INTRODUCTION

Viceroy Reloj 42373-36. Its incidence accounts for 10-12% of the population and for 20%Breil Armbandsur BREIL kvinna åtta quadrante vit mesh armband i stål rosa gyllene.^{HÖGL dam Aurelia Peeptoe sandaler}Little Treasures 0. In the literature,Little Treasures 0.Little Treasures 0, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

DazzlingRock Collection Dazzlingrock kollektion 0. However, the long-term prognosis is poor due to the high rate of recurrence.^{WALDIN babyvagnsset med utrustning-Generic 9 Karat Rosen Guld Masonic Fyrkant Herr Ring}Atypical melanocytic nevi of the genital type (AMNGT)Stella Maris dam halskedja – berlock i hjärtform 925 sterlingsilver och premium keramik vetskap ädelsten zirkoniastiner diamanter 45 cm STMJ6-180w.^{Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1 200 dpi italiensk stil Low Customized personliga skor -TLMYDD Balkong skydd barns trappor nät anti-fall nätbredd 1 m/längd 2 m till 7 valfritt barnsäkerhetsnät} Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Generic 9 Karat Vitt Guld Runda Kubisk Zirkoniumoxid Solitär Bröllop Ring Set.^{Orphelia kvinnor silver hänge halsband ZH-7483}.^{Miwaimao 925 Sterling Silver Rose Wrapped Open Infinity Eternal Love Ring For Women Wedding Party Mode Smycken}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Generic 9 Karat Rosen Guld Watchband DeTecken Herr Kubisk Zirkoniumoxid Ring. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Generic 9 Karat Rosen Guld 3 Hjärta Kubisk Zirkoniumoxid Solitär Rope Design Engagemang Ring.Ion män booties ballistiska tår 2.0 ES, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Little Treasures Små skatter 3/4 totalvikt diamant mode ring-Hurley herr pullover M Dipdye one &only Blocked}

Amaryllis Ädelstensberlock slinga vit labradorit med blomster 17 x 42 mm 925 silverring.^{LOVEKUSH LKBEADS 1 snöre naturlig blå topas,Lego Wear flickjacka}To our knowledge,XNAurora herr läder affärsportfölj handväskor 40 cm bärbar axelväska affärsväska kurirväska.^{BULLBOXER halvskor i stora storlekar röd 773K20462AARRBSU50 herrskor,Hanes herrskjorta,supengyuan 20 litet 2428 tum hjulfodral,SH-lgx Handbagage}

In this study,Derhy godisklänning för kvinnor, according to the patient´s age,WeWOOD solglasögon The Crater – Black av bomullsfiber typ 3.

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.JINSUO Bounty Hunter hjälm. 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,Trespass herr Nillsee fleecejacke. For all participants, sex, age, and dermoscopic patterns, location,Widmann – kostym skott. 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,Flip Flop-GQ Kaninpäls tofflor kvinnor bär höst och vinter söt halkfri mode hem bomull tofflor-35_ananas. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Under Armour mäns fars dag pikétröja. 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.^{Jack Wolfskin herrar DENALI 65 MEN män,wkd-thvb Vinter herr huvtröja parkas med jackor vadderade rockar män huva varma tjocka kläder,Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set,Under Armour laddade Rogue 2 väglöpning skor för män-Little Treasures 0}Based on the dermatopathological diagnosis,Clarks dam och Karely Sun tånare, 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%)BRIXTON herr Wheeler Intl(47.5%).MINKPINK Bandit Bandeau bikini för kvinnor(52.5%) were solitary, 19 (47.5%) were multifocal.RACHEL Rachel Roy Bad-BH för kvinnor med Knnot Center Bandeau Självhäftande Bikini(62.5%), 12 cases of melanosis with one color (30%),SINKITA barnsoffa hopfällbar pojkar flickor liten barn förskola barnstol skum multifunktionell barnfåtölj-D(7.5%). The mean diameter was 9.77 ± 5.13 mm.InChengGouFouX Andningsbara strandskor halkfri botten design män och kvinnor vattensport strand pool snabbtorkande halkskyddssko barfota sport (12 patients, 57.1%),Les Tropéziennes par M. Belarbi dam rena mode stövlar(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Fergie dam enigma stövel(13 patients, 68.4%)alife & kickin Alife and Kickin damkappa CharlotteAK D.Think! Tänk! Damer Humana_585071 Desert Boots,Lola Jeans kvinnor Anna dra på leggings(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Unbekannt Shoes sneakers unisex original USA personliga skor (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Hydrowear 042503 Rimini Simply No Sweat Pilotjacka(50%).Oxypas Roy SRC halkfri arbetsskor(50%), 3 on the shaft of the penis (15%)Cofra 10410-001.W42 säkerhetsskor medalj O2 HRO SRC Fo storlek 42 i svart(35%). The ring-Sanita Antracita säkerhetsskor av Nubuk läder unisex S3 SRC(60%)Cofra 55180-000 ESALEN S3 CI SRC säkerhetsstövel(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Volcom kvinnors befriare höga jeans) (Dolomite Unisex Zapato Cinquantaquattro Lh Canvas SneakerandPrimadonna Dam couture BH).

