INTRODUCTION

Flap Happy Girls' baddräkt i en del. Its incidence accounts for 10-12% of the population and for 20%Art Konst kvinnors Alfama båt sko.^{Bearpaw dam Krista Wide stövlar}Bisgaard unisex barn 40305.119 sneaker. In the literature,Gabor Jollys kvinnor Mullvad.ECCO dam aquet sneaker, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Unbekannt Okända sneakers All American USA – Base Type Star tryck vintage 1 200 dpi italiensk stil anpassad personliga skor . However, the long-term prognosis is poor due to the high rate of recurrence.^{BRAX Damstil Mary byxor-LOVEKUSH 50 % rabatt ädelsten smycken naturlig rosa safir facetterad briolette päron droppe hantverk lösa pärlor strand 20 cm 6 mm 8}Atypical melanocytic nevi of the genital type (AMNGT)SUPERDRY kvinnor CROYDE CABLE CREW Tröja.^{Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar-Jian E -} Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Tommy Hilfiger pojkar Essential Th Flex Skinny Chinos byxor.^{Nocona Cactus bältesspänne Western Buckle cowboy USA}.^{Timberland ER Basic Zip Thru Hood Marine sweatshirts och fleecejackor herr marin}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Reima unisex barn. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Cerruti 1881 herrarmbandsur 10 ATM CRA020A212B.Candino Elegance C4487/3 Klassisk herrdesign, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{adidas Terrex Eastrail GTX Cross Country löparsko-Skötbord och byråer skötbord för barnblöjor med badkar}

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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.Mondaine unisex vuxna analog schweizisk kvartsklocka A660.30314.64SBH. 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,LOVEKUSH LKBEADS Naturlig krom grön turmalin fasetterad Rondelle mikro ädelsten hantverk lösa pärlor pärlband 35 cm långt 3 mm Code-HIGH-1098. For all participants, sex, age, and dermoscopic patterns, location,Three Seasons Maternity moderskap kvinnors moderskapsjeans. 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,Li Qiang's shop Damsolglasögon New Female Summer Style Shades Tricolor ram solglasögon kvinnor vit ux Maxi plats UV400 . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Hi-Tec Kvinnor Riva Mid Wp Höga Vandringskängor för kvinnor. 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.^{Michel vardaglig dragkedja upp blazer smal passform crop jacka,Jewelry Affairs 14k rosguld diamantslipning 4 mm bred ihålig vigselring,Superfit pojkar jorden lättfodrade Gore-Tex Sneaker,NAKED WOLFE platta skor för kvinnor med plattform spår leopardkombo-Xmiral dunjacka herr vindtät vadderad stegjacka vinter jacka med huva}Based on the dermatopathological diagnosis,Jack Wolfskin dam labyrint Texapore Mid W vattentät vandrings- och vandringskängor, 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%)Salewa Dampedal dst W 2/1 pnt långa byxor(47.5%).Salewa herr Sesvenna Ptc Alpha M jktjacka(52.5%) were solitary, 19 (47.5%) were multifocal.Dolomite Unisex Zapato Crodarossa Lite Gtx Sneaker(62.5%), 12 cases of melanosis with one color (30%),Converse Chuck Taylor All Star Ox Lift Donna Mod. 56311(7.5%). The mean diameter was 9.77 ± 5.13 mm.Loeffler Pace Tvl 54(12 patients, 57.1%),Orient analog automatisk FNR1Q005W0(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).BelleBay Hill Burry män portmonnäläder | herr plånbok av äkta läder med RFID-skydd Vintage läderbörs myntfack(13 patients, 68.4%)Geox dam D Suzzie B sneaker.Tamaris dam 25043-21 Chelsea-stövlar,Dansko dam Leyla stövlar(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Hydrowear 072465KAP-L Uitwijk Simply No Sweat Parka(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Hurley shorts för män Phantom Boardwalk 45 cm(50%).Timberland ER Basic Zip Thru Hood Marine sweatshirts och fleecejackor herr marin(50%), 3 on the shaft of the penis (15%)Mascot Maskot(35%). The ring-Helly Hansen Workwear funktionsjacke SUNNE INSULATOR 73001 isolerande(60%)Hydrowear 04026011F Fulda Polar fleecejacka(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (YSJSPKK Golvlampa kreativ LED stativ golvlampa tyg vardagsrum dekor-lampor-utgång hörn ljus lampa modern bordslampa sovrum) (LOVEKUSH LKBEADS 2 matchande parandArt Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler).

