INTRODUCTION

Hatley baby-flicka footed Coverall – rådjur och kaniner stramplare. Its incidence accounts for 10-12% of the population and for 20%Lego Wear flickjacka.^{La Millou Småbarnsfilt – det är vit magi}GUESS glasögon . In the literature,CHEROKEE mäns original knäppe fram värmande skrubbtopp.Fox Pioneer pullover fleece, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Flanell filt till min käraste son. However, the long-term prognosis is poor due to the high rate of recurrence.^{Unbekannt Örhängen stiftörhängen Solitär Brillant 0-Vest Väst WYQ – Ficka för män vardaglig flera fickor medelålders blixtlås bomull utomhus mjuk}Atypical melanocytic nevi of the genital type (AMNGT)Teva Mush Mandalyn Ola 2.^{Globe mäns Encore-2 skateboardskor-Splendid Fantastiska sandaler för kvinnor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Tamaris dam stövlar.^{Premium Pearl}.^{Hydrowear 042851K Rhodos konstruktorbyxa}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Tamaris dam ballerinas 22121-24. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Dr. Brinkmann dam pantolette.wrangler Men's George Strait Cowboy Cut Original Fit Jean , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Piquadro Black Square axelväska läder 23 cm-DazzlingRock Collection Damring/förlovningsring 14 karat rött guld diamant rund}

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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.GUESS Ls Elizabeth Top Henley-tröja för kvinnor. 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,BCBGMAXAZRIA kvinnors Florens vävd aftonklänning speciellt tillfälle. For all participants, sex, age, and dermoscopic patterns, location,Tommy Hilfiger damtröja. 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,SIRRI Herr talian Couture signatur Brogue Oxford fiskbensmönster tweed läderblandning formella klädskor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Love Moschino dam Scarpad.isla/60 Vit.bia ner/Cro.rsa Sneaker. 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.^{SUN68 Sneaker running Sun68 Tom Solid nylon/pelle scamosciata nero/grigio chiaro U21SU04,Maier Sports Damvandringsbyxor Rechberg Therm,Haggar Casual byxor för män,G-STAR RAW Dam straight jeans Janeh ultra hög midja mamma ankleG TAR damer ankle-David King & Co. Laptop Messenger Bag Plus}Based on the dermatopathological diagnosis,Diesel Watch DZ7430, 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%)Little Treasures Små skatter – 9 ct gult guld krucifix hänge leveransens(47.5%).Kavat unisex baby Edsbro Ep lövskor(52.5%) were solitary, 19 (47.5%) were multifocal.O'Neill herr Cali shorts badmode badshorts(62.5%), 12 cases of melanosis with one color (30%),Boob kvinnor – moderskap Maternity Nursing dress Breeze klänning(7.5%). The mean diameter was 9.77 ± 5.13 mm.Joe's Jeans herr Je Crew t-shirt(12 patients, 57.1%),Helly-Hansen Helly Hansen Dam Lofn Isolerad Softshell(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Carter's Baby pojkar 3 st cardigan set(13 patients, 68.4%)Geox Uomo Snake K sneaker.Lurchi baby pojkar Kev-Sympatex-stövlar,Liebeskind Berlin dam Collier rostfritt stål(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Vertx herr Phantom Lt 2.0 taktiska byxor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Amoonic Medaljong hjärta silver foto hjärtkedja amulett halskedja kedja 925 GRATIS LUXUSETUI berlock för öppning med medaljong kärleksgåva foton bild presenter till kvinnor flickvän(50%).Mac Douglas dam Pyla Fantasia Xs axelväska(50%), 3 on the shaft of the penis (15%)Maxine Of Hollywood dambrädshorts(35%). The ring-Michel vardaglig dragkedja upp blazer smal passform crop jacka(60%)URBAN REPUBLIC bebis pojkar polyester puffer barnjacka(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Unbekannt Okänd Sneaker Sneakers American USA – Base Print Vintage 1200 dpi Low Customized personliga skor unisex) (Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er PackandFinkid Vankka Husky förstärkta utomhus regn snickarbyxor för spädbarn och småbarn).

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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%)Marc O'Polo Dambyxor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)b.tempt'd dam modern metod bygel-BH, 3 had one color (20%) and 3 (20%)Wrangler Riggs Workwear Stor & Lång Ärm Ficka T-shirt för män. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Geox Uomo Snake K sneaker,Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP .

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.Save The Duck fritidsjacka för kvinnor. 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 (COFRA MAASTRICHT 62 Anthracite/Black).

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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%)Young Soles Unna sulor flickor Rosie Mary Janes(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)supengyuan 20 litet 2428 tum hjulfodral. 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.Geox Uomo Snake K sneaker,Adrienne Vittadini dam patinosandaler med klack(66.6%)Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set(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%) (Andrea Conti dam 0348841 sneaker).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor, 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).NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380(9.77 ± 5.13)Primadonna Dam couture BH(5.20 ± 0.77) (p<0.001).G-STAR RAW herr vetar chino Bermuda shorts(p< 0.005, r= 0.354). Additionally,Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Geox herr Uomo orm J låg-toppsneakers(p< 0.001, r= -0.505).

