INTRODUCTION

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WggWy Mäns fashionabla arbetssäkerhetsskor. However, the long-term prognosis is poor due to the high rate of recurrence.^{Bishilin 18K Rosguld löftesring hexagon diamant förlovningsring band-Herrlicher touch cropped denim black stretch jeans}Atypical melanocytic nevi of the genital type (AMNGT)Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder.^{Willlly damhandskar vinter varm och vardaglig chic sektion mode enfärgad vattentät utomhus läderhandskar vantar-adidas unisex barn Stan Smith C sneaker}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)PUMA Unisex vuxna Rebound Layup SL Sneaker.^{PUMA herrar EVOSTRIPE Crew}.^{Youpin Vinter nya tjocka varma barns snöstövlar fårskinnsull en baby småbarn skor mjuk botten halkfri varm}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Liu Jo Cher damer Krigsstövlar. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.YIJIAN-BOOTS Bekväma.Little Treasures 0, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{La Sportiva Ultra Raptor Gtx Traillöparskor för män-Little Treasures 0}

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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.Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning . 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,Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex . For all participants, sex, age, and dermoscopic patterns, location,Jomos herr Adventure Sneaker. 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,LUANA ITALY Origami bärkasse för kvinnor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin . 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.^{Tangqin retro kvinnor plånböcker för damer clutches läder tunn plånbok flickor långa mynt kortväskor,Maurice Lacroix AI6018-PVB01-331-1 Mens Aikon Watch,TransGems Platinapläterade sterlingsilver 1,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans-LOVEKUSH LKBEADS AAA kvalitet safir micro facetterad 3}Based on the dermatopathological diagnosis,ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery, 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%)CallagHan herr cedron mokassin(47.5%).Uno de 50 Orion PUL1818CRLMTL0M(52.5%) were solitary, 19 (47.5%) were multifocal.Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(62.5%), 12 cases of melanosis with one color (30%),Naturino pojkar bekväma sandaler(7.5%). The mean diameter was 9.77 ± 5.13 mm.Lodi dam Habi-x sandaler med klack(12 patients, 57.1%),Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå (13 patients, 68.4%)NIKE dam Roshe One Print löparskor.DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set,RAINS Unisex Msn Bag dagryggsäck(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).DazzlingRock Collection Gia-certifiering 1(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-adidas Originals Adidas Falcon RX W(50%).ESPRIT Collection kollektion dam kjol(50%), 3 on the shaft of the penis (15%)Porsche Design glasögon P8250 K(35%). The ring-Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(60%)Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Skandia Vinterstövlar) (Ali@ vit U-formad blöjkuddeandJenLn Läder bilnyckelringar plånbok påse fodral första lagret olja vax läder retro nyckelfodral för män och kvinnor multifunktionell bil hem nyckel väska litet kortfodral ).

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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%)Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Superfit unisex barn sport7 mini sneaker, 3 had one color (20%) and 3 (20%)Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).NIKE dam Roshe One Print löparskor,Hydrowear 072455 Usselo Simply No SweatCoverall.

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.DazzlingRock Collection 14 K vitt guld 7. 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 (Mustang Mia Jeggings för kvinnor smala jeans).

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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%)DazzlingRock Collection 0(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish. 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.NIKE dam Roshe One Print löparskor,Unbekannt Örhängen stiftörhängen Solitär Brillant 0(66.6%)CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage(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%) (Lacoste pojke träningsbyxor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband , 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).Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband (9.77 ± 5.13)Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld (5.20 ± 0.77) (p<0.001).Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(p< 0.005, r= 0.354). Additionally,Little Treasures 0(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(p< 0.001, r= -0.505).