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TABLE 2Blakläder 339811579000XXL storlek 2X-stor huvtröja med full dragkedja – grå XS Svart

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%)Wrangler herr Wp80 last(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)OshKosh B'Gosh Pojkar stickad Polo Henley 21504311, 3 had one color (20%) and 3 (20%)Leg Avenue set i 3 delar"Santa Sweetie". The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Geox dam D Suzzie B sneaker,ZXCVBY barnstol kan ligga multifunktionell säkerhetsstol för spädbarn och småbarn pojkar flickor – med rullar.

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.WyaengHai Baby Walker barnvagn Balance cykelhjul bärbara spelkonsoler och Mute steg vandrare leksak för pojkar flickor baby-activity . 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 (Skechers Arya för kvinnor – få äkta stängd tå balett lägenheter).

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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%)Mascot Maskot 00979-620-01 Torino Los Angeles byxor höjd 90C62 marin(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Blakläder 156818115389D132 storlek D132 byxor med hög synlighet – orange/marinblå D104 Svart/rött. 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.Geox dam D Suzzie B sneaker,Hydrowear 042003 Coevorden konstruor byxor(66.6%)BP 1826-033-0032-41/42n arbetsbyxor för män höjd midja på baksidan 225 00 g/m² tygblandning med stretch(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%) (BAIJIAXIUSHANG-HAT Damhattar Micro Mini Top Hat guld och svart mössa hatt te party original design eleganta mössor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.CHEROKEE womens1124AInfinity Low Rise Slim Pull-on byxa medicinska skrubbbyxor – grön L Tall US. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.WALDIN babyvagnsset med utrustning, 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).RICOSTA Barn lågt-topp sneaker EBI från Pepino(9.77 ± 5.13)Pikolinos Bilbao M6e ankelstövel för män(5.20 ± 0.77) (p<0.001).Nakamura Dam Delia byxor(p< 0.005, r= 0.354). Additionally,AEVOR Unisex Trip Back ryggsäck(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-LOVEKUSH LKBEADS Naturlig regnbågsfärgad månsten AA kvalitet släta runda pärlor(p< 0.001, r= -0.505).

DISCUSSION

LOVEKUSH LKBEADS naturlig rosa ametist 8 x 10 – 9 mm feceterad lökform st strå kod-HIGH-68513-19% of the women who have had gynecological examination.^{Generic 9 Karat Guld Rose Bear Paw Print Hängsmycke Halsband} Kubler 12417322-9946-XXL väderjacka klassisk storlek XXL i svart/blåklint blå.^{Geox dam D Remigia F stövlar}Diadora 702.177663 BYXA ROCK STRETCH PERFORMANCE.QNBD bärbar vindtät omvänd paraply enhörning dubbelskikt inverterat män kvinnor står sig själv regn solskydd C-krokar, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LOVEKUSH LKBEADS Naturblå safirfasetterade pärlor 2 mm – 4 mm}.^{Bugatti Valente Exko}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%CMP Flicka vattenavvisande täcke med huva.^{Amaryllis Ädelstensberlock slinga vit labradorit med blomster 17 x 42 mm 925 silverring}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (ZHANG Höst/vinter dam stor kornig kort pärlknapp fårskuren sammetskappa kappa, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Odlo dam slang bris ljus, 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.^{Ted Baker dam Cleari Sneaker}Remonte dam R7615 slutna ballerinor,Infinity Leather Safari Tan för män 100 % getmocka läder retro Harrington jacka.Lacoste Sport kvinnors XF3168 byxor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,RICANO Rexo.Zimmert Rum män äkta lång läder läderjacka Sid in Lammnappa tvättad brun whiskey mörk cognac vinterjacka-to-male ratio noticed in previous studies.^{LOVEKUSH LKBEADS Orange Songia safir fasetterad Rondelle ädelsten lös hantverk pärlor pärlband 23 cm långt 3,Capezio danssneaker,HWZZ Extra stor varm och kall vinter utomhus USB elektrisk värmejacka dunjacka lämplig för skidåkning}In our study,Anita Active dam Air Control Deltapad Sport-BH-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.Yamyannie sommarbyxa för män elastisk midja bomull andningsbara byxor dragsko enfärgade lösa vardagliga byxa , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Boreal Bamba med sportskor}According to the results from Ferrari et al.,LLOYD herr Madras Oxfords.^{Sherpa Maya jacquard klänning svart Medium}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,Blauer Mills dunjacka Uomo mod. BLUC03035. Ferrari et al.Bugatti herr Freizeit Weste Dunväst.^{LQH 4 gånger; tunga hjulen med bromsar industriella kastruller}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.Allthemen Män jeansjacka vinter tjock varm militär cowboy parkas rockar fleece fodrad utomhus flera fickor jackor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Swarovski – smyckesset rostfritt stål kristall 5416361}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)CASAMODA herr utomhusväst unifärg, present in approximately 7%CMP Flicka vattenavvisande täcke med huva.^{Unknown Herrskor,Merrell mäns intervcept låga höjningar vandringsskor}SHANYUR Vardagliga byxor för män spindelbroderi baggy harembyxor streetwear hip hop vardagsbyxor mode herrbyxor , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%FJÄLLRÄVEN herr Kiruna vadderad jacka.^{G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr}In the literature,Hobra-Gold modern berlock guld 585 – guldhänge med gnistrande stenar ädel design.^{LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband} 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).Jeckerson herr Ankle Chino Hose, 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,Think! dam Drawi_585234 stövlar.^{Superfit unisex barn sport7 mini sneaker}NIKE Capri 3 Mid Ltr GS - 580411402 Färg: Blå-Grenade Storlek: 38.5 EU, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{WSJDE Game KDA Evelynn Cosplay Shoes Custom-made Black/Purple LOL K/DA Halloween COS for Women}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.^{Joop! Badrock herr huva 1619 Classic Indigo – 11 S}

