INTRODUCTION

Brühl herr flatfront jeans parma. Its incidence accounts for 10-12% of the population and for 20%SwaddleMe Första steget sovhytt – medium.^{Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor}Thierry Lasry dam MONDANITY-3473 solglasögon. In the literature,JIAGU 3 st ullstrumpor damer och barn vadderade skidstrumpor rosa högpresterande varma långa tubsportstrumpor strumpor .Unbekannt Okänd herr rökelseskjorta, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Swarovski LIFELONG HRT uttalande ringar dam guld 3. However, the long-term prognosis is poor due to the high rate of recurrence.^{Joya Shop EU Caesar brun – 40 1/3-FALKE Herr långärmad tröja}Atypical melanocytic nevi of the genital type (AMNGT)helymore Kvinnor Celestia Ludenberg kostym vuxen halloween anime cosplay gotisk spets skoluniform.^{El Naturalista Unisex N296 Mjuk kornoliv/EL Viajero Brogues-El Ganso Urban Interseason vardaglig skjorta för män}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)FALKE Damer bomberjacka.^{Carissima Gold guld dam 9 karat kubisk zirkonia bave-set dubbelt hjärta 10}.^{Joop! Kvinnor jeans aftonklänning josephine handväska mhz färg svart}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Trigema kvinnor 537091 sportbyxor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Guteer kvinnor vinter utomhus snabbtorkande vandring camping elastisk midja dra på sportbyxor.adidas herr Stan Smith gymnastikskor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{WyaengHai Regnrockar transparent vattentät regnjacka och byxor reflekterande säkerhet regnrock regn poncho huva cykelbyxor passar en tre färger multifunktionell lätt XX-L Svart-Paul Green Damslip-on-sneakers 4797}

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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.GJ-gwcd vikbar kundvagn. 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,Little Treasures 1. For all participants, sex, age, and dermoscopic patterns, location,Lugz mäns zrocs is sneaker. 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,COWBOYSBAG Damväska Greenock Cross-Body Bag Brun. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.DazzlingRock Collection kollektion dam 0. 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 Pärlor ädelsten naturlig rosa turmalin fasetterade pärlor 3 mm,Alchemy Empire: Steampunk AW23 armbandsur,DazzlingRock Collection dam 14K guld rund rubin & vit diamant solitär med accent brudförlovningsring 4,Superfit dam anda snökängor-G-STAR RAW herr Salant Core rund hals tröja}Based on the dermatopathological diagnosis,JFCDB Badrock, 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%)PULLEY -S Ankelstövlar för män höga toppskridskor sneakers snörning mocka rund tå plattform solid färg halkfri fleece inuti håll Ardent S (47.5%).BOZZ 100 % äkta universal lyxig shortull shorn fårskinnspistol/barnvagnsfoder med bomull quiltad baksida – mörkgrå(52.5%) were solitary, 19 (47.5%) were multifocal.MUSTANG herr 4095-602-301 klassiska stövlar(62.5%), 12 cases of melanosis with one color (30%),bugatti herr 321793523200 klassiska stövlar kort stövel(7.5%). The mean diameter was 9.77 ± 5.13 mm.Orphelia Halsband för kvinnor 925 Sterling Silver Rodium-pläterad Zirkon Vit(12 patients, 57.1%),Deltaplus Delta Plus CARSOGR3X Mach Parka av polyester-oxfordbeläggning med PU(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Orbita Sparta 1 enstaka klocka – livfull orange(13 patients, 68.4%)Killtec Flickor.QinWenYan byxa herr sommar lediga byxor bomull linne andas dragsko enfärgad sommarbyxa ,TruClothing Herr 3/4 långa dubbelbröst varm vinter affärer Crombie ytterrock ullrock(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Qsdxlsd Ljuskrona moderna vardagsrum taklampor gyllene 360 graders lampor nordisk design dimbar trappa matsal ljuskrona (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Ofgcfbvxd All-Match Men's Beret Baseball keps utomhus sport hatt med öron flikar vikbara hållbara öronmuffar kvinnor män cykling vandring springande jakt. Lämplig för att ha på sig i kall vinter(50%).Under Armour Pojkar Ua Hunt 1/4 dragkedja polär fleece kvart(50%), 3 on the shaft of the penis (15%)Saucony sneakers Donna Jazz S1044 Celeste Perla(35%). The ring-Mizuno Dominant All Yta Låg Turf Sko(60%)Samsonite Samsung Openroad – stor datorryggsäck(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LOVEKUSH pärlor ädelsten 4 tråd grön Perit fasetterad hjärta droppe briolette lös hantverk strand 7 tum lång mm 6 kod RR-1369) (Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma kvinnor andLNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor).

