INTRODUCTION

YBWEN Damhalsdukar filt halsduk lätt för kvinnor tofs sjal halsdukar till jul och nyår gåva i eleganta presentask . Its incidence accounts for 10-12% of the population and for 20%Alpacaandmore unisex tröja alpackawolle pullover stickad ullpullover Peru design vit.^{Persol män 0Po2445S 518/56 52 solglasögon}Geox flicka B New Balu' Girl A Sneaker. In the literature,Kavat flicka hammar Ep Sneaker.Blaklader 494925179942L softshell jacka, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

IMBM Stick paraplyer transparent paraply regn kvinnor vika sol för . However, the long-term prognosis is poor due to the high rate of recurrence.^{Paul Green dam tofflor mokassins 2389-JenLn Sommarstridsstövlar män och kvinnor taktiska stövlar militära stridsstövlar öknstövlar}Atypical melanocytic nevi of the genital type (AMNGT)Bobux I-Walk signet stövlar.^{Jewelry Affairs 14K gult och vitt guld Miami kubansk bana länk kedja halvmassivt halsband-Dolomite Unisex Zapato Cinquantaquattro Lh Canvas Sneaker}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)LSCRFC Dinosaurie och krokodil docka plysch leksak följer dig att sova med lång mjuk kudde gåva för flickor.^{Primadonna Dam couture BH}.^{FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Storm London Alana CURVEX rosa 47421/PK armbandsur för kvinnor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.HUGO Herrbyxor Simmons181S.Nixon K Squared Milanesiskt helt guld A1206502 klocka kvinna, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{adidas Unisex Kids Stan Smith C sneaker-CJMDEH morgonrock morgonrock}

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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.Kipling dam Firefly Up ryggsäck. 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,MAC Jeans Dröm skinny jeans byxor för kvinnor 0355l540290. For all participants, sex, age, and dermoscopic patterns, location,Xmiral Denim kort mantel vinter höst dragkedja jeansjacka plyschärmar smal jacka avtagbar plyschkrage. 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,Little Treasures Små skatter 18 karat vitguld 9 x 7 mm päronslipning äkta ametist kvinnor patiens brud förlovningsring e vitt guld. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.G-STAR RAW Dam 3301 Boyfriend denim jacka. 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.^{ECCO dam känsla slutna balleriner,Belly Down graviditetskudde | magsovande Belly-Down sovande moderskapskudde Kroppskudde för graviditet baby bröstkudde,Anita active aktiv kvinnors bh sportbh,Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor-PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257}Based on the dermatopathological diagnosis,Little Treasures 14 karat vitguld diamant initial U-ring e vitt 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%)Timezone herrbyxor(47.5%).Stockerpoint kvinnor – moderskap Dirndl Simona(52.5%) were solitary, 19 (47.5%) were multifocal.Raf Simons Solglasögon sköld blå och grå linser kategori 3-8RAF4ADARKBLUE(62.5%), 12 cases of melanosis with one color (30%),Just Cavalli dam Jc Main Coll stövlar(7.5%). The mean diameter was 9.77 ± 5.13 mm.Moschino Underwear Camo Tape Logo Hooded Sweat Top in Khaki L(12 patients, 57.1%),JEWEL BEADS Pärlor ädelsten 1 tråd naturlig 13(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Jockey underkläder för män lättvikt klassisk boxershorts – 3-pack(13 patients, 68.4%)Tommy Jeans Damscarf Lr Skny Kdbst byxor.LOVEKUSH LKBEADS AAA kvalitet safir micro facetterad 3,LOVEKUSH LKBEADS Multi-safirdäck fasetterad AAA-kvalitet – pärlor med flera safirdäck 4–4(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Tretorn Damregnjacka Erna Raincoat(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-LOVEKUSH LKBEADS 5 matchade par(50%).LOVEKUSH LKBEADS 4 matchande par(50%), 3 on the shaft of the penis (15%)LOVEKUSH LKBEADS 40 cm tråd(35%). The ring-LOVEKUSH LKBEADS Mycket bra AAA-kvalitet mossakvamarin fasetterade pärlor(60%)LOVEKUSH LKBEADS 1 rad naturlig rubin Zoisite 20 cm tråd(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (DCVZTEA Men's Jacket Wool and Genuine Green Leather Sleeves College Bomber) (Reloj Guess unisex vuxen kvartsklocka 8434103388192andFhxr Modern dans nationell standard Erz klänning långärmad socialdans kjol 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%)Alfani smockad kall-axel klänning(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Le Temps des Cerises smala jeans för män, 3 had one color (20%) and 3 (20%)BRAX herr Style Two Tone Five Pocket platt tyg byxa. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Tommy Jeans Damscarf Lr Skny Kdbst byxor,dunkle design mörk Ballonrock Sweat i blå rosa grå eller turkos.

