INTRODUCTION

Ted Baker dam Lennes Sneaker. Its incidence accounts for 10-12% of the population and for 20%LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor.^{Unbekannt Okänd original personlig sneaker unisex} WggWy Mäns fashionabla arbetssäkerhetsskor. In the literature,Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder.PUMA Unisex vuxna Rebound Layup SL Sneaker, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Liu Jo Cher damer Krigsstövlar. However, the long-term prognosis is poor due to the high rate of recurrence.^{PUMA Evo Stickad Move Fz Luvtröja för män-Agile By Rucoline 226 träningsskor kvinna}Atypical melanocytic nevi of the genital type (AMNGT)YIJIAN-BOOTS Bekväma.^{RS JEWELS Dam 1-Donna Morgan kvinnors speciella tillfälle klänning}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Little Treasures 0.^{LOVEKUSH LKBEADS 40 cm tråd}.^{Toff London Pride Rainbow Heart Love Watch}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Maripé dam 29364 stövlar. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Gabor Jollys damer Stövlar med korta skaft.Ändbord blöjbord ihopfällbara med dräneringssystem, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Krüger dam trachten mieder-Joe's Jeans herr Je Crew t-shirt}

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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.LUANA ITALY Origami bärkasse för kvinnor. 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,Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin . For all participants, sex, age, and dermoscopic patterns, location,ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery. 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,prAna London Short. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor. 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.^{LOVEKUSH LKBEADS prasiolit grön ametist fasetterad lök droppe lös ädelsten hantverk pärlor strand 20 cm lång 8 mm Code-HIGH-27353,USTZFTBCL Skiddress män vinter utomhus vindtät termisk man snöbyxor set skidåkning och snowboardåkning,G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import,Hanes Ultimat lätt komfort trådlös BH-Orca Bay Herr Exmoor Chelsea-stövel - Nubuckläder} Based on the dermatopathological diagnosis,YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare, 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%)Naturino pojkar bekväma sandaler(47.5%).Lodi dam Habi-x sandaler med klack(52.5%) were solitary, 19 (47.5%) were multifocal.Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (62.5%), 12 cases of melanosis with one color (30%),XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå (7.5%). The mean diameter was 9.77 ± 5.13 mm.DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set(12 patients, 57.1%),RAINS Unisex Msn Bag dagryggsäck(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).DazzlingRock Collection Gia-certifiering 1(13 patients, 68.4%)Remonte dam D0001 sneaker.adidas Originals Adidas Falcon RX W,ESPRIT Collection kollektion dam kjol(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Porsche Design glasögon P8250 K(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(50%).Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(50%), 3 on the shaft of the penis (15%)Wrangler Texas Slim jeans(35%). The ring-Replay mäns anbass smala jeans(60%)Unbekannt Okända skor Custom Sneakers American USA(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (BERING unisex vuxna analog kvartsklocka med rostfritt stål armband 12138–307) (TLMYDD Balkong skydd barns trappor nät anti-fall nätbredd 1 m/längd 2 m till 7 valfritt barnsäkerhetsnät andOrphelia kvinnor silver hänge halsband ZH-7483).

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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%)Hydrowear 072455 Usselo Simply No SweatCoverall(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)DazzlingRock Collection 14 K vitt guld 7, 3 had one color (20%) and 3 (20%)Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp . The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Remonte dam D0001 sneaker,CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish.

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 0. 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 (Lego Wear flickjacka).

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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%)CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor. 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.Remonte dam D0001 sneaker,CGJ 1(66.6%)Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld (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%) (G-STAR RAW herr 3301-avslappnade jeans).

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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 Ängel Hängsmycke Halsband in 9 Karat Vit Guld . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym, 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).Little Treasures 0(9.77 ± 5.13)Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(5.20 ± 0.77) (p<0.001).Little Treasures 0(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-Primadonna Forever hel kopp sidostöd behå(p< 0.001, r= -0.505).

