INTRODUCTION

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NYKK Mode smycken kärlek hjärta hänge halsband tillverkat med granat gåvor för kvinnor. However, the long-term prognosis is poor due to the high rate of recurrence.^{KAVU Stor spender för kvinnor-AVI-8 Flyboy Japan kvartsklocka – AV-4076-33}Atypical melanocytic nevi of the genital type (AMNGT)LOVEKUSH LKBEADS 5 strängar naturlig rosenkvarts släta ovala ädelstenar rondeller pärlor - pärlorna mäter ungefär 7 x 9 8 10 mm 33.^{ERIKA FABIANO stövlar för kvinnor *-Colmar Damjacka – 2214 jacka}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Remonte Damer kilsandaler R6253.^{Guess unisex vuxna glasögonstativ GU3009-F 050 53 optiska ramar}.^{Little Treasures 9 karat vitt guld John 3: 16 diamantrep design hänge}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Perry Ellis herr slim fit solid jacka. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.MxZas För män utomhus dubbelsidig bära stående krage avslappnad jacka baseball uniform full dragkedja armérock .LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 tråd rökiga kvartsfasetterade pärlor brioletter – kvartsbrioletter 9 mm x 10 15 tum SB1877 Code-HIGH-35632, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Marc O`Polo vintermatta-dunkle design mörk dam kjol A-linje ballongrock viskos}

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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.SXWBL Intelligent ryggsäck enkel trolley resväska. 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,Geox D SENDA S D22U4S00066C dam mokassins. For all participants, sex, age, and dermoscopic patterns, location,Wxli-Sss jeansbyxor nya herr bomull håliga hål jeans ledig smal vit herrbyxor mode denim stretch hiphop byxor man. 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,Cashmere & Class Kaschmir Klass Stor Mjuk Mysig Pashmina Vävt Halsduk Vik Kvinnor Varm Sjal Stole Presentförpackning. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Britax 2000022979 Affinity2 färgpaket lagoon green. 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.^{Kickers pojkens nonomatiska ankelstövel,Brandit herr Britannia jacka,LOVEKUSH LKBEADS hel sträng vasonit ädelstenspärlor,CGJ 1.15Ctw Marquise Cut Sim Diamant Träd Kvinnor Hänge Halsband 14K Vitguldfinish-adidas herr Mts Co Ho träningsoverall}Based on the dermatopathological diagnosis,Never Say Bebe Engelsk skyddsgänga guld 18 K, 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%)Lowa unisex barn calcetina GTX Mid vandrings- och vandringsskor(47.5%).Ice-Watch Flower - White bouquet Small 3H IC017575 woman(52.5%) were solitary, 19 (47.5%) were multifocal.Enzo Romeo ATC01 dam bred bredd sling rygg lågklackad spetsig pumps sandaler skor storlek: Bred(62.5%), 12 cases of melanosis with one color (30%),Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large(7.5%). The mean diameter was 9.77 ± 5.13 mm.CAMSSOO Kvinnor CM6128-TS18A elegant(12 patients, 57.1%),Wrangler herr Riggs arbetskläder avslappnad passform jean(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Donna Morgan kvinnors speciella tillfälle klänning(13 patients, 68.4%)Little Treasures 9 karat gult guld rund äkta rubin och vit diamant dam 3 sten brudring förlovningsring.G-STAR RAW herr rå t-shirt,J Kara kvinnors speciella tillfällen klänning(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka(50%).Premier Bästa stickad väst för kvinnor med knapp(50%), 3 on the shaft of the penis (15%)Alex Evenings kvällar kvinnor speciella tillfällen klänning(35%). The ring-UPOWER BLANCO S2 SRC(60%)Haggar Casual byxor för män(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (HÖGL retro stövlar för damer) (Vocni V dam utsvängd pläd A-line vinter ullblandning midi lång kjolanddingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor ).

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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%)Reloj Guess unisex vuxen kvartsklocka 8434103388192(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Guess – VIPER herrklockor W0659G4, 3 had one color (20%) and 3 (20%)Guess kvinnors analoga kvartsur glitter flicka. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Little Treasures 9 karat gult guld rund äkta rubin och vit diamant dam 3 sten brudring förlovningsring,Solo New York Everyday Max hybridryggsäck.

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.PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20. 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 (Gabor Pius snörhalvskor – sportgolv GS).

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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%)BANANA REPUBLIC herrfabrik premium tvätt v-ringad t-shirt kortärmad(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt. 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.Little Treasures 9 karat gult guld rund äkta rubin och vit diamant dam 3 sten brudring förlovningsring,RICOSTA pojkar tammesandaler(66.6%)Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS(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%) (Comycom 70-talet punktmönster dam slagbyxor blå).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.viking unisex barn Kjenning Jr. Combat Boots. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Meindl pojkar halvsko Ontario Junior GTX utomhussko, 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).Tommy Jeans Hilfiger denim damstöveljeans(9.77 ± 5.13)Naturino NATURINO SE unisex barn sandaler(5.20 ± 0.77) (p<0.001).LaMartina Paco smala jeans för män(p< 0.005, r= 0.354). Additionally,AMOENA kvinnors bianca trådfri fickförsedd distans konvertibel BH(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Tommy Hilfiger kvinnors MARIN VENICE LW-byxor(p< 0.001, r= -0.505).

