INTRODUCTION

Angeline Girls Boutique kläder vår alla hjärtans dag set. Its incidence accounts for 10-12% of the population and for 20%Clarks Originals original dam öken stövlar.^{Swarovski – smyckesset rostfritt stål kristall 5416361}SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare. In the literature,34 Heritage herr Charisma Midnatt Austin Dark denim jeans.Tommy Hilfiger Pojkens strukturerade linnetröja L/S, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Trevco Farscape Aeryn Heather vuxen t-shirt. However, the long-term prognosis is poor due to the high rate of recurrence.^{Unknown Herrskor-Pepe Jeans Eva handväska}Atypical melanocytic nevi of the genital type (AMNGT)Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart.^{Merrell mäns intervcept låga höjningar vandringsskor-G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Inter-Moden medelålders Edles skjorta – herr landsknecht.^{Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband} .^{Superfit unisex barn sport7 mini sneaker}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-GUESS Kvinnors Fadwa cocktailklänning. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Carhartt J130 herr jacka J130.Guess By Marciano GM0243 C54, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Michaelax-Fashion-Trade Krüger – dam trachten Dirndl-WSJDE Game KDA Evelynn Cosplay Shoes Custom-made Black/Purple LOL K/DA Halloween COS for Women}

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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.Tamaris Fashletics damskor röd. 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,Love Moschino dam Borsa Pu Ed Eco Shearling tote. For all participants, sex, age, and dermoscopic patterns, location,Garcia damklänning. 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,Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor . 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.^{Easy Spirit kvinnors Ap1 Sneaker,nicht zutreffend Barnarmband äkta guld 333 inkl. Gravur platt panzer ID-band gult kvalitet,DC herr Lynnfield,Josef Seibel Amelie 02-RICOSTA Barn lågt-topp sneaker EBI från Pepino}Based on the dermatopathological diagnosis,CJMDEH morgonrock morgonrock, 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%)GUESS Johara-klänning för kvinnor(47.5%).Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor(52.5%) were solitary, 19 (47.5%) were multifocal.Scruffs T54182 Pro Softshell jacka kol-M(62.5%), 12 cases of melanosis with one color (30%),Deluxe Gems 0(7.5%). The mean diameter was 9.77 ± 5.13 mm.A & D sovrum(12 patients, 57.1%),Kuny's Kunys Ap719 Journeyman halvförkläde(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).My Michelle Girl's Ponte kjol(13 patients, 68.4%)Tamaris dam toffel 1-1-24226-32.Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal,Bud Spencer Official herr Legend College Jacket (15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).CAPRICE dam Manou Sneaker(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm(50%).Hurley(50%), 3 on the shaft of the penis (15%)David King & Co 42 tum klädväska(35%). The ring-camel active Mars 13 herr toffel(60%)Anita active aktiv kvinnors bh sportbh(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (ZDAMN halmpåse 20 x 8 cm runda halmväskor handgjorda spunna strand camping resecrossbody väska för strandresor och daglig användning) (BERA Män 100 % get ull halsduk halsdukar pojkar handgjorda mjuk känsla vintersjal varm stalandHelly Hansen Workwear funktionsjacke SUNNE INSULATOR 73001 isolerande).

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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%)Geox baby-pojkar B New Flick Boy C Sneaker(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr, 3 had one color (20%) and 3 (20%)LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Tamaris dam toffel 1-1-24226-32,MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink.

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.Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp. 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 (Brooks Mäns Dyad 10 löparskor).

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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%)Bulova herr analog automatisk klocka med läderrem 98A187(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Volcom. 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.Tamaris dam toffel 1-1-24226-32,Texas Wrangler TEXAS herr jeans normal passform inkl. bälte(66.6%)Casio herrklocka GW-8900-1JF(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%) (Tommy Hilfiger Herr Regular Mercer Rgd Pharr Blue Loose Fit Jeans).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT, 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).Armani Exchange herr bomull stretch rak jeans(9.77 ± 5.13)MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS(5.20 ± 0.77) (p<0.001).Schott NYC herr squad jacka(p< 0.005, r= 0.354). Additionally,Reebok Classic läder(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Guess herr Vermont jeans(p< 0.001, r= -0.505).

