INTRODUCTION

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adidas dam Terrex Swift R2 Gtx W vandringsskor. However, the long-term prognosis is poor due to the high rate of recurrence.^{CMP Flicka vattenavvisande täcke med huva-Namesforever berlock 2 bebisfötter av guld med gravyr}Atypical melanocytic nevi of the genital type (AMNGT)NIKE WMNS Legend react 2 löparskor.^{Gerry Weber tröja för kvinnor-Abeler und Söhne och söhne herr analog kvarts smart klocka armbandsur med läderarmband 3105}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Marc O'Polo Denim herr 767521160566 Pullover-tröja.^{Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart}.^{Russell Athletic Collection långärmad tröja för män}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Alfani herr platt framsida enfärgad vardaglig chinos byxor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt.NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Geox Kvinnor Donna Brogue A Chelsea-stövlar-FF lekplats bärbar baby säkerhets-spelpennor med krypfilt}

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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.Bishilin Bröllopsringar vitt guld 750. 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,ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer. For all participants, sex, age, and dermoscopic patterns, location,Primigi Pojkar Phh Gore-tex 43951 snöstövlar. 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,Lyle & Scott Felpa girocollo Bambino nera. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå. 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.^{Jomos Arena herrsandaler,LOVEKUSH pärlor ädelsten naturlig svart spinell facetterad oval lös hantverk tråd 14 tum lång 7 mm Code-RR-1556,Bozz Ergo koboltblå universal extra lång tjock fleecefodrad fotmuff/kosyto/cosybag som passar alla barnvagnar,Little Treasures Små skatter 14 karat vitguld blå äkta safir och vit diamant brud vriden virvel förlovningsring set e vitt guld-MINKPINK Bandit Bandeau bikini för kvinnor}Based on the dermatopathological diagnosis,UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC, 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%)OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer(47.5%).G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import(52.5%) were solitary, 19 (47.5%) were multifocal.Tamaris dam 1-1-28007-24 007 sandaler med klack(62.5%), 12 cases of melanosis with one color (30%),Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm(7.5%). The mean diameter was 9.77 ± 5.13 mm.Chaco Zvolv sportsandal för kvinnor(12 patients, 57.1%),NIKE dam Roshe One Print löparskor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Scarpa Origin klättringsskor dam grön blå 2021 tofflor(13 patients, 68.4%)LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler.Geox D Nhenbus A kvinnor – moderskap Låga sneakers,Remonte dam D0001 sneaker(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Joop! Dam Daphne Sneaker(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Ted Baker dam Lennes Sneaker(50%).LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor(50%), 3 on the shaft of the penis (15%)WggWy Mäns fashionabla arbetssäkerhetsskor(35%). The ring-Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder(60%)PUMA Unisex vuxna Rebound Layup SL Sneaker(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (RICOSTA barnstövel NENI) (NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/andFJÄLLRÄVEN Fjällräven 89997 – 319).

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TABLE 2Liu Jo Cher damer Krigsstövlar

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%)Ändbord blöjbord ihopfällbara med dräneringssystem(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)ECCO dam Soft 7 damstövlar, 3 had one color (20%) and 3 (20%)Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning . The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler,Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex .

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.Jomos herr Adventure Sneaker. 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 (New Balance Boys 373 Sneaker).

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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%)ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)prAna London Short. 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.LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler,ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(66.6%)YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare(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%) (Geox herr Uomo Monet mocka mockasin).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.adidas dam terrex Ax2r vandringsskor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.CafeNoir SNEAKER IN LAMINATO, 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).Remonte Damer sandaler R2950(9.77 ± 5.13)BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(5.20 ± 0.77) (p<0.001).Strellson Herrjacka(p< 0.005, r= 0.354). Additionally,Best Life Casual(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(p< 0.001, r= -0.505).

