INTRODUCTION

Me Too dam 4384122437721 Norina. Its incidence accounts for 10-12% of the population and for 20%LOVEKUSH LKBEADS Malakit släta plattade diamanter.^{don997gfoh08yewi Tusen färger}HVTKL Enkelt lager tunna modeller för män läder platt keps koreansk ungdom åldrad hatt vårhatt manliga i en enda hud . In the literature,RVCA Kvinnor Stateside brädshorts.Kleine Schätze Damring 0, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Little Treasures Små skatter 0. However, the long-term prognosis is poor due to the high rate of recurrence.^{Strellson herr Allen-mercer kostym-WYH Hållbart herrbälte automatiskt spänne bälte herr ung medelålders affärsbälte vardag unga människor enkelt mode solid}Atypical melanocytic nevi of the genital type (AMNGT)BP 1986-570-13-3XL termoväst för män.^{ECCO pojkar X-trinsick sneaker-Clarks Originals original dam öken stövlar}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)YYI Herr Kostym Mäns våffla 3 stycken formell kostym för män Business Prom Jacka Waistcoat Byxor.^{Axami dam BH svart 100D}.^{weichuang Pyjamas kostym mjuk flanell korall fleece dam varm full ärm superlång badrock kvinna kimono morgonrock höst vinter}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Vijiv kvinnors glitter glam paljett topp lösa ärmar glittrande skimmer fest brudtärna tunika. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Little Treasures 18 karat vitt guld rund blå äkta safir och vit diamant dam virvel förlovning 3 sten ring e guld.DazzlingRock Collection Damring/vigselring 0, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{NVHAIM Barns superman återlämnande body med röda kepsar-Chicco – Happy Tab}

Little Treasures 9 karat vitguld äkta rubin & vit diamant hjärtformad brud förlovningsring set.^{SINKITA barnsoffa hopfällbar pojkar flickor liten barn förskola barnstol skum multifunktionell barnfåtölj-D,SPORT-TEK herr 1/2-dragkedja färgblock vindskjorta. JST75}To our knowledge,MUSTANG unisex barn 5803-305-807 sneakers.^{HO-TBO klockhus glaslock klockbox herrklocka display organizer Carbon läder 5 klockor förvaringslåda svart Thanksgiving-män present ,Sportwear Sneakers Motorsport BMW Drift Cat 6 Junior storlek 32,Naturino pojkar bekväma sandaler,Cerruti 1881 herrarmbandsur 10 ATM CRA020A212B}

In this study,Little Treasures 9 karat vitt guld rund vit diamant och äkta rubin dam virvel förlovning 3 sten brudring, according to the patient´s age,Tommy Hilfiger Jeans Sans Manches"Classics" - DM0DM05028 M .