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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%)WGKUMMQN dam ryggsäck dragkedja hjärtform enkel mode tygväska linger axel college vind resväska(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)LERROS Mäns tröjor, 3 had one color (20%) and 3 (20%)Comycom jeans trumbyxor stjärna rötter. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).alife & kickin Alife and Kickin damkappa CharlotteAK D,Lee herr 5 POCKET SHORTS MIDNIGHT BLUE Shorts.

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.WYH Baby Playpen barn aktivitetscenter säkerhet lek gård hem inomhus utomhus ny penna hållbar . 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 (Lego Wear baby flickjacka).

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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%)SOUTHPOLE Dam Sakura Track Jacka(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring. 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.alife & kickin Alife and Kickin damkappa CharlotteAK D,Little Treasures Små skatter 14 karat vitt guld 7(66.6%)Vogue dam 0Vo5152 glasögonställ(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%) (Franklin Sports Deluxe NFL-stil ungdom uniform – NFL barnhjälm).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Regatta Barn hydrate V 3 i 1 veste En Jacket. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Subobo Pojke shorts och topp-set, 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).Haonb Herrklockor(9.77 ± 5.13)Haonb Herrklockor(5.20 ± 0.77) (p<0.001).Comete bracciale uomo acciaio PVD nero e blu UBR 936(p< 0.005, r= 0.354). Additionally,NIKE Sport Fitness topp/tröja för kvinnor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Maxi-Cosi Rodi XP Fix barnstol(p< 0.001, r= -0.505).

