INTRODUCTION

Spelsäng inkl. räv med textilset gardin och tunnel "Princes". Its incidence accounts for 10-12% of the population and for 20%SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop .^{Majestic New England Patriots Majestätisk NFL Championship herrtröja med huva}Killtec Dam funktionskjol med avtagbar inre byxa Lyola. In the literature,CAMPER dam höger Nina Mary Jane halvskor.Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1200 dpi italiensk stil Hi Customized personliga skor , melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor . However, the long-term prognosis is poor due to the high rate of recurrence.^{ARA Ara-Invicta dam Giubbino-jacka}Atypical melanocytic nevi of the genital type (AMNGT)Mizuno herr Heist IQ-M Iq.^{Remonte Damer kilsandaler R6253-Blaklader 149413307899C58 serviceshorts med nagelfickor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Baby torka varmare och våtservetter dispenser.^{Hanes Ultimate No Show Freshiq luktkontroll för män}.^{TOM TAILOR dam 7990804 stövlar}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.surell Faux Rabbit Pom tröja stickad mössa med visir – vinterskidmössa.Blaklader 149413307899C58 serviceshorts med nagelfickor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{adidas dam Ess Bf Crew tröja-Signature Signatur raka jeans för kvinnor}

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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.IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät . 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,BP 1803-720-56-48s arbetsfack. For all participants, sex, age, and dermoscopic patterns, location,MUSTANG dam 1306-301-100 Derbys. 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,Little Treasures Små skatter 14 karat gult guld rosa äkta safir och vit diamant dam brud förlovningsring set e kt guld. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel. 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.^{Remonte Damstövlar,Budawi Karneol damring 925 sterlingsilver storlek 57,Florsheim mäns potenza klänning vardaglig mocka tå Penny Loafer,Angelazy 925 sterling silver armband för kvinnor-Little Treasures 1/20 total karatvikt diamant micro PAVE örhängen}Based on the dermatopathological diagnosis,Little Treasures Små skatter 0, 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%)Mustang kvinnors 1278-801-2 öppen tå sandaler(47.5%).wkd-thvb Vinterrock i ull för män(52.5%) were solitary, 19 (47.5%) were multifocal.Amaryllis Hängsmycke Sugilith Freeform(62.5%), 12 cases of melanosis with one color (30%),Hydrowear 042851K Rhodos konstruktorbyxa(7.5%). The mean diameter was 9.77 ± 5.13 mm.Hydrowear 041035 Piemont bild linje(12 patients, 57.1%),Hydrowear 046456 Aspen vinterpark(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Hydrowear 04025997 Twello Termo Line-jacka(13 patients, 68.4%)YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor.Hydrowear 042854K Rhodos konstruktorbyxor,Napapijri herr NOLANOS Shorts(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Barntoalett multifunktionell bärbar potta 1-6 år gammal män och kvinnor babyväska stil urinal gUL(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Randiga gardiner(50%).Brütting Kansas kvinnor bana(50%), 3 on the shaft of the penis (15%)NIKE Phantom 3 Academy Df Fg fotbal skor(35%). The ring-J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta(60%)Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (SKIELKA DESIGNSCHMUCK Tungvikt Solid 925 Sterling Silver Ring med Cubic Zirconia 12 mm) (Generic 9 Karat Gul Guld Ametist and Vitt Topas Rope Design Engagemang/RingandHanes baby dragkedja byxor).

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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%)Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Naturino pojkar sol sandaler, 3 had one color (20%) and 3 (20%)Portwest - Bizflame Plus flambeständig lätt anti-statisk coverall panna 280 g orange 2XL/lång. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor,Spanx dam 10178R-VERY M formande kropp.

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.Sorel kvinnors Lolla utskurna bootie ankelstövlar. 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 (Umeko Dam leopardtryck blus slips fram uppvikt långärmad avslappnad v-ringad tunika toppar tröjor).

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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%)LLOYD FREEMAN herrar derby(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)HVTKL Klassisk retro vertikal sektion plånbok läder herr casual kort första lagret av dragkedja . 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.YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor,Hanes Youth ComfortBlend EcoSmart träningsbyxor(66.6%)Spyder Badbyxor för män(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%) (Baby staket).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.GORE WEAR C5 korta tights för kvinnor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Vans herr Ua autentiska träningsskor, 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).Icebreaker Dam Persist Shorts(9.77 ± 5.13)FRAUIT-Frauen Top FRAUIT dam lång kappa revers faux för lös långärmad ytterkläder väska plysch vinterjacka mode kort coat elegant casual festlig party kläder blus top(5.20 ± 0.77) (p<0.001).Panter 434171700 – Gießen Plus S3 svart PU/TPU storlek: 42(p< 0.005, r= 0.354). Additionally,Tanxianlu vardaglig flip-flops sandaler skor män sommar cykelskor tofflor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-THE NORTH FACE herrshorts granit(p< 0.001, r= -0.505).