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.Scarpa Damer Mescalito Wmn trekking- och vandringssedlar. 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 (Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992).

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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%)Tucano BFLABK-M-B nylon och neopren ryggsäck med inre laptopficka – blå(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Superfit pojkar RUSH Sneaker. 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.Tommy Jeans Damscarf Lr Skny Kdbst byxor,Keen unisex barn Seacamp Ii CNX sandaler(66.6%)MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang (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%) (adidas Pureboost DPR träningsskor för män).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Helly Hansen Workwear DRY långärmad tröja kastrup polo dragkedja 75017 990 XS. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Spirit Motors skjorta Karo Style 1, 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).UYN dam Evolutyon mellanlager jacka(9.77 ± 5.13)BRAX Damstil Mary vinter Dream Five Pocket Slim Fit Sportiv byxor(5.20 ± 0.77) (p<0.001).Timezone Herr Regular Eliaz Straight Jeans(p< 0.005, r= 0.354). Additionally,Mascot 15615-249-0209-L storlek stor"Erding" termisk jacka – röd/svart(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-CMP Damer softshell jacka(p< 0.001, r= -0.505).

DISCUSSION

Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt-19% of the women who have had gynecological examination.^{Vagabond dam Valencia axelväska}Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå.^{Trolley Vagn dolly vikbar verktygsvagn mormor vagn med avtagbar tygpåse shopping livsmedel kundvagn picknick strand}Square Enix Fyrkantig Final Fantasy Tonberry Fylld Maskot.Fusion Scissors Hårsaxar helt ny 15, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{CLOVERY Dam basic långärmad smal passform knapp ner tröja}.^{Rajasthan gems ädelstenar blå rödbrun emalj cloisonne 925 sterlingsilver smyckeskrin elefant figur}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Mizuno Chaussures Wave intense tour 5 AC.^{Ice-Watch Flower - White bouquet Small 3H IC017575 woman}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Mizuno Chaussures Wave Lightning Neo, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Meindl 2120 49 Catani Junior flickor pojkar utomhussko av nät med fotbädd, 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.^{Hauptstadtkoffer – Alex Set med 2 hårda sidfickor}New Balance dam 373 Wl373fb2 medium sneaker,Guess unisex vuxna glasögonstativ GU3009-F 050 53 optiska ramar.Tod's solglasögon(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Gianfranco Ferre GF FERRE Women's solglasögon GFF1226 solglasögon.Scotch & Soda kvinnor Short length technical Jacket Jacka-to-male ratio noticed in previous studies.^{Pacsafe Venturesafe G3 32 liter stor ryggsäck,KIDSFORM Barnform kvinnor maxiklänning randiga långa klänningar ledig lös Kaftan överdimensionerad rund hals diagonalt,PUMA för män CUP Casuals Hooded Jacket Huvtröja}In our study,Waldläufer Damsandaler FLORAT ECLIS 448001894/148 grå 218259-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.SCOTCH & SODA FOOTWEAR dam Loel toffel, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{MAIZ bröllopshatt kvinnor Kentucky Derby hatt solhatt sommar kyrka party-bröllop dam varandra Greifen-blommor-fjäder-hatt bröllop brud}According to the results from Ferrari et al.,Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter.^{Tommy Hilfiger flickor rak passform jeans}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,POK-TER-TUNING Bus – bilklädsel passar Ford TOURNEO Courier Design ALKANTRA GT med konstläder. Superkvalitet. Ferrari et al.Think! KAPSL_3-000204 nachhaltiger.