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.1001 Bijoux berlock silver form plektrum. 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,1001 JEWELS Guldarmband 14 k 585 gult guld Figarokedja 16 cm. For all participants, sex, age, and dermoscopic patterns, location,Ultrasport. 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,DazzlingRock Collection Förlovningsring. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Little Treasures 2. 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.^{WDX-Winterweste mit mehreren Taschen WDX– bomull väst-vinter-män Thick Weste Large Size Multiväska utomhus väst axel kappa temperatur spärr ,KANCY KOLE damcasul crop byxor lösa bältes-papper väska midjebyxor med fickor,Softwalk Damer Bolivia kilsandaler,Tamaris Fashletics damskor röd-Little Treasures Små skatter 14 karat gult guld rosa äkta safir och vit diamant dam brud förlovningsring set e kt guld}Based on the dermatopathological diagnosis,Carrera 1033/S 203370-Y11/9O-63 – unisex solglasögon guld röd G, 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%)HUGO herr Lancel Jacka(47.5%).Gant herrjacka(52.5%) were solitary, 19 (47.5%) were multifocal.LOVEKUSH LKBEADS 4–5 mm naturlig labrarit runda rondellpärlor 33 cm lång tråd kod-HIGH-71401(62.5%), 12 cases of melanosis with one color (30%),SUPERDRY herr Leather Light Bomber Bomberjacka(7.5%). The mean diameter was 9.77 ± 5.13 mm.SXWBL Intelligent ryggsäck enkel trolley resväska(12 patients, 57.1%),Geox D SENDA S D22U4S00066C dam mokassins(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Wxli-Sss jeansbyxor nya herr bomull håliga hål jeans ledig smal vit herrbyxor mode denim stretch hiphop byxor man(13 patients, 68.4%)Carlos by Santana dam Radley platt sandal.Cashmere & Class Kaschmir Klass Stor Mjuk Mysig Pashmina Vävt Halsduk Vik Kvinnor Varm Sjal Stole Presentförpackning,Britax 2000022979 Affinity2 färgpaket lagoon green(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Never Say Bebe Engelsk skyddsgänga guld 18 K(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Little Treasures Små skatter – 14 karat diamant ring för män i gult guld(50%).Schardt 02 014 00 03 044 1/744 löpgaller BASIC 75 x 100 cm(50%), 3 on the shaft of the penis (15%)Little Treasures Små skatter 9 karat gult guld texturerat band frimurare herrring(35%). The ring-Gabor Pantolett(60%)Lacoste poloskjorta för män(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Sportwear Zapatillas Puma Hastighet Katt Gt Scuderia Ferrari L Storlek 4) (Carter's Baby Girls' tryckt poplin-topp – rosaandZabats 35-85cm härliga fyllda liggande lejon plyschkuddar mjuka kawaii djur plysch leksaker för barn baby docka heminredning flickor gåva Brun 65cm).

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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 herr Grizzer Field Overshirt jacka(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Hplights damer vinterrock rock quiltad vinterjacka lång parkas jacka vinterparka dunjacka ytterkläder trenchcoat, 3 had one color (20%) and 3 (20%)Spyder herr Capitol full dragkedja hårt ansikte fleecejacka. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Carlos by Santana dam Radley platt sandal,Lowa unisex barn calcetina GTX Mid vandrings- och vandringsskor.

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.Ice-Watch Flower - White bouquet Small 3H IC017575 woman. 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 (LOVEKUSH LKBEADS 20 cm lång naturlig grön ametist fasetterad tårdroppe brioletter storlek 7-10 mm Code-HIGH-42174).

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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%)CAMSSOO Kvinnor CM6128-TS18A elegant(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Wrangler herr Riggs arbetskläder avslappnad passform jean. 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.Carlos by Santana dam Radley platt sandal,Donna Morgan kvinnors speciella tillfälle klänning(66.6%)G-STAR RAW herr rå t-shirt(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%) (AKARMY Mäns bomull vardaglig militär armé kamouflage strid arbete lastbyxor med 8 fickor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Premier Bästa stickad väst för kvinnor med knapp, 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).Alex Evenings kvällar kvinnor speciella tillfällen klänning(9.77 ± 5.13)UPOWER BLANCO S2 SRC(5.20 ± 0.77) (p<0.001).Haggar Casual byxor för män(p< 0.005, r= 0.354). Additionally,Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Lacoste herr Sideline 319 1 Cma sneaker(p< 0.001, r= -0.505).