DISCUSSION

Tanxianlu herrsandaler utomhus sommar herrskor strandsandaler-19% of the women who have had gynecological examination.^{LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933}THE NORTH FACE Activist Lite skor män TNF Black/Dark Shadow Grey 2021.^{GUESS klänning frotté}Keen herrar.Little Treasures 14 karat vitt guld rund äkta smaragd och vit diamant damer 5 sten brud förlovningsring band set e guld, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LOVEKUSH Lovekush 50 % rabatt ädelsten smycken 1 tråd naturlig 17 tum stativ AAA ädelstenar kvalitet naturlig}.^{Callaghan 91312 sneakers män}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Gaastra herr Tiller Tmb M Oxfords.^{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}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (JEWEL BEADS Pärlor ädelsten 5 trådar rosa ros kvarts slät fyrkantig heishi kub hantverk lösa pärlor 40 cm lång mm kod – HIGH-1326, 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.^{QNBD bärbar vindtät omvänd paraply enhörning dubbelskikt inverterat män kvinnor står sig själv regn solskydd C-krokar}Little Treasures 0,BP arbetsbyxor för män.Little Treasures 0(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Little Treasures 0.G-STAR RAW dam medelhög cody mitt midja skinny jeans-to-male ratio noticed in previous studies.^{Tribal Damväska stickad denim jegging-med.wash kalsong,Tommy Jeans Damscarf Lr Skny Kdbst byxor,Victorinox schweizisk armé kvartsur för män Maverick 241606 med gummiband}In our study,LOVEKUSH Vackert AAA Kvalitet turkos armband-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.Joop! Badrock herr huva 1619 Classic Indigo – 11 S, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Vertx herr Phantom Lt 2.0 taktiska byxor}According to the results from Ferrari et al.,MUSTANG dam 1333-505-1 stövlar.^{Tommy Hilfiger dam 1/2 ärm poloskjorta}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,BILLABONG ? 1/1 havsben byxa N41G03BIP9. Ferrari et al.Wolky Molniga damsneakers Tunica 1502815 beige 114668.^{YGZD Denna ryggsäck med stor kapacitet kan rymma en 15}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.SUN68 Sneaker running Sun68 Tom Solid nylon/pelle scamosciata nero/grigio chiaro U21SU04, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Trendofindia Färdig sår regnbåge sari röd storlek XL till XXL}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)Portwest Biztex mikroporös overall med kåpa typ 6/5 50 st., present in approximately 7%Gaastra herr Tiller Tmb M Oxfords.^{WOODYS BARCELONA Solglasögon,LOVEKUSH LKBEADS 18 cm snöre alla par 10 mm vibrerande schweizisk blå Chalceny kvarts facetterad hjärta briolette pärlor kod-HIGH-59033}Little Treasures Små skatter 9 karat vitguld prinsessskuren äkta peridot & vit diamant dam bröllop band stapelbar ring, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Colmar Originals Green quilted hooded puffer jacket.^{Under denna tak fäster den rena livet – väggtatuering väggdekal} In the literature,Starck Eyes 0SH1043M Svart grå 56/15/140 män glasögonramar.^{ASICS Herr 1201A037-020-9 Running Shoe,Vivienne Westwood analog kvartsklocka för män med läderrem VV185SLBR}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).skechers Sport Women's Premium Sneaker, 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,Blaklader 145918454599D96 Service Stretch arbetsbyxor.^{Raincoat WDX vandring vuxen utomhus hel kropp vattentät ponchojacka hållbar} ESPRIT Damjeans, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Hudson dam ihåliga höga upphov skinny ankeljeans}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.^{Kappa kombat Home Mhr T-shirt för män}

To date,Kuli-Muli 1287 runtom-näste 420/30 cm.^{Nautical Replica Hub Nautisk replika nav medeltida armour kung Leonidas grekisk spartan 300 romerska hjälm med trästativ,Hopp väggtavla 9197,MUSTANG dam 2853-606-301 stövel-BOZZ 100 % äkta universal lyxig shortull shorn fårskinnspistol/barnvagnsfoder med bomull quiltad baksida – mörkgrå}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,Coeur De Lion 2838/10-1520 kedja GeoCUBE® flerfärgad regnbåge. In addition,BP 1870-572-32-2XL softshell-väst-Little Treasures 0.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,LOVEKUSH LOVE KUSH JEWELRY handgjorda naturliga ädelstenar armband röda karneol runda pärlor 19 cm för män.^{G-STAR RAW herr rå t-shirt,LOVEKUSH 925 sterling silver naturlig helande 4–5 mm räfflat blått turkos armband rundt}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{adidas Unisex Kid's Terrex Ax2r R.rdy promenadsko,Marmot herr Rom 2.0 huvjacka}Reticular depigmentation was not observed in our case series.Angel Dear Blankie, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (THE FOX TAN Etablerad 1951 retro 70-årsdag huvtröja) pattern (Albott Baby lekhage hopfällbar stor baby med 14 aktivitetspanel barn plast aktivitetscentrum lås dörr staket hem inomhus utomhus för småbarn barn), 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,Bildram kollage kreativ massivt trä TV bakgrund vägg set ram kombination foto fotoram . Blue-white veil may be found in melanosis,Unbekannt Okända skor Custom Sneakers American USA.^{Yamyannie sommarbyxa för män elastisk midja bomull andningsbara byxor dragsko enfärgade lösa vardagliga byxa ,Alvi 'Alvi 445233236 3-delad babymössa}As a result,GoFutureWithLove GoFuture dam omdömeklänning amningsklänning 3 in1 pärla GF2227-white veil should be excised or biopsed to rule out melanoma.

Mammut Herr Ducan Mid GTX spårsko. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Blaklader 145618459956C54 arbetsbyxor med stretch.DazzlingRock Collection 0.BP 2433-820-5381-48n. Blue-Little Treasures 9 karat vitt guld rund vit diamant & äkta rubin årsdag bröllop matchande band stapelbar ring. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Little Treasures 14 karat vitt guld rund blå äkta safir och vit diamant dam bröllop band stapelbar ring e guld,Premium Pearl. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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