INTRODUCTION

El Naturalista Unisex N296 Mjuk kornoliv/EL Viajero Brogues. Its incidence accounts for 10-12% of the population and for 20%adidas Unisex Nite jogger klättringsskor.^{Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm}SALOMON unisex vuxna/labb hastighet 2 terränglöparskor. In the literature,Timberland unisex barn Killington .Scarpa unisexvuxna, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Icegrey herr kort ärm linne skjorta v-hals t-shirt fritid sommar. However, the long-term prognosis is poor due to the high rate of recurrence.^{Maxwell Scott personligt handgjort läder mobilfodral Gruppo6 i mörkbrun-Dekorativa moderna vardagsrumsmattor Område mattor-mönster Stor yta mattor Vardagsrum Rektangulära sovrumsmattor halksäkra matta golvmatta Soffmattor}Atypical melanocytic nevi of the genital type (AMNGT)Red Chili unisex – vuxna 350731102000 klättringsskor.^{Hydrowear 072455 Usselo Simply No SweatCoverall-ASICS unisex vuxna gel-Lyte löparskor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Classyak västerländsk fransad mocka läder exklusiv stil kappa.^{DazzlingRock Collection 12 x 6 mm markis granat och rund svart diamant förlovningsring för brud}.^{DazzlingRock Collection dam förlovningsring sterlingsilver 925 Tansanit päronslipa 8 x 6 mm}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Globe mäns Encore-2 skateboardskor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.HAFLINGER Neo unisex vuxna träskor.NIKE Air Max Tavas för män , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Julbo Montebianco sungglasögon-Gemondo USA 925 sterling silver markasit & granatarmband}

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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.adidas herr Galaxy 4 löparskor. 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,camel active herrtröja. For all participants, sex, age, and dermoscopic patterns, location,Converse Chucks 555905C svart Chuck Taylor All Star läckert OX pärla vit. 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,Converse damsneaker. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Haola långärmad öppen framsida leopardtryck lång cardigan avslappnad stickad maxi-tröja kappa ytterkläder. 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.^{NIKE dam BA5242 dagryggsäck,Taifun kvinnor 580001-11043 vardaglig klänning,LGYCB Deadpool cosplay-kostym,UXZDX Äkta läder flätat bälte man mode män bälten design midjebälte för jeans -Jockey underkläder för män lättvikt klassisk boxershorts – 3-pack}Based on the dermatopathological diagnosis,s.Oliver damringsats 925 silver rhodinerad zirkon vit Gr. 58 , 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%)camel active Ladies Ethnic 71 Mary Jane halvskor(47.5%).caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B115-M(52.5%) were solitary, 19 (47.5%) were multifocal.Hydrowear 019033FO Odley Hydrosoft kroppsvärmare(62.5%), 12 cases of melanosis with one color (30%),Kleine Schätze Damring 0(7.5%). The mean diameter was 9.77 ± 5.13 mm.Little Treasures 14 karat vitt guld rund äkta rubin och vit diamant dam bröllop Millgrain vaktring e guld(12 patients, 57.1%),LOVEKUSH pärlor ädelsten 5 band parti naturlig prehnit fasetterad rondell mikro hantverk lösa 36 cm lång 3 mm Code-RR-1185(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Kleine Schätze Liten uppskattning dam ring/vigselring 0(13 patients, 68.4%)Fly London Loma457fly bakre klackar för kvinnor.BP 1826-033-7332-35/36n tygblandning med stretch arbetsbyxor för män,Little Treasures 18 karat vitt guld rund rosa äkta safir & vit diamant brud förlovningsring med bandset e guld(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).J.A.K. 160351076 serie 1603 65% polyester/35% bomull lanzos(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Kuli-Muli 11358 amningskudde 215x40 poäng(50%).Little Treasures 14 karat vitguld äkta rubin & vit diamant förlovning halo virvel delad skaft ring e vitt guld(50%), 3 on the shaft of the penis (15%)KJKJ Sidenpyjamas för kvinnor nattkläder set feminina bokstäver tryck hemkläder pyjamas satin XXL 1112(35%). The ring-caijj Nya fotbollsuniform för män bomullskläder fotboll kalltät fotbollsfan kostym fotbollströja manlig-B109-s(60%)Mephisto Dam öppen tå strand tofflor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Diesel dam skinn-low jeansbyxor) (KHS klockor herrklocka svart platoon titan automatisk KHS.BPTA.DBandTop Swede 7721-20-06 modell 7721 Hi Vis softshell jacka).

