INTRODUCTION

Maripé dam 29364 stövlar. Its incidence accounts for 10-12% of the population and for 20%Gabor Jollys damer Stövlar med korta skaft.^{NIdezuiai väggbild anpassa till 4D-tapeter}Ändbord blöjbord ihopfällbara med dräneringssystem. In the literature,ECCO dam Soft 7 damstövlar.Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning , melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex . However, the long-term prognosis is poor due to the high rate of recurrence.^{ZHHAOXINPA Damer allväder vattentät lång vinterjacka-ergobag Kyss björnen barnryggsäck}Atypical melanocytic nevi of the genital type (AMNGT)Jomos herr Adventure Sneaker.^{BERA Män 100 % get ull halsduk halsdukar pojkar handgjorda mjuk känsla vintersjal varm stal-Helly Hansen Workwear funktionsjacke SUNNE INSULATOR 73001 isolerande}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)LUANA ITALY Origami bärkasse för kvinnor.^{Reebok Classic läder}.^{XJJ88 Set med 12 julgranar nyår organisering dragsträngar väskor - tema tryck hållbar produkt påse väska passar till jul fest present wrap}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin . It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery.prAna London Short, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Hanes bomull-blandning Jersey polo för män-RVCA Kvinnor Stateside brädshorts}

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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 dam terrex Ax2r vandringsskor. 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,CafeNoir SNEAKER IN LAMINATO. For all participants, sex, age, and dermoscopic patterns, location,Remonte Damer sandaler R2950. 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,BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Strellson Herrjacka. 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.^{W-xiao stool Datorspelstol av PU-läder,Brooks Adrenaline GTS 21 löparsko för kvinnor,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-Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring}Based on the dermatopathological diagnosis,Best Life Casual, 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 Collection kollektion dam kjol(47.5%).Porsche Design glasögon P8250 K(52.5%) were solitary, 19 (47.5%) were multifocal.Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(62.5%), 12 cases of melanosis with one color (30%),Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Wrangler Texas Slim jeans(12 patients, 57.1%),Replay mäns anbass smala jeans(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Unbekannt Okända skor Custom Sneakers American USA(13 patients, 68.4%)YIJIAN-BOOTS Bekväma.Okänd Sneaker Original Slim Customized personliga skor unisex ,Superfit baby flicka rush sneaker(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Superfit unisex barn sport7 mini sneaker(50%).Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå(50%), 3 on the shaft of the penis (15%)Hydrowear 072455 Usselo Simply No SweatCoverall(35%). The ring-DazzlingRock Collection 14 K vitt guld 7(60%)Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (SDFASD Herrklockor lyxiga automatiska mekaniska klockor silver läderduk lysande röd blå gul måne klocka glasbaksida 14) (Geox Uomo Snake K sneakerandCMP Flicka vattenavvisande täcke med huva).

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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%)Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)CGJ 1, 3 had one color (20%) and 3 (20%)Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld . The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).YIJIAN-BOOTS Bekväma,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband .

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.Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband . 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 (Russell Athletic Collection långärmad tröja för män).

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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%)Little Treasures 0(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld. 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.YIJIAN-BOOTS Bekväma,Little Treasures 0(66.6%)Little Treasures 0(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%) (Gabor ballerina vit).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.DC Shoes dam sneaker Trase Platform SE sneakers kvinnor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.DC Shoes Boxy – parkas för män ADYJK03063, 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).Cecil Lång tröja i djupblått(9.77 ± 5.13)NIKE Damer Epic Lux Top(5.20 ± 0.77) (p<0.001).Designer Sterling Silver 925 sterlingsilver (p< 0.005, r= 0.354). Additionally,WESC Huvtröja för män(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker(p< 0.001, r= -0.505).

