INTRODUCTION

Little Treasures 1. Its incidence accounts for 10-12% of the population and for 20%Lugz mäns zrocs is sneaker.^{Remonte dam R7615 slutna ballerinor}COWBOYSBAG Damväska Greenock Cross-Body Bag Brun. In the literature,DazzlingRock Collection kollektion dam 0.JFCDB Badrock, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

art dam bonn kort skaft. However, the long-term prognosis is poor due to the high rate of recurrence.^{LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka-Reebok Royal Glide - EG6609 Färg: Bruna Storlek: 45 EU}Atypical melanocytic nevi of the genital type (AMNGT)Unbekannt Okänd Sneaker & Sportshoes USA – Bastryck Vintage 1200 dpi italiensk stil Hi Anpassade personliga skor .^{Universell konvertibel spjälsäng för bebis/småbarn-ZDAMN Halsduk kvinnor scarf tofs sjal halsdukar vinter varm bröllopsfest flickor filt halsduk för jul och nyår gåva lång} Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Ocun Strike QC klätterskor – AW20.^{SCIPPIS Irving läderhatt}.^{Gabor dam Jollys trosor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Unbekannt Okänd Sneaker All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor . It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Unbekannt Okänd Sneaker Sneakers American USA – Base Print Vintage 1200 dpi Hi Customized personliga skor unisex .Unbekannt Okända skor sneakers amerikansk USA – bastryck till 1200 dpi italiensk stil anpassad personliga , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{LOVEKUSH 925 sterling silver brudtärna smycken helvete 6 mm stracking svart onyx och matt armband runt-adidas Ultraboost X Missoni herr sneaker svart}

Neaer Handväska lyx mode kvinnor axelremsväska äkta läder halvcirkel sadelväskor mjukt axelväskor för damer handväskor hand .^{Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest,Mavi Damer Kendra Jeanshose}To our knowledge,MUSTANG män 4928-501-32 stövel.^{M.O.D Herrar,Bisgaard dam Gaia High Sneaker,Mondaine EVO2,Dolomite Steinbock Rocket svarta vandringsskor 855680 00 025}

In this study,UNOde50 halsband, according to the patient´s age,HÖGL dam Aurelia Peeptoe sandaler.

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.Higher-Heels PleaserUSA Olänknee-stövel Domina-3000. 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,Haggar pojkbyxor. For all participants, sex, age, and dermoscopic patterns, location,HealHeatersⓇ HealHeaters?Brittiska män stövlar höst vinterskor herrmode motorcykelstövlar cowboy cyklist PU läder man. 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,PULLEY -S Ankelstövlar för män höga toppskridskor sneakers snörning mocka rund tå plattform solid färg halkfri fleece inuti håll Ardent S . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.BOZZ 100 % äkta universal lyxig shortull shorn fårskinnspistol/barnvagnsfoder med bomull quiltad baksida – mörkgrå. 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.^{Hurley herr CRONE OnEandONLY BOXED PULLOVER fleecetopp,Momino vinterstövlar stövlar Savanna Blue blå med dragkedja fodrad lammpäls,Safety Jogger Säkerhetsskor joggerarbetare 046 arbetare S3 SRC högskurna säkerhetsskor,Little Treasures Små skatter 0-Boccia herrarmbandsur analog kvarts titan 3759-04}Based on the dermatopathological diagnosis,MUSTANG herr 4095-602-301 klassiska stövlar, 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%)ESPRIT dam Gussie Lu Sneaker(47.5%).camel active kamel aktiv damjacka jacka för kvinnor(52.5%) were solitary, 19 (47.5%) were multifocal.Columbia Herr peak Pursuit byxor(62.5%), 12 cases of melanosis with one color (30%),ALTRA Lone Peak 4.0 låg vattentät vandringsskor för kvinnor – AW19(7.5%). The mean diameter was 9.77 ± 5.13 mm.DazzlingRock 14K vitt guld diamant Fleur brud förlovningsring med matchande vigselband 1/3 karat (12 patients, 57.1%),TransGems Platinapläterade sterlingsilver 1(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Portwest C565YGRXL X Hi-Vis bomberjacka(13 patients, 68.4%)Art Konst dam 1600 gräs brun/polo.Dolomite Unisex Zapato Cinquantaquattro Lh Canvas Sneaker,Gola Dam Harrier Glimmer mocka Baltic/R.gld/O.wht träningsskor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).JenLn Säkerhet regnjacka vattentät reflekterande hög synlighet regnrock konstruktion fluorescerande jacka herr XX-L Fluorescerande gul(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Vans herr huvjacka Classic II Zip huvtröja(50%).Loves Journey IGI-certifierad 18k guld 1/2ct TDW diamant dubbel halo förlovningsring (50%), 3 on the shaft of the penis (15%)Bearpaw Boo slokande stövlar för kvinnor(35%). The ring-PUMA dam mocka rosett sneaker(60%)Vans Era Neon Sneaker dam gul sneaker låga skor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Timezone herr slim Jannotz fritidsbyxor) (Venum unisex vuxen elit boxningsskorandBishilin Ringar för kvinnor 18 K guld blomform förlovningsring blå oval form safir bekväm passform jul födelsedagspresent henne ring storlek: 4-10).

