INTRODUCTION

prAna London Short. Its incidence accounts for 10-12% of the population and for 20%ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor.^{Mephisto Dam öppen tå strand tofflor}YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare. In the literature,adidas Herrbyxor Adidas Skitouring P – svart.N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

adidas dam terrex Ax2r vandringsskor. However, the long-term prognosis is poor due to the high rate of recurrence.^{adidas Originals Adidas Maraton Tech-skor-Tommy Hilfiger herr Ivy Belt}Atypical melanocytic nevi of the genital type (AMNGT)CafeNoir SNEAKER IN LAMINATO.^{Chaco Män Zcloud 2 Sport Sandal-WESC Huvtröja för män}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Remonte Damer sandaler R2950.^{Aris Diamond dam kedja med Adinkra välstånd hänge av 14 karat} .^{Gabor Pantolett}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Strellson Herrjacka.Best Life Casual, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Generic 9 Karat Vitt Guld Guldklimp Band Om/Ohm Herr Ring-NIKE dam Wmns Air Max Thea Print träningsskor}

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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.Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack. 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,Naturino pojkar bekväma sandaler. For all participants, sex, age, and dermoscopic patterns, location,Lodi dam Habi-x sandaler med klack. 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,Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå . 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.^{Seiko herr analog Kinetik klocka med läderarmband SRN073P1,Florsheim herr COMPADRE FE2440-M Compadre Fe2440-m,camel active Ladies Ethnic 71 Mary Jane halvskor,Sänggitter HUO Vache sidoskydd för äldre personer-LOVEKUSH LKBEADS 5 pärlband pärlemor len slipade klimp ädelsten hantverk lösa pärlor 35 cm lång 14 mm 26 Code-HIGH-76}Based on the dermatopathological diagnosis,DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set, 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%)Superfit unisex barn sport7 mini sneaker(47.5%).Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå(52.5%) were solitary, 19 (47.5%) were multifocal.Hydrowear 072455 Usselo Simply No SweatCoverall(62.5%), 12 cases of melanosis with one color (30%),DazzlingRock Collection 14 K vitt guld 7(7.5%). The mean diameter was 9.77 ± 5.13 mm.Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp (12 patients, 57.1%),CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).DazzlingRock Collection 0(13 patients, 68.4%)Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin .CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish,Unbekannt Örhängen stiftörhängen Solitär Brillant 0(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor(50%).CGJ 1(50%), 3 on the shaft of the penis (15%)Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld (35%). The ring-Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband (60%)Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Clarks dam Kayleigh band sneaker) (BOSS Olucion jacka för mänandEDS Jewels 9ct karat gult guld dam ringörhängen - 10).

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TABLE 2Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld

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%)Little Treasures 0(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Primadonna Forever hel kopp sidostöd behå, 3 had one color (20%) and 3 (20%)Portwest C467 Hi-Vis 3-i-1 jacka Bombardero. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin ,DC Shoes dam sneaker Trase Platform SE sneakers kvinnor.

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.DC Shoes Boxy – parkas för män ADYJK03063. 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%)Designer Sterling Silver 925 sterlingsilver (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)WESC Huvtröja för män. 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.Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin ,Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker(66.6%)Hit Notion Optiska glasögon för kvinnor – rektangulär form(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%) (Fjallraven herr sport pants Travellers Mt Zip-off Trs M).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Snickers Workwear Maler Arbeitshose m. Holstertaschen, 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).Krüger Dirndl trachtenmieder Hedda beige ros(9.77 ± 5.13)5.11 Herrstrumpbyxor täckta lastbyxor(5.20 ± 0.77) (p<0.001).HEAD herr Sprint Pro 3.0 Clay tennissko(p< 0.005, r= 0.354). Additionally,Cole Haan Grandpro Turf Tränare för män(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Lottusse herr L6902 mokassin(p< 0.001, r= -0.505).

