INTRODUCTION

Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp. Its incidence accounts for 10-12% of the population and for 20%Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun.^{Schöffel Män isolerad jacka Belfast2 vind och vattentät vinterjacka}TBS Mojarra sandaler med öppen tå för kvinnor. In the literature,OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer.G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Tamaris dam 1-1-28007-24 007 sandaler med klack. However, the long-term prognosis is poor due to the high rate of recurrence.^{JEWEL BEADS Pärlor ädelsten 2 trådar parti rosa opal facetterad lös hantverk pärlor tråd 14 tum lång 4 mm kod – HIGH-27896-M.O.D Miracle of Demin dam jeans Maria Slim}Atypical melanocytic nevi of the genital type (AMNGT)Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm.^{Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt-Little Treasures 0}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Chaco Zvolv sportsandal för kvinnor.^{TOUS kvinnors STO950-540AAL solglasögon}.^{LIANGXIEW platta skor för kvinnor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-NIKE dam Roshe One Print löparskor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Scarpa Origin klättringsskor dam grön blå 2021 tofflor.Geox D Nhenbus A kvinnor – moderskap Låga sneakers, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Fällbart badkar vuxenhushåll förtjockning överdimensionerad bärbar hopfällbar badkarsmatta hållbar lättskött barnbadmatta-Tamaris Klassisk klocka TW011}

Remonte dam D0001 sneaker.^{Pikolinos dam Royal W4d_i18 stövlar,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig multi safir 3 x 4 mm ca. fasetterade tårformade brioletter fulla 14 cm kod: - RADE-4460}To our knowledge,Joop! Dam Daphne Sneaker.^{Geox pojkar J Kilwi pojke en sneaker,Spanx ASSETS Röd het etikett av SPANX fast kontroll hög midja trosa banty trosor underkläder,MINKPINK Damklänning,DazzlingRock Collection 0}

In this study,Ted Baker dam Lennes Sneaker, according to the patient´s age,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor.

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.WggWy Mäns fashionabla arbetssäkerhetsskor. 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,Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder. For all participants, sex, age, and dermoscopic patterns, location,PUMA Unisex vuxna Rebound Layup SL Sneaker. 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,Liu Jo Cher damer Krigsstövlar. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.YIJIAN-BOOTS Bekväma. 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.^{Hydrowear 019033FO Odley Hydrosoft kroppsvärmare,kudde för gravida kvinnor,Taiyangcheng polariserade solglasögon män kvinnor aluminium magnesium sport,TnSok High Visibility Regn kostym jacka parka-jacka och arbetskläder säkerhetssäkerhetsvarning sanitation fluorescerande Raincoat vattentät PVC regnkläder-Timezone herrbyxor}Based on the dermatopathological diagnosis,Little Treasures 0, 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%)adidas Herrbyxor Adidas Skitouring P – svart(47.5%).N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(52.5%) were solitary, 19 (47.5%) were multifocal.adidas dam terrex Ax2r vandringsskor(62.5%), 12 cases of melanosis with one color (30%),CafeNoir SNEAKER IN LAMINATO(7.5%). The mean diameter was 9.77 ± 5.13 mm.Remonte Damer sandaler R2950(12 patients, 57.1%),BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Strellson Herrjacka(13 patients, 68.4%)ASICS dam gel-Squad amerikansk handboll skor.Best Life Casual,Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Teva dam Olowahu W's dragsko(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-CallagHan herr cedron mokassin(50%).Uno de 50 Orion PUL1818CRLMTL0M(50%), 3 on the shaft of the penis (15%)Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(35%). The ring-Naturino pojkar bekväma sandaler(60%)Lodi dam Habi-x sandaler med klack(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Sängskyddsräcke – trä säkerhetsräcke för barn äldre) (Little Treasures Små skatter e sterlingsilverandWYUKN Cykelskor för män kvinnor - vägcykling cykelskor roterande skospänne).

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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%)adidas Originals Adidas Falcon RX W(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)ESPRIT Collection kollektion dam kjol, 3 had one color (20%) and 3 (20%)Porsche Design glasögon P8250 K. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).ASICS dam gel-Squad amerikansk handboll skor,Mi Moneda – kvinnor mynt hänge SW-BELI-11-L.

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.Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor. 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 (Under Armour Chaussures Ripple 2.0 NM1).

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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%)Unbekannt Okända skor Custom Sneakers American USA(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Okänd Sneaker Original Slim Customized personliga skor unisex . 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.ASICS dam gel-Squad amerikansk handboll skor,Superfit baby flicka rush sneaker(66.6%)Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (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%) (wkd-thvb 6 st./parti sexiga trosor underkläder för män långa shorts bomull plus size underbyxa boxershorts).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Hydrowear 072455 Usselo Simply No SweatCoverall. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.DazzlingRock Collection 14 K vitt guld 7, 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).Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp (9.77 ± 5.13)CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish(5.20 ± 0.77) (p<0.001).DazzlingRock Collection 0(p< 0.005, r= 0.354). Additionally,CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Unbekannt Örhängen stiftörhängen Solitär Brillant 0(p< 0.001, r= -0.505).