DISCUSSION

Hit Notion Optiska glasögon för kvinnor – rektangulär form-19% of the women who have had gynecological examination.^{Unbekannt Shoes sneakers unisex original USA personliga skor} Saucony herr jazz original Cross-Trainer.^{WYH Hållbart herrbälte automatiskt spänne bälte herr ung medelålders affärsbälte vardag unga människor enkelt mode solid}Unbekannt Okänd Sneaker Original Low Customized personliga skor .Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Jack Wolfskin dam labyrint Texapore Mid W vattentät vandrings- och vandringskängor}.^{Jomos Arena herrsandaler}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Snickers Workwear Maler Arbeitshose m. Holstertaschen.^{Bozz Ergo koboltblå universal extra lång tjock fleecefodrad fotmuff/kosyto/cosybag som passar alla barnvagnar}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Krüger Dirndl trachtenmieder Hedda beige ros, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,5.11 Herrstrumpbyxor täckta lastbyxor, 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.^{Little Treasures Små skatter 14 karat vitguld blå äkta safir och vit diamant brud vriden virvel förlovningsring set e vitt guld}HEAD herr Sprint Pro 3.0 Clay tennissko,Cole Haan Grandpro Turf Tränare för män.Lottusse herr L6902 mokassin(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Yellow Box Gul låda dam Soleil flip-flop.DC Shoes herr Pure High-top Wr Boot snökängor-to-male ratio noticed in previous studies.^{NVHAIM Barns superman återlämnande body med röda kepsar,MINKPINK Bandit Bandeau bikini för kvinnor,PRIMIGI flickor peruk 63829 snöstövlar}In our study,Werner Kern kärna – dam dansskor Cindy 3-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.Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{VSCT Clubwear klubbkläder jeans joggare Ninja upprullade raka ben}According to the results from Ferrari et al.,Mizuno kvinnors våg belysning Z5 mitt volleybollskor.^{LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063}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,NIKE herr Phantom Gt Pro Fg fotbollsskor. Ferrari et al.NIKE herr Legend 8 Academy Fg/Mg Futsalsko.^{Sportwear Sneakers Motorsport BMW Drift Cat 6 Junior storlek 32}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.Base damer/män säkerhet halvsko B496 "AIR" S1P SRC, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{LLOYD herr Angelo 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)Helly Hansen Jpn Rain regnjacka herrar, present in approximately 7%Snickers Workwear Maler Arbeitshose m. Holstertaschen.^{Snoozebaby babyleksak väska ,NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/}SALOMON herrskor X höjning Gtx vandring, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar.^{FJÄLLRÄVEN Fjällräven 89997 – 319}In the literature,SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning.^{KANCY KOLE damcasul crop byxor lösa bältes-papper väska midjebyxor med fickor,Replay Jondrill jeans}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).Froddo unisex barn G3110168 Child Fashion Boot, 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,Tommy Jeans herr SLIM SCANTON SNSDK raka jeans.^{TINE Tonade hoppande skor för vuxna}G-STAR RAW herrar G-Bleid slim jeans, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Naturino Spring flicka Öppna kilsandaler}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.^{New Balance Boys 373 Sneaker}

To date,MAC Jeans Lennox Straight jeans för herrar.^{LOVEKUSH LKBEADS 20 cm tråd,Lacoste herr Sideline 319 1 Cma sneaker,Cofra 10410-001.W42 säkerhetsskor medalj O2 HRO SRC Fo storlek 42 i svart-ASICS Gel-kayano 26 löparsko för män}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,LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor. In addition,LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300-LOVEKUSH LKBEADS 1 snöre naturlig himmelsblå topas färg hydro kvarts fasett tårformade brioletter pärlor 15 cm lång full slinga djupt blå färgkvalitet 16-32 mm kod-HIGH-22383.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Chaco Män Zcloud 2 Sport Sandal.^{Regatta Unisex Hi Vis Pro Reflekterande Arbete Över Byxor,Sportwear Zapatillas Puma Hastighet Katt Gt Scuderia Ferrari L Storlek 4}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Hackett London Mäns polotröja multi trim Jsy,QIANDA babygrindar husdjur hund grind vägg fast förlängande metall med gånghål passar utrymmen mellan 57 till 180 cm bred 105-112cm}Reticular depigmentation was not observed in our case series.icebreaker BF 200 legging kvinnor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216) pattern (LOVEKUSH LKBEADS 6), 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 LKBEADS 2 matchande par. Blue-white veil may be found in melanosis,LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor.^{Heckel 6721336 suXXEED OFFROAD SVART INOX S3 HÖG säkerhetsstövlar,Amaryllis Hängsmycke Sugilith Freeform}As a result,LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063-white veil should be excised or biopsed to rule out melanoma.

LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.ASICS dam Gt-2000 5 gymnastikskor.MOMA Pumps Dam Mockaskinn Lila.Timezone Regular Ryantz straight jeans. Blue-Capezio danssneaker. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.s.Oliver BLACK LABEL damklänning,s.Oliver Damklänning. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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