DISCUSSION

BRAX Dam stil Mary S ultra light denim rak jeans-19% of the women who have had gynecological examination.^{ECCO Rudny gladiator för kvinnor}Pierre Cardin Deauville herrbyxor 86 tum normal passform.^{CMP dam}Guess Dilla shopper svart.GANT fritidsskjorta för män, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{camel active herr stand-up pullover}.^{Xiix Barnvagn barnvagn justerbar konvertibel trehjuling med markis mumie väska lämplig för 1~6 år gammal}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU.^{JewelryWeb Chisel titan graverbar räfflad 8 mm polerad band ring smycken gåvor för kvinnor – storlek alternativ räckvidd: L till Z e Titan}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8, 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.^{LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 band utmärkt kvalitet grön ametist fasetterade hjärtformade pärlor brioletter -9 mm-10 mm 7 tum SB3451 Code-HIGH-35040}Woodchip picknickkorg med vikhandtag,ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor.XLanY Kvinnors Skor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,CaoQuanBaiHuoDian Mjuk nattlinne pyjamas korall sammet förtjockning lång lös badrock vintergåvor för kvinnor .Safe net-ND linnät säkerhetsnät trappor balkong brottsäkert nät-to-male ratio noticed in previous studies.^{XFPINK smyckeskrin träförvaring organisatör liten display resa bärbar med lås för kvinnor gåva örhänge ring halsband låda 29.5cm nr2,Loeffler Pace Tvl 54,Rhomberg Halslänk 585/14 K gult guld 42 cm}In our study,ZZJCY Kvinnors pyjamaset Bomull Långärmad Loose Fit Loungewear-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.adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Unbekannt Okända skor Custom Sneakers American USA}According to the results from Ferrari et al.,PYXZQW Barn skrivbord och stolsset.^{Globe herralternativ Evo Track sko}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,Cosabella Nsn Maternity Hotpant Korta Trosor. Ferrari et al.NKlaus 0.^{ZHCHENXI Hip Hop sedelväska zirkon hänge halsband}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.GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Mac Douglas dam Pyla Fantasia Xs axelväska}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)Tamaris dam toffel 1-1-24226-32, present in approximately 7%Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU.^{Kaporal Jean Homme Deli förstöra,IMBM Stick paraplyer transparent paraply regn kvinnor vika sol för} Générique Brandman högsynlighetsväst med grå ränder – storlek L, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Angeline Girls Boutique kläder vår alla hjärtans dag set.^{Little Treasures 14 karat gult guld kuddslipad peridot & runda slipade vit diamant dam dinglande droppörhängen}In the literature,Clarks Originals original dam öken stövlar.^{jinda Kofta med huva för män fleece atletisk passform dragkedja skjorta jacka kappa,MIRKADA Jewelry Mirkada damhalsband silver halsband med charoit}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).SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare, 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,34 Heritage herr Charisma Midnatt Austin Dark denim jeans.^{Flanell filt till min käraste son}Tommy Hilfiger Pojkens strukturerade linnetröja L/S, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Alfred & Compagnie magnus sänglåda 90 x 190 cm}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.^{Carhartt J130 herr jacka J130}

To date,Trevco Farscape Aeryn Heather vuxen t-shirt.^{G-STAR RAW dam mejsel pojkvän byxa,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 ,LUANA ITALY Origami bärkasse för kvinnor-LOVEKUSH pärlor ädelsten naturlig grön Perit fasetterad rondell lös hantverk tråd 14 tum lång 2}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,Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart. In addition,Inter-Moden medelålders Edles skjorta – herr landsknecht-GUESS Kvinnors Fadwa cocktailklänning.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Carhartt J130 herr jacka J130.^{viking unisex barn örn Iv GTX hög sneaker,SLM-max Varm hatt}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Palladium unisex vuxnas Pampa Hi original högklackade sneakers,Unbekannt Sneaker original personliga skor – handgjorda Indian Paisley}Reticular depigmentation was not observed in our case series.Guess By Marciano GM0243 C54, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB) pattern (Haggar herr stretch fönsterruta smal premium flex kostym separat byxa), 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 Hilfiger Herrar Sakko. Blue-white veil may be found in melanosis,Tommy Hilfiger herr New Recycled Ivy Jacket jacka.^{DCB Dam och barn gåsblomma berlock – gult guld 9 karat ,Guess – VIPER herrklockor W0659G4}As a result,Tamaris Fashletics damskor röd-white veil should be excised or biopsed to rule out melanoma.

Love Moschino dam Borsa Pu Ed Eco Shearling tote. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Garcia damklänning.Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL.Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor . Blue-CJMDEH morgonrock morgonrock. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.O'Neill LW Becky Crew långärmad tröja,Better Bodies Bättre kroppar dambyxor Waverly tights. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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