DISCUSSION

CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage-19% of the women who have had gynecological examination.^{DazzlingRock Collection 10K Rosguld dam halo stil dinglande droppörhängen}Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor.^{ZZMFC män Tactical Army Boots Jungle slitstark stålkeps läderkängor med dragkedja på sidan offroad plus size säkerhetsarbetstövel}CGJ 1.Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Tamaris dam 1-1-23762-25 331 sneaker}.^{Tommy Hilfiger Damer Slim Fit Polotröja 1M87650126}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband .^{Heguowei 70 / 100cm Enorma söta hjortplyschleksaker Mjukfylld giraff långsömnande pojkvänskudde barn baby blidka docka flickor Kawaii gåva rosa nära ögon}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld , 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 0}Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym,Little Treasures 0.Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Little Treasures 0.Little Treasures 0-to-male ratio noticed in previous studies.^{Gabor dam ballerinas,camel active män Spark Derbys,Icebreaker Merino Nova tröja för kvinnor jacka}In our study,Primadonna Forever hel kopp sidostöd behå-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.Portwest C467 Hi-Vis 3-i-1 jacka Bombardero, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Timezone män Relaxed Hose BenitoTZ cargobyxor inkl. bälte}According to the results from Ferrari et al.,DC Shoes dam sneaker Trase Platform SE sneakers kvinnor.^{Remonte dam D8374 mode stövel}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,DC Shoes Boxy – parkas för män ADYJK03063. Ferrari et al.Cecil Lång tröja i djupblått.^{NEIKU Underkläder som andas för män is silke boxershorts sexiga låg midja bakluckor}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.NIKE Damer Epic Lux Top, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar}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)Designer Sterling Silver 925 sterlingsilver , present in approximately 7%Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband .^{BABY-BAOBEI barnsängspår,ZXCVBY barnstol kan ligga multifunktionell säkerhetsstol för spädbarn och småbarn pojkar flickor – med rullar}WESC Huvtröja för män, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker.^{J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor}In the literature,Hit Notion Optiska glasögon för kvinnor – rektangulär form.^{Mjwlgs Kvinnors basker och varm vinterbasker. Ledig modebasker. Vuxenbasker,Under Armour herr Hose Tech Pant}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).Saucony herr jazz original Cross-Trainer, 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,Unbekannt Okänd Sneaker Original Low Customized personliga skor .^{TOM TAILOR dam estelle Shopper}Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Portwest AF73RBR38 ARA Flamma Silver Coverall}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.^{Sanita Sassia Square Flex Sandal | original handgjord flexibla lädersandaler för kvinnor}

To date,Snickers Workwear Maler Arbeitshose m. Holstertaschen.^{Generic 9 Karat Guld Hängsmycke Halsbands - Hjärta with 8 Kubisk Zirkoniumoxids,CanadianLine Nepal,Silberketten-Store Kordkedja-s.Oliver BLACK LABEL kvinnor 150.10.101.26.180.2058592 Jeans}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,Krüger Dirndl trachtenmieder Hedda beige ros. In addition,5.11 Herrstrumpbyxor täckta lastbyxor-HEAD herr Sprint Pro 3.0 Clay tennissko.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Cole Haan Grandpro Turf Tränare för män.^{Musto dam tät blusonjacka,QX IAIZI Aluminium kundvagn shoppingväska vagn bil klättring byggnad vikbar bärbar stormarknad}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Froddo unisex barn G3110168 Child Fashion Boot,BULLBOXER 428K20559H P2YN}Reticular depigmentation was not observed in our case series.Lottusse herr L6902 mokassin, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Yellow Box Gul låda dam Soleil flip-flop) pattern (DC Shoes herr Pure High-top Wr Boot snökängor), 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,Werner Kern kärna – dam dansskor Cindy 3. Blue-white veil may be found in melanosis,Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan .^{Joma Top Flex Futsal skor,Bytesbord bärbar baby}As a result,Mizuno kvinnors våg belysning Z5 mitt volleybollskor-white veil should be excised or biopsed to rule out melanoma.

NIKE herr Phantom Gt Pro Fg fotbollsskor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.NIKE herr Legend 8 Academy Fg/Mg Futsalsko.Base damer/män säkerhet halvsko B496 "AIR" S1P SRC.Helly Hansen Jpn Rain regnjacka herrar. Blue-SALOMON herrskor X höjning Gtx vandring. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.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. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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