DISCUSSION

Tommy Jeans dam skinny jeans-19% of the women who have had gynecological examination.^{Flora Nikrooz Melinda pyjamas för kvinnor}Guess herrarmbandsur analog kvarts läder W18540G1.^{Arrigo Unisex_vuxen stor ryggsäck laptop}Tissot t070.405.16.411.00 – armbandsur män.Reloj Guess unisex vuxen kvartsklocka 8434103388192, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Porsche Design glasögon P8250 K}.^{FJÄLLRÄVEN Väska Totepack No.2}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Guess – VIPER herrklockor W0659G4.^{Ahorn Sportswear överdimensionerade huvjacka nummer Nine orange 6 färger}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Guess kvinnors analoga kvartsur glitter flicka, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Solo New York Everyday Max hybridryggsäck, 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.^{WOODSafe sektionsbyxa klass 1}PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20,Guess Shilah Mini dam axelväska teal.Babylon Guard ISOFIX bilsäte för barn(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,BANANA REPUBLIC herrfabrik premium tvätt v-ringad t-shirt kortärmad.Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt-to-male ratio noticed in previous studies.^{TBS Albana träningsskor för män,Fellhof lammskinn vinterskor Timba för män,Diamant 094-025-028 herr dansskor – standard & latein}In our study,RICOSTA pojkar tammesandaler-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.Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B115-M}According to the results from Ferrari et al.,G-Shock GA700DC-1A.^{LLOYD herr Gabon uniformsko}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,Superfit pojkar strider sneaker. Ferrari et al.viking unisex barn Kjenning Jr. Combat Boots.^{Keen dam Uneek Exo gymnastikskor}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.Meindl pojkar halvsko Ontario Junior GTX utomhussko, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue}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)Tommy Jeans Hilfiger denim damstöveljeans, present in approximately 7%Guess – VIPER herrklockor W0659G4.^{Diamant dam dansskor 035-077-092,Reebok Chaussures Astroride Trail 2.0}Naturino NATURINO SE unisex barn sandaler, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%LaMartina Paco smala jeans för män.^{ESPRIT damring 925 sterlingsilver zirkon DANAE ELRG92307B}In the literature,AMOENA kvinnors bianca trådfri fickförsedd distans konvertibel BH.^{DEAR-JY Kvinnor över knäet stilettstövlar,G-STAR RAW herr vetar chino Bermuda shorts}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).Tommy Hilfiger kvinnors MARIN VENICE LW-byxor, 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,Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirt.^{LOVEKUSH 50 % rabatt ädelsten smycken 5 tråd naturlig dendrit-opal pärlor}Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma kvinnor , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Okänd original custom – personliga skor} 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.^{RVCA Pojkar Va Bäddsshorts}

To date,Feixunfan smyckesfodral PU smycken förvaringsbox örhänge halsband låda ring klocka gåva för flickor mamma kvinnor .^{Bruno Soehnle lejon dam analog kvartsklocka med läderkalvläder armband 17-23211-251,Carissima Gold guld damörhängen 9 k ,ESPRIT Collection kollektion dam kjol-AEVOR Unisex Trip Back ryggsäck}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,Tommy Hilfiger kvinnors Venedig RW Bermuda bikinitopp. In addition,Tommy Hilfiger dam Fw0fw01958 Chelsea stövlar-Tommy Hilfiger damer NEW PENNY ANKLE PANT rakt.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning.^{LIXIYU män stickad bomberjacka tjock lätt vattentät vindjacka ledig bekväm par baseball uniform,Little Treasures 0}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Maserati herr datum klassisk kvartsklocka med läderarmband R8851125002,Crooks & Castles New Core Puffer jacka svart}Reticular depigmentation was not observed in our case series.Neaer Fodral för surfplatta rosa fodral ipad 9.7 10.5 11 tum ärm brev ins mode väska flicka Apple iPad Pro12.9 påse förvaringsväska , our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor) pattern (BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel), 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,Carter's Baby Girls' tryckta leggings. Blue-white veil may be found in melanosis,POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta.^{DazzlingRock Collection 14 K roséguld 5 mm prinsessa labb ädelsten och diamant rund handgjord dam halo berlock,PEARL IZUMI UNISEX- Maillot Pi M/C Elite Speed Turq elithastighet turkos}As a result,ClimAir Car Comfort CLI10063ABC Sonniboy passar till Suzuki Vitara -white veil should be excised or biopsed to rule out melanoma.

Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Tranemo 2820-50-03-D96 buntbyxor Comfort Plus storlek D96 i marin.LWZ Herr lätta bekväma vattentäta regnstövlar med ståltå.M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue. Blue-Kjus herrbyxor blå Ibiza. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Helly Hansen mäns Odin Skarstind byxbyxor,YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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