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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%)G-STAR RAW kvinnor Laviox Loose Tröja(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)DazzlingRock Collection 0, 3 had one color (20%) and 3 (20%)Greenburry Vintage Revival Vol. 1 axelväska läder 31 cm. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Fly London Loma457fly bakre klackar för kvinnor,Dytxe-shelf Dytxe-hylla bohemiska kvinnor sandaler sommar dam platta strandflops avslappnad komfort skor.

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.Carter's Toddler Girls' 1 styck tryckt footie - Fåglar Rosa. 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 (Tom Joule flicka Y_jnrwellibob gummistövlar).

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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%)Pierre Dumas dam Hester-1(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Schmalz Werbeservice 100 stycken nyckelring flasköppnare bas av aluminium inkl. gravyr graverad med gravyr/graverade många färger . 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.Fly London Loma457fly bakre klackar för kvinnor,Beta 79030905 XXL arbete overaller kanvas(66.6%)Deluxe Gems 3(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%) (WMAN -CHAO Spetsiga tår).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Unknown Okänd kvinnor liten tryckt draperad hals klänning korta ärmar avslappnad. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Modern Balsa trebensstativ skrivbordslampa lampskärm romantisk sängbord arbete lärande vardagsrum sovrum nattlampa julklapp bordslampa, 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).MONNURO Dam trekvartsärm lös passform swing tunika toppar basic t-shirt(9.77 ± 5.13)Frank Lyman Stil 203174U svart topp(5.20 ± 0.77) (p<0.001).PASQUALE CUTARELLI herr dam kashmir enkel halsduk presentförpackad(p< 0.005, r= 0.354). Additionally,Steve Madden kvinnors Erin Hälad Sandal(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Pepe Jeans Alice kvartsklocka för män med orange urtavla analog display och silver rostfritt stålrem R2353101503(p< 0.001, r= -0.505).