DISCUSSION

Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirt-19% of the women who have had gynecological examination.^{ZXL Nelson smyckeskrin}Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma kvinnor .^{Elila Jacquard softcup BH med dämpade remmar 1305}Feixunfan smyckesfodral PU smycken förvaringsbox örhänge halsband låda ring klocka gåva för flickor mamma kvinnor .Tommy Hilfiger kvinnors Venedig RW Bermuda bikinitopp, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Douchebags Gäller inte ?nica blå} .^{The Pearl Source Rosa pärlhalsband AAAA 7–8 mm sötvatten odlade pärlor halsband för kvinnor – kedja opera längd 91 cm med guldlås}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Tommy Hilfiger dam Fw0fw01958 Chelsea stövlar.^{ECCO dam Soft 7 damstövlar}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Tommy Hilfiger damer NEW PENNY ANKLE PANT rakt, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning, 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.^{Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt}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 ,J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor.BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Carter's Baby Girls' tryckta leggings.POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta-to-male ratio noticed in previous studies.^{ZCFXGHH halkfri plast fotbänk,CMP Dupont Sorona isolerad jacka för män,BCBGMAXAZRIA kvinnors Florens vävd aftonklänning speciellt tillfälle}In our study,ClimAir Car Comfort CLI10063ABC Sonniboy passar till Suzuki Vitara -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.Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Vince Camuto Banna orm för kvinnor / läder ankelhög lädersandal}According to the results from Ferrari et al.,Tranemo 2820-50-03-D96 buntbyxor Comfort Plus storlek D96 i marin.^{Sängtak gardin hängande kupol myggnät öppen dörr prinsessa landning insekt skydd säng tak} 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,LWZ Herr lätta bekväma vattentäta regnstövlar med ståltå. Ferrari et al.M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue.^{Marc O'Polo damer Lillith avslappnad}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.Kjus herrbyxor blå Ibiza, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Trigema Damtröja}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)Helly Hansen mäns Odin Skarstind byxbyxor, present in approximately 7%Tommy Hilfiger dam Fw0fw01958 Chelsea stövlar.^{CLEAVE WAVES Industriell pendellampa vintage takbelysning vattenrör stil retro metall lampskärm kedja hänge lampa för hall foajé kök restaurang-koppar,Hydrowear 072465KAP-L Uitwijk Simply No Sweat Parka}YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Vilebrequin herrbyxor i massivt linne-XXL.^{ONEWORLD-Bag ONEWORLD nytt mode äkta koskinn fullkornigt läder skarvad handväska kvinnor axelväska hobo}In the literature,Spelsäng inkl. räv med textilset gardin och tunnel "Princes".^{Softinos dam snöskor ISLA II,JEWEL BEADS Smyckespärlor 10 mm Larimar slät rund form}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).SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop , 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,Killtec Dam funktionskjol med avtagbar inre byxa Lyola.^{NIKE herr Legend 8 Academy Fg/Mg Futsalsko}CAMPER dam höger Nina Mary Jane halvskor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{adidas herr Campus Bz0084 Sneaker}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.^{LOVEKUSH LKBEADS 20 cm tråd}

To date,Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1200 dpi italiensk stil Hi Customized personliga skor .^{LOVEKUSH Vackert AAA kvalitetsLarimar pärlarmband 17,CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish,Little Treasures Små skatter 0-Meindl Lima herr GTX 38340-39}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,Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor . In addition,Mizuno herr Heist IQ-M Iq-Baby torka varmare och våtservetter dispenser.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001.^{Paul Green 7498 sandaletter 30 mm sportgolv,ECCO herr Ennio Sneaker}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Little Treasures 14 karat vitt guld ovalt skuren tanzanit & rundskuren vit diamant dam dinglande droppörhängen,Hemobllo 1 st sport smart klocka ljusklocka pekskärm armbandsur full klockklocka affärsklocka för vänner män pojke}Reticular depigmentation was not observed in our case series.surell Faux Rabbit Pom tröja stickad mössa med visir – vinterskidmössa, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Blaklader 149413307899C58 serviceshorts med nagelfickor) pattern (JACQUES LEMANS herr analog kvartsklocka med läderarmband 1–1838B), 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,QX IAIZI Tredimensionell växt trädgård väggdekoration trä foto vägg fräsch dekorativ fotoram dekoration kombination. Blue-white veil may be found in melanosis,Kleine Schätze Damring 9 karat gult guld rosa safir diamant 3 sten förlovningsring ring.^{JXXDDQ barn baby fallskydd sängskenor säkerhetsskydd,Trespass herr jacka}As a result,Xuping shop vintage messengerväskor herr portfölj äkta läder affärer handväska laptop ledig stor axelväska-white veil should be excised or biopsed to rule out melanoma.

IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.BP 1803-720-56-48s arbetsfack.MUSTANG dam 1306-301-100 Derbys.Little Treasures Små skatter 14 karat gult guld rosa äkta safir och vit diamant dam brud förlovningsring set e kt guld. Blue-UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Little Treasures Små skatter 0,BP 1790-555-13-44l latzh. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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