

POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.ClimAir Car Comfort CLI10063ABC Sonniboy passar till Suzuki Vitara .Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe.Tranemo 2820-50-03-D96 buntbyxor Comfort Plus storlek D96 i marin. Blue-LWZ Herr lätta bekväma vattentäta regnstövlar med ståltå. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue,Kjus herrbyxor blå Ibiza. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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