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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%)DazzlingRock 14K vitt guld diamant Fleur brud förlovningsring med matchande vigselband 1/3 karat (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)TransGems Platinapläterade sterlingsilver 1, 3 had one color (20%) and 3 (20%)Portwest C565YGRXL X Hi-Vis bomberjacka. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Killtec Flickor,Dolomite Unisex Zapato Cinquantaquattro Lh Canvas Sneaker.

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.Gola Dam Harrier Glimmer mocka Baltic/R.gld/O.wht träningsskor. 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 (ETHNIC EMPORIUM Etnisk Imporium dam Bollywood sari kollektion tryckt Georgette blus formell klädsel kontorsdesigner kvinnor indisk etnisk 2694 43481 som visas på bilden).

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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%)Loves Journey IGI-certifierad 18k guld 1/2ct TDW diamant dubbel halo förlovningsring (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Bearpaw Boo slokande stövlar för kvinnor. 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.Killtec Flickor,PUMA dam mocka rosett sneaker(66.6%)Vans Era Neon Sneaker dam gul sneaker låga skor(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%) (Lacoste La Piquee 119 1 CMA-träningsskor för män).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Vanity Fair damtrosor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Carter's Baby Girl Collection 2 st tickande rand, 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 Boys 373 Sneaker(9.77 ± 5.13)Florsheim pojkar 16655-001 postino mesh Jr. Venetiansk slipning på loafer 7 stort barn(5.20 ± 0.77) (p<0.001).FJALLRAVEN dam Greenland Re-cotton t-shirt S W(p< 0.005, r= 0.354). Additionally,Hunter kvinnors ^ kvinnor Gummistövlar(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-New Balance Ny balans Luxe löparskor för män(p< 0.001, r= -0.505).

DISCUSSION

LONDON FOG herr Belmont chukka stövel för män-19% of the women who have had gynecological examination.^{camel active herrjacka}Brooks Ravenna herrar Löparskor.^{camel active herr Copper mode stövel}Hackett London Mäns polotröja multi trim Jsy.NIKE dam W Nsw Nsp Crew Flc tröja, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{CALAMAR MENSWEAR herr calamar bomull utomhus väst}.^{DazzlingRock Collection 7 mm kudde labb skapad vit safir och rund naturlig diamant gloria split skaft förlovningsring}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%PUMA herr NRGY Neko Engineer Knit löparskor.^{DANWJDP Läderjacka för kvinnor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Lee pojksäker smal passform avsmalnande ben jeans, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,adidas unisex barnStan Smith J Sneaker, 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.^{DANWJDP Läderjacka för kvinnor}SDFASD Lyxig herrklocka automatiska mekaniska klockor helt rostfritt stål svart vitt silver gul guld safirglas,SDFASD Lyxiga män automatisk mekanisk roséguld snidad antik svart blå gummi safir glas baksida begränsad sportklocka vit.SDFASD Lyxiga automatiska mekaniska män roséguld safir transparent svart blå urtavla glid tandtråd andra lysande klockor vit(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Regatta Unisex Hi Vis Pro Reflekterande Arbete Över Byxor.New Balance 997H pojkväska Träningsskor-to-male ratio noticed in previous studies.^{Tommy Hilfiger herrtröja COLTON Z-THRU Long Sleeve RF/S RF,Haglöfs L.i.m byxor för män,HUGO Herrbyxor Simmons181S}In our study,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig imperial topas vanligt hjärta pärlor-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.LOVEKUSH 50 % rabatt ädelsten smycken stor halloweenutförsäljning 1 tråd guld pyrit boll fasetterade rondeller - kulpärlor 9 mm 20 cm SB1020 Kod: RADE-37083, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{G.I.G.A. DX dam Grania Casual jacka med knytbar huva}According to the results from Ferrari et al.,LOVEKUSH Lovekush 50 % rabatt ädelsten smycken 3 fot rosenkvarts facetterade rondelle pärlor i 925 silver guldtråd inslagen radband stil kedja kod: - RADE-16781.^{Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter}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,Carissima Gold Guld 9 karat gult guld justerbart halsband – utskuren oändlighetssymbol 15 mm x 5. Ferrari et al.Jewelry Affairs 14 k gult guld första bokstaven P hänge halsband.^{KARACTERMANIA Mimmi Mus Enhörning Mjuk 3D Trolley-Kväska}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.Angelazy 925 silverhänge för kvinnor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{adidas SUPERNOVA M herr run}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)Australian Opal Direct Poseidon sterling silver naturligt australiskt svart opal halsband, present in approximately 7%PUMA herr NRGY Neko Engineer Knit löparskor.^{K-Way Baby-pojkars Claude jacka,Pierre Dumas dam Hester-1}Lee vardagsbyxor för män, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Lily & Lotty skrift 3 färger hand set diamanter kärlek.^{Craghoppers herr Nl Pro Trs Hose}In the literature,Carissima Gold guld kvinnor 9 karat gult ihåligt 2.^{EDS Jewels 925 Sterling silver dam bysantinkedja - 41,Wongxl trä bakgrund kundspecifik skogslandskap stil stor tv-bakgrund tapet sovrumstapet 3D bakgrundsbild fresk väggmålning 400 cm x 300}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).Reebok Classics Chaussures femme Princess, 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,Little Treasures Små skatter 0.^{Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamanter lysande}Little Treasures Små skatter 1/4 totalvikt diamant rund mittpunkt brud bröllop ring set e 14 karat vitt guld, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Wickeltable trä baby station med vattentät platta}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.^{LZ Lyxklockor för män}