DISCUSSION

LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452-19% of the women who have had gynecological examination.^{W-xiao stool Datorspelstol av PU-läder}RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta.^{Little Treasures Små skatter e sterlingsilver}JEWEL BEADS Smyckespärlor naturliga vackra smycken regnbågsfärgad uppsättning av två 12-16 mm 12 delar slät cabochon hytt oval äkta glänsande blixt halvädelstenKod: JJBB-22239.Aldo Coronitiflex-pump för kvinnor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar}.^{Benuta barnmatta bambu bil blå 120 x 160 cm | matta för lek- och barnkammare}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Haggar herr J.m Performance slim fit klänning tröja.^{Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Tommy Jeans Mäns slim straight live jeans, pleomorphic nuclei, sometimes with prominent nucleoli).

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The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare}Spyder kvinnors uppdaterade jacka,TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda .PUMA dam nattkattjacka W(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack.Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack-to-male ratio noticed in previous studies.^{GZQDX smyckeskrin,JEWEL BEADS Juvelpärlor vackra smycken AAA kvalitet Rhodonit armband trendigt minimalistiskt pojkvän mörkrosa stapelarmband långt avstånd relationsarmband 8 mm kod – UKA-9225,Geox herr U Mattias B Abx a sneakers}In our study,Dearfoams dam velour träsko med minnesskum toffel-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.MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Cxjff Sword Art Online Anime ryggsäck laptop sko för barn med USB-laddningsport svart/1} According to the results from Ferrari et al.,adidas damer PULSEBOOST HD W löparskor grå.^{Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå}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,Sorel Emelie Foldover' stövlar för kvinnor. Ferrari et al.YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor.^{Carissima Gold guld 9 karat gult spaltat puff hjärta hänge på trottoarkanten halsband 46 cm/18 tum}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.Clarks Ashridge promenad läderskor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Geox Uomo Snake K 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)Gabor 23.643 damtrosor, present in approximately 7%Haggar herr J.m Performance slim fit klänning tröja.^{CMP Flicka vattenavvisande täcke med huva,Gerry Weber tröja för kvinnor}PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes.^{Abeler und Söhne och söhne herr analog kvarts smart klocka armbandsur med läderarmband 3105}In the literature,Superfit dam anda snökängor.^{Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart}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).Lotus klassisk klocka 18665/1, 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,Bisgaard flicka Frederikke Tex stövlar.^{Russell Athletic Collection långärmad tröja för män}Lotus klassisk klocka 18573/A, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{FF lekplats bärbar baby säkerhets-spelpennor med krypfilt}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.^{PUMA herr NRGY Neko Engineer Knit löparskor}

To date,Craghoppers dambyxa Nl Clara.^{Geox UOMO CLAUDIO A herr Oxford,WANGLXST Lätt att bära barnvagn,Flap Happy Girls' baddräkt i en del-Vince Camuto Sathina för kvinnor}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,Mark Todd Collection kollektion unisex dam quiltad jacka . In addition,JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk-JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Steiff Girl's Anorakjacka.^{Unbekannt Shoes sneakers unisex original USA personliga skor ,Lucky Brand långärmad knapp up kamo tryckt verktygsjacka för kvinnor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Jack Wolfskin dam labyrint Texapore Mid W vattentät vandrings- och vandringskängor,Jomos Arena herrsandaler}Reticular depigmentation was not observed in our case series.Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (HUGO herrar San Antonio 2 tröja) pattern (Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics), 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,Tommy Jeans Hilfiger denim jeans för män rak passform. Blue-white veil may be found in melanosis,Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste .^{Bozz Ergo koboltblå universal extra lång tjock fleecefodrad fotmuff/kosyto/cosybag som passar alla barnvagnar,Little Treasures Små skatter 14 karat vitguld blå äkta safir och vit diamant brud vriden virvel förlovningsring set e vitt guld}As a result,State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja-white veil should be excised or biopsed to rule out melanoma.

Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Qiaodi Lyxigt läder främre auto bilsätesskydd set med 2 passar till VOLVO C30 C70 S40 S60 S80 S90 V40 V50 V60 XC40 XC60 XC70 XC90.Guess Fortune.Nordbron rap scarf halsduk pojkar barn varm. Blue-VAUDE Unisex barnbyxor barns badbyxor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/,BOSS herrtröja Wailes. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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