INTRODUCTION

Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt. Its incidence accounts for 10-12% of the population and for 20%NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3.^{Haglöfs L.i.m byxor för män}Sorel Lea Wedge för kvinnor non Shell Boot. In the literature,Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0.Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI. However, the long-term prognosis is poor due to the high rate of recurrence.^{HUGO Herrbyxor Simmons181S-Stetson Diaz utomhushatt män – westernhatt med koppel och böjbar kant cowboyhatt UV-skydd 40 tygmössa bomull i tvättad/begagnad design mössa sommar/vinter}Atypical melanocytic nevi of the genital type (AMNGT)Bishilin Bröllopsringar vitt guld 750.^{G.I.G.A. DX dam Grania Casual jacka med knytbar huva-Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer.^{adidas SUPERNOVA M herr run}.^{K-Way Baby-pojkars Claude jacka}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Primigi Pojkar Phh Gore-tex 43951 snöstövlar. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Lyle & Scott Felpa girocollo Bambino nera.Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Nautica armbandsur NAPFRB008-Pierre Dumas dam Hester-1}

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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.Cofra S.r.l. V126-0-03.Z150 bälte"Safari". 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,TINE Tonade hoppande skor för vuxna. For all participants, sex, age, and dermoscopic patterns, location,McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor. 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,Geox pojkar J Kommodor Boy A Sneaker. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Volcom herr shorts-cargo Miter Ll. 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.^{MuCoo Kvinnor elegant hög delad utvidgad ärm formella kvällsklänningar maxiklänning med cape,Neil Allyn 100 % polyester solid svart vänta personalväst,edc by ESPRIT kvinnor 998CC1B816 tajta jeans,Generic 9 Karat Vitt Guld Angel Wing Ring-BOSS herr poloskjorta}Based on the dermatopathological diagnosis,ASICS dam gel-Squad amerikansk handboll skor, 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%)Joop! Dam Daphne Sneaker(47.5%).Ted Baker dam Lennes Sneaker(52.5%) were solitary, 19 (47.5%) were multifocal.LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor(62.5%), 12 cases of melanosis with one color (30%),WggWy Mäns fashionabla arbetssäkerhetsskor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder(12 patients, 57.1%),PUMA Unisex vuxna Rebound Layup SL Sneaker(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Liu Jo Cher damer Krigsstövlar(13 patients, 68.4%)Marc O'Polo Denim herr 767521160566 Pullover-tröja.YIJIAN-BOOTS Bekväma,Little Treasures 0(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Maripé dam 29364 stövlar(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Gabor Jollys damer Stövlar med korta skaft(50%).Ändbord blöjbord ihopfällbara med dräneringssystem(50%), 3 on the shaft of the penis (15%)ECCO dam Soft 7 damstövlar(35%). The ring-Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning (60%)Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Picard Bingo plånbok läder 14) (Bronzallure Kvinna medelcirkel örhängen 18 k rosa guldfärg med kubisk zirkonia pavéandNamesforever ankare med rund berlock av guld din upprepade namngravyr och utstansade nyckelblad).

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TABLE 2Jomos herr Adventure Sneaker

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%)ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare, 3 had one color (20%) and 3 (20%)adidas Herrbyxor Adidas Skitouring P – svart. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Marc O'Polo Denim herr 767521160566 Pullover-tröja,N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder.

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.adidas dam terrex Ax2r vandringsskor. 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 (Little Treasures Små skatter 0).

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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%)BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Strellson Herrjacka. 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.Marc O'Polo Denim herr 767521160566 Pullover-tröja,Best Life Casual(66.6%)Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(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%) (Napapijri Regnskog Block Vindjacka).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Uno de 50 Orion PUL1818CRLMTL0M. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack, 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).Naturino pojkar bekväma sandaler(9.77 ± 5.13)Lodi dam Habi-x sandaler med klack(5.20 ± 0.77) (p<0.001).Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (p< 0.005, r= 0.354). Additionally,XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set(p< 0.001, r= -0.505).