To date,Jewelry Affairs 14K gult och vitt guld Miami kubansk bana länk kedja halvmassivt halsband.^{DazzlingRock Collection 10K Rosguld oval morganit och rund vit diamant dam dinglande droppörhängen,Tommy Hilfiger kvinnors Como Skinny Rw a Lizz byxor,MuCoo Kvinnor elegant hög delad utvidgad ärm formella kvällsklänningar maxiklänning med cape-edc by ESPRIT kvinnor 998CC1B816 tajta jeans}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,Bohmberg Värdig herrläderjacka av fullnarvläder/urbanwe/Heavy/Classic 100 % äkta läder% SOMMERSALE% tidlös klassiker i obeskrivlig maskulin cykellook/. In addition,LIANGXIEW platta skor för kvinnor-NIKE Dri-fit-bq2864 huvtröja.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Carissima Gold guld dam 9 karat kubisk zirkonia bave-set dubbelt hjärta 10.^{Generic 9 Karat Vitt Guld Angel Wing Ring,DazzlingRock Collection Damring/vigselring vitguld 10 karat diamant rund stapelbar}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{BOSS herr poloskjorta,LOVEKUSH LKBEADS Mycket bra AAA-kvalitet mossakvamarin fasetterade pärlor}Reticular depigmentation was not observed in our case series.camel active män Spark Derbys, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Teva dam Anaya Tall Wp) pattern (Lowa Innox GTX LO Junior bensin/orange), 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,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig orange röd aventurin jade runda lösa ädelstenar pärlor 6 mm 38 tum 03465 Kod: RADE-22864. Blue-white veil may be found in melanosis,bugatti herr 321720016900 Sneaker låg.^{BP 1986-570-13-3XL termoväst för män,Blakläder 156818115389D132 storlek D132 byxor med hög synlighet – orange/marinblå D104 Svart/rött}As a result,Little Treasures 1-white veil should be excised or biopsed to rule out melanoma.

Art Company 1332 MEMPHIS CARMIN/GÜELL Red Woman Velcro. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.Miwaimao 925 Sterling Silver Rose Wrapped Open Infinity Eternal Love Ring For Women Wedding Party Mode Smycken.LIFETIME JEWELRY Livslång smycken 11 mm kubansk länk kedja halsband för män och tonåringar 24k guldpläterad med gratis livstidsgaranti guld. Blue-LLOYD herr Farin Chukka-stövel. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.LLOYD herr dag uniformsko,LLOYD herr Gabon uniformsko. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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