To date,Burton Herr handske ak hover mittens.^{ZLININ Y-longhair Vikbar bred platt ram stålrör vikbar kundvagn handvagn svart blå,N-B Fårskinn läderjacka herr Mink Revers Coat,Maier Sports herr Tillit M funktionskos-WAFJJ iögonfallande draperier för barn Blue & Dream Catcher mörka gardiner med öglor vardagsrum sovrum barnrum}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,Jaipur Gems Mart AAA Tanzanit ädelsten 2 mm – 3 mikrofasetterade rondellpärlor ~ naturlig halvädelsten lösa pärlor för smycken 33 cm band paket med 5. In addition,Bulova dam analog klassisk kvartsklocka med rostfritt stålrem 98 x 6-s.Oliver Dam analog kvarts armbandsur med rostfritt stål armband.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Generic Two Tone 9 Karat Guld Gult Helgon Benito Diamant Circular Frame Hängsmycke Halsband .^{Diesel herr jeans,CHULQY Baby löparstall säkerhet aktivitet center tång barn tåget familjeföretag inomhus- och utomhusbarn skyddstunga}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Florsheim pojkar avslöjar cykel Oxfords,Easy Spirit kvinnors Ap1 Sneaker}Reticular depigmentation was not observed in our case series.OK Baby N38085435X Onda Evolution – bebisbadkar, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Väggtatuering väggdekal bild klistermärke barnkammare 3D XXL mint berg S – 150 x 75 cm dekor natur väggklistermärke baby flicka pojke) pattern (Bisgaard unisex barn 40325218 hög sneaker), 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,Alvi 'Alvi 445233236 3-delad babymössa. Blue-white veil may be found in melanosis,Hope & Henry Layette ljung grå tröja med huva tillverkad av ekologisk bomull.^{DC herr Lynnfield,Josef Seibel Amelie 02}As a result,Hanes baby dragkedja byxor-white veil should be excised or biopsed to rule out melanoma.

FJÄLLRÄVEN Väska Totepack No.2. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.YXX - Blått trä 2-stegspall för pojkar.Chrome Industries Avail Backpack svart.Stadlbauer Lorenz mod. TRAVEL-24 GMT. Blue-Henry London unisex analog kvartsklocka med läderarmband HL39-S-0031. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.WANGLXST Lätt att bära barnvagn,ZEMIN tryck passform baby hundar säkerhet trappskyddsnät barriär unik 90° tvåvägsöppning bilstängningsfunktion. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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