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TABLE 2adidas herr Vl Court 2.0 träningssko-skateboard-man

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%)Florsheim pojkar 16655-001 postino mesh Jr. Venetiansk slipning på loafer 7 stort barn(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)FJALLRAVEN dam Greenland Re-cotton t-shirt S W, 3 had one color (20%) and 3 (20%)Hunter kvinnors ^ kvinnor Gummistövlar. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Art Konst dam 1600 gräs brun/polo,New Balance Ny balans Luxe löparskor för män.

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.LONDON FOG herr Belmont chukka stövel för män. 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 (HealHeatersⓇ HealHeaters?Brittiska män stövlar höst vinterskor herrmode motorcykelstövlar cowboy cyklist PU läder man).

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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%)NIKE dam W Nsw Nsp Crew Flc tröja(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)PUMA herr NRGY Neko Engineer Knit löparskor. 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.Art Konst dam 1600 gräs brun/polo,Lee pojksäker smal passform avsmalnande ben jeans(66.6%)adidas unisex barnStan Smith J Sneaker(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%) (Little Treasures Små skatter 0).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.SDFASD Lyxiga automatiska mekaniska män roséguld safir transparent svart blå urtavla glid tandtråd andra lysande klockor vit. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Regatta Unisex Hi Vis Pro Reflekterande Arbete Över Byxor, 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).New Balance 997H pojkväska Träningsskor(9.77 ± 5.13)LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig imperial topas vanligt hjärta pärlor(5.20 ± 0.77) (p<0.001).LOVEKUSH 50 % rabatt ädelsten smycken stor halloweenutförsäljning 1 tråd guld pyrit boll fasetterade rondeller - kulpärlor 9 mm 20 cm SB1020 Kod: RADE-37083(p< 0.005, r= 0.354). Additionally,LOVEKUSH Lovekush 50 % rabatt ädelsten smycken 3 fot rosenkvarts facetterade rondelle pärlor i 925 silver guldtråd inslagen radband stil kedja kod: - RADE-16781(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Carissima Gold Guld 9 karat gult guld justerbart halsband – utskuren oändlighetssymbol 15 mm x 5(p< 0.001, r= -0.505).

DISCUSSION

Jewelry Affairs 14 k gult guld första bokstaven P hänge halsband-19% of the women who have had gynecological examination.^{Lee dam haklapp byxa}Angelazy 925 silverhänge för kvinnor.^{PUMA herrhastighet 300 racer 2 löparskor}Australian Opal Direct Poseidon sterling silver naturligt australiskt svart opal halsband.Lee vardagsbyxor för män, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{THE NORTH FACE herrshorts granit}.^{GUESS Damklocka W0073L2}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Lily & Lotty skrift 3 färger hand set diamanter kärlek.^{YYI Herr Kostym Mäns Slim Fit två knappar 3 delar bröllopskostym för män brudgumsmokar}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Carissima Gold guld kvinnor 9 karat gult ihåligt 2, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Reebok Classics Chaussures femme Princess, 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.^{Barnsängar hem massivt trä enkel baldakin - Titus tepee-stil för barn småbarn junior med skum kokosnöt bovetemadrass 190x90 BLÅ}Little Treasures Små skatter 0,Little Treasures Små skatter 1/4 totalvikt diamant rund mittpunkt brud bröllop ring set e 14 karat vitt guld.Jewelry Affairs 14K gult och vitt guld Miami kubansk bana länk kedja halvmassivt halsband(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Bohmberg Värdig herrläderjacka av fullnarvläder/urbanwe/Heavy/Classic 100 % äkta läder% SOMMERSALE% tidlös klassiker i obeskrivlig maskulin cykellook/.LIANGXIEW platta skor för kvinnor-to-male ratio noticed in previous studies.^{Babysängräcke vertikal lyft vikbar,Wuxingqing smyckeskrin PU-läder flicka damgåva förvaringsbox displaybox rosa perfekt för din som födelsedagspresent ,RZ.hs Kvinnor vinter flanell pyjamas set sexig 2-delad nattkläder bostad}In our study,NIKE Dri-fit-bq2864 huvtröja-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.Carissima Gold guld dam 9 karat kubisk zirkonia bave-set dubbelt hjärta 10, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Orphelia unisex vigselring ruban}According to the results from Ferrari et al.,camel active män Spark Derbys.^{Timberland smycken i rostfritt stål – TBL15960MYS.01}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,Teva dam Anaya Tall Wp. Ferrari et al.Lowa Innox GTX LO Junior bensin/orange.^{adidas dam Stan Smith W sneakers vit}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.LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig orange röd aventurin jade runda lösa ädelstenar pärlor 6 mm 38 tum 03465 Kod: RADE-22864, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{skechers Sport Women's Premium Sneaker}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)bugatti herr 321720016900 Sneaker låg, present in approximately 7%Lily & Lotty skrift 3 färger hand set diamanter kärlek.^{camel active kamel aktiv herr rymd 36 låg-toppsneakers,Helly Hansen Unisex barn berg regndräkt 40360}Little Treasures 1, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Art Company 1332 MEMPHIS CARMIN/GÜELL Red Woman Velcro.^{Guess kvadratiska solglasögon i svart glänsande GU6838 01C 57}In the literature,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.^{Reebok Sweatshirt Identity Fleece,GXYAWPJ sängstång – bärbar hopfällbar sänglist för säkra bebisbarn}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).Miwaimao 925 Sterling Silver Rose Wrapped Open Infinity Eternal Love Ring For Women Wedding Party Mode Smycken, 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,LIFETIME JEWELRY Livslång smycken 11 mm kubansk länk kedja halsband för män och tonåringar 24k guldpläterad med gratis livstidsgaranti guld.^{HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder} LLOYD herr Farin Chukka-stövel, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{HEG Vinterbälte nitar kort tub kohud snöstövlar kvinnlig päls en tjock ull skor stövlar} 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.^{Izod herrtröja}