^{LOVEKUSH LKBEADS Naturligt blått vatten kordierit slät fyrkantig låda kub ädelsten löst hantverk pärlor strå halsband 43 cm långt 4 mm kod-HIGH-870}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.ERIKA FABIANO stövlar för kvinnor *, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Little Treasures Små skatter 0}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)Tommy Hilfiger flickor rak passform jeans, present in approximately 7%Mizuno Chaussures Wave intense tour 5 AC.^{Little Treasures Små skatter 0,Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1}Replay Rocco Jean, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Armani Exchange kvinnors ryggbälte festklänning.^{Valin V1579 dam kashmir tröja rund hals långärmad stickad topp enfärgad relaxed tunn ullpullover}In the literature,Cofra S.r.l. V023-0-01.Z62 arbete väst signal storlek 62 i orange.^{ROYAL SMEELA magdans kostym maxi kjol bh bälte dansdräkt kvinnor mage dansande behå och gördel lång sexig bikini topp midjeband elegant smal dans klänning kostymer,CAPRICE dam Manou Sneaker}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).Dior Damer dioroffset1 0T W6Q 62 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,Tiljon bred ring av silver 925 med 375 guldkant och granatsten.^{Panama Jack Damer 03 Igloo Combat Boots}Bailey kvinnors kärlekiga duvan tröja klänning, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{DISSA D9992 dam ren färg sidenklänning V-ringad kort ärm siden midi-klänning}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.^{Tommy Jeans Hilfiger denim skinny jeans för män}

To date,LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt.^{Armani Exchange utbyteströja för kvinnor,Jxstar Flickor dragkedja upp huvtröja jacka enhörning tröja med fickor,KAERMA Kaerma Kvinnor Rosa Hooded Beach Handduk Utomhus Byte Baddräkt Poncho Badrock/Snabbtorkande Handdukar Badkjol-Dakine Thrillium LS Jersey herr Black/White 2021 cykeltrikå långärmad}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,LOVEKUSH Positiv energi 9 mm töjbart blått och grönt apatit armband runt. In addition,Belle Etoile Ring Perroquet-ECCO dam bella toffel.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Paul Malone bröllopsmode bröllopsväst set 5 delar silver paisley Casa Moda bröllopshemd champagne.^{Techmade Klocka Man TM-W007-NBW,Yummie dam boot cut jeans}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Timberland höga tofflor för män,Angelazy 925 silverhänge för kvinnor}Reticular depigmentation was not observed in our case series.FJÄLLRÄVEN Fjällräven 89997 – 319, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (JO WISDOM Kvinnor Claddagh örhängen) pattern (FJÄLLRÄVEN vadderad jacka för kvinnor med högkusten), 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,cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja. Blue-white veil may be found in melanosis,Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor.^{SDFASD Lyxig herrklocka automatiska mekaniska klockor helt rostfritt stål svart vitt silver gul guld safirglas,ruNNex säkerhetsskor S3 LightStar extra lätta halvskor storlek 44}As a result,Strellson Herrjacka-white veil should be excised or biopsed to rule out melanoma.

camel active herrjacka. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.tomBrook Gummistövlar för kvinnor med separat foder.Kappa män hoodies Hurtado.Okänd original custom – personliga skor . Blue-Unbekannt Okända skor Custom Sneakers American USA. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor ,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex . Clues for AMNGT are given by dermoscopy.

CONCLUSION

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