DISCUSSION

RAINS Unisex Msn Bag dagryggsäck-19% of the women who have had gynecological examination.^{ELTEN säkerhetssko Ambition blue low ESD S1}DazzlingRock Collection Gia-certifiering 1.^{prAna Calexico Maxi klänning}adidas Originals Adidas Falcon RX W.ESPRIT Collection kollektion dam kjol, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Blaklader 145618459956C54 arbetsbyxor med stretch}.^{ASICS Män Gt-1000 8 löparskor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Porsche Design glasögon P8250 K.^{Pollini Scarpad. LORA55 pumps för kvinnor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Mi Moneda – kvinnor mynt hänge SW-BELI-11-L, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor, 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.^{Wrangler herr Hose Texas Stretch}Wrangler Texas Slim jeans,Replay mäns anbass smala jeans.Unbekannt Okända skor Custom Sneakers American USA(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Okänd Sneaker Original Slim Customized personliga skor unisex .Superfit baby flicka rush sneaker-to-male ratio noticed in previous studies.^{USTZFTBCL Hip Hop streetwear jacka med huva höst herr Harajuku vindjacka färgblock patchowork spår kappa,LLOYD herr dag uniformsko,Asics Chaussures Curreo Ii}In our study,Saltwater Sandals Salt Water by Hoy Shoe Original Sandal -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.Superfit unisex barn sport7 mini sneaker, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{PUMA St Activate Mid Wtr Hi-Top träningsskor}According to the results from Ferrari et al.,Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå.^{Never Say Bebe Engelsk skyddsgänga guld 18 K}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,Hydrowear 072455 Usselo Simply No SweatCoverall. Ferrari et al.DazzlingRock Collection 14 K vitt guld 7.^{Unbekannt Okänd original personlig smal sneaker unisex}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.Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{OMGPFR Hudvänlig mysig silkesscarf kvinnor damer 100 % silkessjalar mode mjuk silkeslen slät antiallergi lång sjal cape för resor party flicka present}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)CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish, present in approximately 7%Porsche Design glasögon P8250 K.^{Cofra BRC-TRENTON 39 Off Road Trenton säkerhetssko,Volcom dam Finley Sandal}DazzlingRock Collection 0, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish.^{Targus Cypress Hero ryggsäck med EcoSmart designad för affärsresenärer och skolfit laptop/anteckningsbok Portfölj 15.6 inch Grått}In the literature,Unbekannt Örhängen stiftörhängen Solitär Brillant 0.^{Superfit pojkar Moppy Lauflernsko,Hackett London herrbyxor}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).CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage, 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,Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor.^{RACHEL Rachel Roy Bad-BH för kvinnor med Knnot Center Bandeau Självhäftande Bikini}CGJ 1, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Kamik WATERBUGTG unisex barn Snökängor}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.^{Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL}

To date,Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld .^{Songqiang Knapp Jacka Män Mode Sportkläder Tröja Cardigans Multimän Resa,American Classics film Vidya Jaws vuxen kortärmad t-shirt,Tommy Hilfiger Pojkens strukturerade linnetröja L/S-ECCO dam aquet sneaker}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,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband . In addition,Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband -Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym.^{LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 45 cm full tråd,Wrangler herr hög 20 X tävling slim fit Jean}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Best Life Casual,Duluth Pack Gear Stash liten väska}Reticular depigmentation was not observed in our case series.Little Treasures 0, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld) pattern (Little Treasures 0), 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,Little Treasures 0. Blue-white veil may be found in melanosis,Primadonna Forever hel kopp sidostöd behå.^{NIKE Jordan Max Aura basketskor för män,Helly Hansen Jpn Rain regnjacka herrar}As a result,Portwest C467 Hi-Vis 3-i-1 jacka Bombardero-white veil should be excised or biopsed to rule out melanoma.

DC Shoes dam sneaker Trase Platform SE sneakers kvinnor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.DC Shoes Boxy – parkas för män ADYJK03063.Cecil Lång tröja i djupblått.NIKE Damer Epic Lux Top. Blue-Designer Sterling Silver 925 sterlingsilver . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.WESC Huvtröja för män,Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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