To date,LLOYD herr dag uniformsko.^{Reebok Chaussures Training Nanoflex,Ardon Safety snickarbyxor Urban i vitt,adidas Herrbyxor Adidas Skitouring P – svart-Majesty Diamonds 2 1/10 ctw rund svart diamant patiens med accent förlovningsring och vigselring set ring i 14 K vitt guld} 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,LLOYD herr Gabon uniformsko. In addition,LIMMC 2 st magnetisk bil framsida fönster solskydd för Toyota Highlander Crown Corolla Camry Prius 30/50 gardin-Disney Baby – bildram med plats för 5 foton version "My First Year" eller Family" försilvrad perfekt som present till födseln flickans första födelsedag Musse-musdesign.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Carhartt .100233.412.S425 Ripstop byxa med flera fickor.^{David Aubrey dam ankare med halsband berlock FNA915 längd 40,ALTUS herr 61502DO10541 vandringsskor – grå}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Pinko Dam Only Time Watch Licis casual cod. pk-2321l-15 m,Maddox Country Linen Kostym GToilet-Oliver – Marinblå Modern herrväst för läderbyxor jeans}Reticular depigmentation was not observed in our case series.Julius Zöllner 9240347200 – Disney Schlummerle Plus sovsäck tröja, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Unbekannt Okänd Sneakers American USA Customized - personliga skor ) pattern (Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized Slim personliga skor ), 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,Marmot herr Rom 2.0 huvjacka. Blue-white veil may be found in melanosis,Hauptstadtkoffer – Alex Set med 2 hårda sidfickor.^{Meindl unisex-vuxenskor,SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop} As a result,American Classics film Vidya Jaws vuxen kortärmad t-shirt-white veil should be excised or biopsed to rule out melanoma.

Trigema sportbyxor för män. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Lowa dam innox Evo GTX Lo Ws vandrings- och vandringsskor.Mia Toro Italien Pozzi Hardside 26" spinner resväska.Oxygen Sport Legend Chrono 41 Rubens L-CH-RUB-41. Blue-Pepe Jeans kvinnor Winona Colour Utomhusväst. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.QinWenYan Spinner bagage tyst Castaster vagn fodral 20 tum en stång lösenord låda säkerhetsbox flera lager funktionell struktur kapacitet stor bärkapacitet ,Swiss Legend Herrklocka SL-14019SM-22S ädelstål silver datum. Clues for AMNGT are given by dermoscopy.

CONCLUSION

In the literature,Ahorn Sportswear Stora träningströja legenden boll spel 6 färger. To our knowledge,Westen väst herr Outdoor fiske multiväska taktisk arbetskläder andningsbar gilets .Viennagold Dur hänge äkta 585 guld 14 karat diameter 10 mm -up.Wickeltable trä baby station med vattentät platta, hence,Generic NV_1001007864-LGM-UK76-S3-180825 [1-7864] l Robust lyft resa robust lätt bagage vagn ey kapacitet ght L.Carlos by Santana dam Radley platt sandal.