DISCUSSION

Teva dam Olowahu W's dragsko-19% of the women who have had gynecological examination.^{QIANDA babygrindar husdjur hund grind vägg fast förlängande metall med gånghål passar utrymmen mellan 57 till 180 cm bred 105-112cm}CallagHan herr cedron mokassin.^{Zabats 40-120 cm stor storlek färgglada tätning plysch leksaker mjuka marina djur havet hund docka fyllda tecknade sömnkuddar gåva för flickor Grön 100cm}Uno de 50 Orion PUL1818CRLMTL0M.Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Heckel 6721336 suXXEED OFFROAD SVART INOX S3 HÖG säkerhetsstövlar}.^{Amaryllis Hängsmycke Sugilith Freeform}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Naturino pojkar bekväma sandaler.^{NIKE herr Vapor 13 Academy Tf fotbollsskor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Lodi dam Habi-x sandaler med klack, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm , 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.^{YSYDE 198 cm Småbarn sängräckskydd}XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå ,DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set.RAINS Unisex Msn Bag dagryggsäck(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,DazzlingRock Collection Gia-certifiering 1.adidas Originals Adidas Falcon RX W-to-male ratio noticed in previous studies.^{camel active herr jacka,Mitchell & Ness Sweatshirt M&N Ls Indianapolis Colts,G-STAR RAW herr Citishield 3D Slim avsmalnande jeans}In our study,ESPRIT Collection kollektion dam kjol-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.Porsche Design glasögon P8250 K, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Mascot 00773-430-888-82C58 storlek L 82 cm/C58"Orlando" servicebyxor - antracit-P Large/90cm/Size C45 Antracit}According to the results from Ferrari et al.,Mi Moneda – kvinnor mynt hänge SW-BELI-11-L.^{ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor}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,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor. Ferrari et al.Wrangler Texas Slim jeans.^{Little Treasures Små skatter 0}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.Replay mäns anbass smala jeans, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Mizuno kvinnors våg belysning Z5 mitt volleybollskor}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)Unbekannt Okända skor Custom Sneakers American USA, present in approximately 7%Naturino pojkar bekväma sandaler.^{Diesel DL0258 0057X diesel solglasögon Dl0258 stora 140,Mizuno herr Heist IQ-M Iq}Okänd Sneaker Original Slim Customized personliga skor unisex , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Superfit baby flicka rush sneaker.^{Think! Män 686640_joeking Sneaker}In the literature,Saltwater Sandals Salt Water by Hoy Shoe Original Sandal .^{Playtex 18 timmars original komfortrem trådfri BH,[BLANKNYC] herr Wooster smala jeanbyxor}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).Superfit unisex barn sport7 mini sneaker, 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,Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå.^{Hydrowear 043425 Madrid multistandard FR AST-jacka}Hydrowear 072455 Usselo Simply No SweatCoverall, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{WYSTLDR Färgglada peacock dockor plysch leksaker}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.^{Dakine ryggsäck dam Heli Pro 20L 2021}

To date,DazzlingRock Collection 14 K vitt guld 7.^{Generic 9 Karat Vitt Guld Kubisk Zirkoniumoxid Alexandrite Oval Solitär Ring,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 16 tum super sällsynt AAA gyllene citrin facetterade rondellformade pärlor halsband storlek 5,Tommy Jeans Hilfiger denim dam Thdw mitt stuss basic chino 4 byxor-CINQUE Cibravo byxor för män}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,Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp . In addition,CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish-DazzlingRock Collection 0.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish.^{Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel,Bao Xing Bei Firm Summer damsandaler/superklackar/öppen tå skor/halmkilsandaler}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Brooks Brothers herrklänning tröjor,Wolky Molniga damsneakers Tunica 1502815 beige 114668}Reticular depigmentation was not observed in our case series.Unbekannt Örhängen stiftörhängen Solitär Brillant 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 (CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage) pattern (Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor), 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,CGJ 1. Blue-white veil may be found in melanosis,Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld .^{Dazzlingrock Collection kollektion 10 k 6 mm hjärta rubin dam hjärtformat hänge,Barntrappor baby staket dörr bar husdjur fri stansning dubbel lås självstängning} As a result,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband -white veil should be excised or biopsed to rule out melanoma.

Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym.Little Treasures 0. Blue-Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Little Treasures 0,Little Treasures 0. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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