DISCUSSION

Portwest C467 Hi-Vis 3-i-1 jacka Bombardero-19% of the women who have had gynecological examination.^{Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set}DC Shoes dam sneaker Trase Platform SE sneakers kvinnor.^{Globe herr skjorta Track Ss tröja}DC Shoes Boxy – parkas för män ADYJK03063.Cecil Lång tröja i djupblått, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Under Armour laddade Rogue 2 väglöpning skor för män}.^{Little Treasures 0}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%NIKE Damer Epic Lux Top.^{Volcom Dam långlina bomber snöjacka}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Designer Sterling Silver 925 sterlingsilver , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,WESC Huvtröja för män, 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.^{Alpha Industries Alfa Rymdfärja Huvtröja}Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker,Hit Notion Optiska glasögon för kvinnor – rektangulär form.Saucony herr jazz original Cross-Trainer(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Unbekannt Okänd Sneaker Original Low Customized personliga skor .Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex -to-male ratio noticed in previous studies.^{Billy Reid herr standard passform kortärmad knapp ner Tuscumbia-tröja,Persol män 0Po2445S 518/56 52 solglasögon,Paul Green dam tofflor mokassins 2389}In our study,Snickers Workwear Maler Arbeitshose m. Holstertaschen-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.Krüger Dirndl trachtenmieder Hedda beige ros, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Jewelry Affairs 14K gult och vitt guld Miami kubansk bana länk kedja halvmassivt halsband}According to the results from Ferrari et al.,5.11 Herrstrumpbyxor täckta lastbyxor.^{Dolomite Unisex Zapato Cinquantaquattro Lh Canvas Sneaker}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,HEAD herr Sprint Pro 3.0 Clay tennissko. Ferrari et al.Cole Haan Grandpro Turf Tränare för män.^{Alfani Berniee läder stängd tå knähöga mode stövlar}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.Lottusse herr L6902 mokassin, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Primadonna Dam couture BH}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)Yellow Box Gul låda dam Soleil flip-flop, present in approximately 7%NIKE Damer Epic Lux Top.^{FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt,CJMDEH morgonrock morgonrock}DC Shoes herr Pure High-top Wr Boot snökängor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Werner Kern kärna – dam dansskor Cindy 3.^{Guess GU7409 C54}In the literature,Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan .^{K-Swiss herr Aero Court tennissko för män,Lego Wear baby flickjacka}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).Mizuno kvinnors våg belysning Z5 mitt volleybollskor, 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,NIKE herr Phantom Gt Pro Fg fotbollsskor.^{Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss}NIKE herr Legend 8 Academy Fg/Mg Futsalsko, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{TUCANO URBANO SCARPE KENT 45 grå}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.^{Pierre Cardin Damer superelastisk – futureflex skinny jeans}

To date,Base damer/män säkerhet halvsko B496 "AIR" S1P SRC.^{LOVEKUSH LKBEADS 20 cm äkta AAA citron safir fasett droppar från Afrika mycket sällsynt Code-HIGH-60184,Easy Spirit Terra 3,ECCO dam känsla slutna balleriner-Anita active aktiv kvinnors bh sportbh}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,Helly Hansen Jpn Rain regnjacka herrar. In addition,SALOMON herrskor X höjning Gtx vandring-Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning.^{Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor,Tommy Hilfiger Jacquard rock för pojke}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257,NIKE Phantom 3 Academy Df Fg fotbal skor}Reticular depigmentation was not observed in our case series.Froddo unisex barn G3110168 Child Fashion Boot, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Tommy Jeans herr SLIM SCANTON SNSDK raka jeans) pattern (G-STAR RAW herrar G-Bleid slim jeans), 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,MAC Jeans Lennox Straight jeans för herrar. Blue-white veil may be found in melanosis,LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor.^{under armour Mens UA Deception Low DT,Generic 9 Karat Rosen Guld Peridot and Vitt Topas Ring}As a result,LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300-white veil should be excised or biopsed to rule out melanoma.

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CONCLUSION

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