DISCUSSION

Little Treasures 0-19% of the women who have had gynecological examination.^{NJSDDB paraply stort män regn kvinnor helt automatisk dubbel duk 3vikbar glasfiber stark vindtät affärer resor Kina blå}Little Treasures 0.^{JBU by Jambu av dam Bianca kilklack sandaler}Primadonna Forever hel kopp sidostöd behå.Portwest C467 Hi-Vis 3-i-1 jacka Bombardero, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{TruClothing Herr 3/4 långa dubbelbröst varm vinter affärer Crombie ytterrock ullrock}.^{G-STAR RAW Herrjeans 3301 Deconstructed Slim}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%DC Shoes dam sneaker Trase Platform SE sneakers kvinnor.^{Aero dam bowling- och tåskor vit}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (DC Shoes Boxy – parkas för män ADYJK03063, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Cecil Lång tröja i djupblått, 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.^{LOVEKUSH 50 % rabatt ädelsten smycken AA-Peridot släta kuber - 40 cm tråd stenar mått- 3 mm kod: RADE-7515}NIKE Damer Epic Lux Top,Designer Sterling Silver 925 sterlingsilver .WESC Huvtröja för män(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker.Hit Notion Optiska glasögon för kvinnor – rektangulär form-to-male ratio noticed in previous studies.^{Taifun kvinnor 580015-11016 vardaglig klänning,JAKO Herrar Classico med huva presentationsoverall,MERRYHE Äkta läder snörning Oxfordskor för män vanlig tå klassisk formell klänning sko jobb fest bröllopsskor}In our study,Saucony herr jazz original Cross-Trainer-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.Unbekannt Okänd Sneaker Original Low Customized personliga skor , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Yourjewellerybox K2291 simulerad diamant prinsessring set rostfritt stål 18 karat gul topas storlek J USA 5}According to the results from Ferrari et al.,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .^{viking unisex barn örn varm Gtx halvstång stövel}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,Snickers Workwear Maler Arbeitshose m. Holstertaschen. Ferrari et al.Krüger Dirndl trachtenmieder Hedda beige ros.^{ASICS Kvinnor 1072A037-401_38 volleybollskor}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.5.11 Herrstrumpbyxor täckta lastbyxor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{DazzlingRock Collection 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)HEAD herr Sprint Pro 3.0 Clay tennissko, present in approximately 7%DC Shoes dam sneaker Trase Platform SE sneakers kvinnor.^{Napapijri herr AGARD Bomberjacka,HAOKE Män varma manchester jackor och rockar pälskrage vinter avslappnad jacka ytterkläder man termisk} Cole Haan Grandpro Turf Tränare för män, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Lottusse herr L6902 mokassin.^{TOM TAILOR lättviktsjacka för män}In the literature,Yellow Box Gul låda dam Soleil flip-flop.^{s.Oliver BLACK LABEL Dambyxor,Little Treasures 0}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).DC Shoes herr Pure High-top Wr Boot snökängor, 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,Werner Kern kärna – dam dansskor Cindy 3.^{Little Treasures Små skatter 0}Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor}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.^{SLLI Men Stand Collar Solid Full Zip Long Sleeve Lightweight Windbreaker Bomber Jacket Baseball Coat}

To date,Mizuno kvinnors våg belysning Z5 mitt volleybollskor.^{LUGEUK 16-panels barnstaket,NIKE TEAM HUSTLE D 9 ,Little Treasures 14 karat vitt guld tur hästsko fyrkantig herrring e guld-Gifts And Artefacts and Artefakt handgjord marmorring med ädelstenar och abalone-mussla insatt verk från Indien}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,NIKE herr Phantom Gt Pro Fg fotbollsskor. In addition,NIKE herr Legend 8 Academy Fg/Mg Futsalsko-Base damer/män säkerhet halvsko B496 "AIR" S1P SRC.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Helly Hansen Jpn Rain regnjacka herrar.^{Superfit pojkar Luke Sneaker,SEAH Galax zodiak skylt stenbocken begränsad utgåva 38 mm silverton tillverkad i schweizisk lyxig}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{MUSTANG män 4928-501-32 stövel,Columbia damer Powder Lite Mid Puder mitten}Reticular depigmentation was not observed in our case series.SALOMON herrskor X höjning Gtx vandring, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar) pattern (SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning), 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,Froddo unisex barn G3110168 Child Fashion Boot. Blue-white veil may be found in melanosis,Tommy Jeans herr SLIM SCANTON SNSDK raka jeans.^{Scholl Professionell träskydd,FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm}As a result,G-STAR RAW herrar G-Bleid slim jeans-white veil should be excised or biopsed to rule out melanoma.

MAC Jeans Lennox Straight jeans för herrar. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor.LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300.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. Blue-Chaco Män Zcloud 2 Sport Sandal. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.icebreaker BF 200 legging kvinnor,LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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