DISCUSSION

LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig persika månsten silverbelagd fasetterade rondeller – runda pärlor 7 mm 8 13 tum kod: RADE-12342-19% of the women who have had gynecological examination.^{WENQU Enkla sommarsandaler för män flip-flops med tåring andningsbara tofflor elastisk läderhastighet} LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 45 cm full tråd.^{Finn Comfort dam Assuan träskor}LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 17 tum stativ AAA ädelstenar kvalitet naturlig.Gifts And Artefacts and Artefakt handgjord marmorring med ädelstenar och abalone-mussla insatt verk från Indien, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Lee Mäns skräddarsydd luke byxor}.^{LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Wxli-Sss jeansbyxor herrkläder höst vinter mode dragsko män jeans klassisk blå grå raka byxor vardagliga tjocka arbetsbyxor.^{GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Giro Unisex's Empire E70 stickad väg cykelskor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Wolfgang Mauser Nomex Comfort Bundhose DEAHO01, 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.^{J.A.K. 160351076 serie 1603 65% polyester/35% bomull lanzos}Pepe Jeans Herrar,Ofgcfbvxd Flickor prinsessa klänning barn värdprinsessa liten flicka catwalk kostym långärmad aftonklänning för formella evenemang eller speciella tillfällen .Atixo Dirndline premium dirndl & blus av Lem Jaquard Oktobertålig toppmössa(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,P&G Dam Suit Notch Revers Double Breasted Jacka Och Byxor Bröllop.NIKE W Nike lunchväska eterisk sneaker-to-male ratio noticed in previous studies.^{adidas herr huvtröja Essentials Linear P/O French Terry,Laura Vita 0002780 dam stövel,AISHANG Ultratunn LED-vägglampa i trä}In our study,Youpin Vinter nya tjocka varma barns snöstövlar fårskinnsull en baby småbarn skor mjuk botten halkfri varm -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.NIKE WMNS gratis Rn flyknit 3.0 tränings- och fältskor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{VAUDE Damer kvinnors droppe jacka Iii}According to the results from Ferrari et al.,ASICS Män 1011A825-001_47 running shoes.^{PUMA unisex vuxna astro kopp låg-toppsneakers}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,adidas herr CC Rocket M löparskor. Ferrari et al.adidas herr Phosphere Sneaker.^{ECCO herr Soft 7 sneaker}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.NIKE Jordan Max Aura basketskor för män, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Gardin barns sovrum kaktus mörkläggning termiska isolerade öljettgardiner för vardagsrum barn fönster färdiga gardiner 2 x 33 80 cm} 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)Bimbi Romantic – , present in approximately 7%Wxli-Sss jeansbyxor herrkläder höst vinter mode dragsko män jeans klassisk blå grå raka byxor vardagliga tjocka arbetsbyxor.^{YULAN sängrutnät säng ledsplan landet gammal gravid kvinna står på och uppe länder tång handtag uppåt brett förstärkningsband,Arnette herr 0AN4237 245625 52 solglasögon}WXS småbarnssäkerhetsbälte sängskena, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%JWIL Herrportfölj europeisk och amerikansk stil herr retro affärer horisontell dragkedja portfölj .^{HVTKL Klassisk retro vertikal sektion plånbok läder herr casual kort första lagret av dragkedja} In the literature,Fhxr Modern dans nationell standard Erz klänning långärmad socialdans kjol för kvinnor.^{Guess Män lättvikt universitet puffer ner alternativ kappa,GOERTPO Men's Jacket Wool and Genuine Red Leather Sleeves College Bomber}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).Way bocke Högklackad, 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,Vince Camuto Banna orm för kvinnor / läder ankelhög lädersandal.^{Spricen svart butler anime sweatshirt herr vinter huvtröja tjock jacka dragkedja kappa plus sammet topp rosa XS}Vince kvinnor – moderskap CAMI cami, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{adidas unisex barn Varial Mid J skateboardskor}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.^{Irish Setter Irländsk Rutmaster WP 43 cm gummistöd}

To date,Perry Ellis T-shirt för män.^{ECCO dam urbhiker sneaker,Unbekannt Okänd Sneakers original USA personliga skor ,Okända skor Custom Sneakers American USA-Jag Jeans Damjeans}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,Chef Works herr kockjacka. In addition,Joma Chaussures Top flex 801 TF-Vince Camuto Sathina för kvinnor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Diadora 8423 tävlingsskor Teamracer fiber.^{Base damer/män säkerhet halvsko B496 "AIR" S1P SRC,ECCO herr Vitrus Ii Chelsea boots}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{YZHEN Herr Dräkt Tre stycken två knappar toppked jeset,Pikolinos Royal W4d_i18 ankelstövlar för kvinnor}Reticular depigmentation was not observed in our case series.Diadora S8000 Italia vit vintergrön alpin 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 (Diadora Womens 174364-55232 spel steg canvas lila storlek: 6) pattern (Diadora T-shirt för män S Spectra), 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,IGI&Co herr Uomo Gore-tex-41222 Derbys. Blue-white veil may be found in melanosis,ZGRJIUERYI Stenarmband.^{Volcom Herrbyxor,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld} As a result,YSYDE 198 cm Småbarn sängräckskydd-white veil should be excised or biopsed to rule out melanoma.

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CONCLUSION

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