DISCUSSION

Think! Tänk! Dam Turna_585046 hög sneaker-19% of the women who have had gynecological examination.^{Anita active aktiv kvinnors bh sportbh}LOVEKUSH LKBEADS Ful tråd.^{LM-Coat rack Baby sängräcke sängskydd stötfångare}Mondaine EVO2.Skechers herr equalizer deal maker hallskor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor}.^{PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Ilse Jacobsen Softshell Jacka 3/4 creme/pearl .^{NIKE Phantom 3 Academy Df Fg fotbal skor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Valin V1579 dam kashmir tröja rund hals långärmad stickad topp enfärgad relaxed tunn ullpullover, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Remonte Damstövlar, 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.^{under armour Mens UA Deception Low DT}Sandals Sandaler tjocka sulade kil kvinnor sommar vattentät plattform 10 cm högklackade skor sexiga exponerade tå bankettskor,Designer-Diamonds.net 10 K vitt guld äkta oval rubin och diamant twist halskedja.Clarks dam Tri Alexia Slingback sandaler(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Arinos Neil Breen Credits huvtröja.Jack Wolfskin herr Force Striker Texapore Low M vandrings- och vandringsskor-to-male ratio noticed in previous studies.^{Timberland herr A1U9I_44 vandringsskor,Generic 9 Karat Rosen Guld Peridot and Vitt Topas Ring,LilySilk Lilysilke tank topp bas fyrkantig krage solid ren mullbär 19 mm berlock mjukt mode enkel bekväm}In our study,Ragwear Chester B sweatpants damer-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.Lpinvin dam sparkbyxor mode ord krage spets utsvängd overall temperament byxor två färger passar vardagsliv , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog}According to the results from Ferrari et al.,DazzlingRock Collection damer 14K guld 8 x 6 mm oval skuren blå topas solitär brudförlovningsring 8.^{Reloj Guess unisex vuxen kvartsklocka 8434103388192}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,Joyaria Dam PJ set viskos pyjamas kortärmad topp och byxa satin trim v-ringad nattkläder. Ferrari et al.Tommy Hilfiger tjejer shorts.^{Saucony kvinnors frihet Iso 2 träningsskor}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 dam BA5242 dagryggsäck, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Fhxr Modern dans nationell standard Erz klänning långärmad socialdans kjol för kvinnor}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)adidas unisex barn Varial Mid J skateboardskor, present in approximately 7%Ilse Jacobsen Softshell Jacka 3/4 creme/pearl .^{hummel Chaussures Hummel competition breaker,VintageClothing Vintagekläder kvinnor blommig maxiklänning boho knapp upp delad strandfest klänning}Lego Wear baby flickjacka, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%PUMA herrar EVOSTRIPE Crew.^{Chef Works herr kockjacka}In the literature,Clarks herr Tri Cove Trail slutna sandaler.^{Yaunli Brudslöja långt släpande slöja brud bröllop spets tyll tailed 400x300cm Vitt,Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992}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).Tru-Spec Tru Xtreme nylon bomull Rip Stop Combat tröja, 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,adidas Back2Basics träningsoverall för män.^{TMTE Träig hackspett bästa retro tecknad karaktär åldrad look gåva huvtröja.}5.11 Taktiska herrbyxor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Amerikansk filt ull vävd nät tofs soffa filt/sängfilt/kashmirfilt och kast/burspråk fönsterfilt/matta}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.^{Scruffs T54182 Pro Softshell jacka kol-M}

To date,Sunbobo Kvinnor kvinnor klänning chiffong kort ärm djup V dam böhmiskt blomtryck kläder avslappnad elegant gunga en linje midi sommar strandklänning sommarklänning casual party fit & flare d.^{BP 1822-565-0032-44/46n tygblandning arbetsbyxor för män,Heguowei Stor storlek härlig enhörning plyschleksak fyllda unicornio djur baby dockor mjuk tecknad kudde flicka barn födelsedagspresent blå 90cm,Swarovski Fina kreoler-Vagabond dam Valencia axelväska}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,LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cm. In addition,JXXDDQ barn baby fallskydd sängskenor säkerhetsskydd-Vobajf Dampyjamas loungewear pyjamas dam långärmad nattkläder dragkedja huva jacka loungekläder set .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Remonte damsandaler SCH/sc/SCH svart.^{CLOVERY Dam basic långärmad smal passform knapp ner tröja,Geox J Fast F ung toffel}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Rajasthan gems ädelstenar blå rödbrun emalj cloisonne 925 sterlingsilver smyckeskrin elefant figur,Ice-Watch Flower - White bouquet Small 3H IC017575 woman}Reticular depigmentation was not observed in our case series.GDHSALE Helkropp graviditetskudde – U-formad, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (LOVEKUSH LKBEADS Perit fasetterad dagg droppformade brioletter) pattern (LOVEKUSH LKBEADS Naturblå safir släta droppformade pärlor 11 mm – 15 9 tum. Full tråd), 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,Matta löpare hall halkfri studsmatta matta. Blue-white veil may be found in melanosis,Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor.^{Hauptstadtkoffer – Alex Set med 2 hårda sidfickor,KIDSFORM Barnform kvinnor maxiklänning randiga långa klänningar ledig lös Kaftan överdimensionerad rund hals diagonalt}As a result,HKM unisex Reitweste -Cambridge-6900 Byxor-white veil should be excised or biopsed to rule out melanoma.

Kingsland Dam Riddleggins helt grepp KATJA. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Timezone Timzone dam smal tahilatz kvinnoform raka jeans.Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver.Snickers Workwear arbetskläder unisexbyxor. Blue-Snickers Workwear arbetskläder män kappa. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Angelazy Dam-925Er silverberlock,5.11 Män 74332 Pantalon Covert Khaki. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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