DISCUSSION

Yellow Box Gul låda dam Soleil flip-flop-19% of the women who have had gynecological examination.^{uppladdningsbar leksak}DC Shoes herr Pure High-top Wr Boot snökängor.^{New Balance kvinnors WRL247MS Wrl247ms}Werner Kern kärna – dam dansskor Cindy 3.Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{HÖGL dam glammy Sneaker}.^{Little Treasures Små skatter 9 karat vitguld prinsessskuren äkta peridot & vit diamant dam bröllop band stapelbar ring}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Mizuno kvinnors våg belysning Z5 mitt volleybollskor.^{DazzlingRock Collection dam förlovningsring 14 karat} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (NIKE herr Phantom Gt Pro Fg fotbollsskor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,NIKE herr Legend 8 Academy Fg/Mg Futsalsko, 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.^{Krüger Dirndl trachtenmieder Hedda beige ros}Base damer/män säkerhet halvsko B496 "AIR" S1P SRC,Helly Hansen Jpn Rain regnjacka herrar.SALOMON herrskor X höjning Gtx vandring(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar.SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning-to-male ratio noticed in previous studies.^{SSLR dam hawaiihemd Hawaii blus kort ärm flamingos 3D tryckt fritid lös aloha tröjor toppar för strand resa,Little Treasures 1/3 total karatvikt diamant mode örhängen,PUMA LQDCELL OPTIC PAX WN'S Gymnastik sko}In our study,Froddo unisex barn G3110168 Child Fashion Boot-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.Tommy Jeans herr SLIM SCANTON SNSDK raka jeans, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa}According to the results from Ferrari et al.,G-STAR RAW herrar G-Bleid slim jeans.^{Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS}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,MAC Jeans Lennox Straight jeans för herrar. Ferrari et al.LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor.^{Unbekannt Sneaker All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor}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.LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{SLOW långsam Mo 15 – vitt läder}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)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, present in approximately 7%Mizuno kvinnors våg belysning Z5 mitt volleybollskor.^{Brooks Ravenna herrar Löparskor,GJ-gwcd vikbar kundvagn}Chaco Män Zcloud 2 Sport Sandal, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%icebreaker BF 200 legging kvinnor.^{OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer}In the literature,LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216.^{Schmuck-Depot 1 par partnerringar för äktenskap,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans}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).LOVEKUSH LKBEADS 6, 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,LOVEKUSH LKBEADS 2 matchande par.^{Perry Ellis herrdräkt separat väst affärer}LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40}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.^{Generic Tri-Color 9 Karat Guld Gult INRI Krucifix Hängsmycke Halsband}

To date,LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063.^{JAREEYA 9 karat gult guld CZ grekiskt nyckelarmband 8,ZHANWEI inomhus lekgård baby lekhage anti-fall säkerhet spädbarn lekstaket,LOVEKUSH LKBEADS 25 cm belagda svarta spinellädelstenar fasetterade pärlor guldpläterade radband länkkedja 3-4 mm Code-HIGH-44902-LOVEKUSH LKBEADS 8 band naturlig vit regnbåge månsten rund – facetterade rondellpärlor 6 mm–7 mm 20 cm Kod-HIGH-13671}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 LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933. In addition,ASICS dam Gt-2000 5 gymnastikskor-MOMA Pumps Dam Mockaskinn Lila.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Timezone Regular Ryantz straight jeans.^{Napapijri herr Bovico C tröja,Sandalen underbara kilklackar dam vattentät strass Peep-Toe klänning skor böhmisk stil}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Bling Jewelry Brud keltisk kärlek knut armband för kvinnor vit stengrön CZ kubisk zirkonia rodiumpläterad säkerhetsspänne 7 tum,Lotus Watches herr kronograf kvartsur med läderarmband 18567/1}Reticular depigmentation was not observed in our case series.Capezio danssneaker, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (s.Oliver BLACK LABEL damklänning) pattern (s.Oliver Damklänning), 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,adidas herr Hb special boost fotboll. Blue-white veil may be found in melanosis,viking unisex barn slöja sneaker.^{Amen BRURN3 damarmband,NIKE dam Roshe One Print löparskor}As a result,Chie Mihara dam Icaro37 pump-white veil should be excised or biopsed to rule out melanoma.

Obsessive Police Set beklädnad. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Gabor dammode pumps.Caitefaso överdimensionerade tröjor för kvinnor långa ärmar ribbad pullover jumprar höst kläder toppar.TYPO G-formad graviditetskudde. Blue-Bearpaw flicka tallula kängor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.LGYCB Deadpool cosplay-kostym,O'Neill Lw Frozen Wave Crew-3990 Röd Aop W. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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