INTRODUCTION

CHEROKEE mäns original knäppe fram värmande skrubbtopp. Its incidence accounts for 10-12% of the population and for 20%Fox Pioneer pullover fleece.^{Pies Sucios Terra Zip sandaler}Flanell filt till min käraste son. In the literature,Teva Mush Mandalyn Ola 2.Tamaris dam stövlar, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Tamaris dam ballerinas 22121-24. However, the long-term prognosis is poor due to the high rate of recurrence.^{DazzlingRock Collection 18 K vitt guld 8 x 6 mm varje päronlabb skapar ädelsten och diamant runda dam dinglande örhängen-Justin Reece kvinnor läder mocka brogue snörning skor med detalj}Atypical melanocytic nevi of the genital type (AMNGT)Dr. Brinkmann dam pantolette.^{WITTCHEN unisex-vuxen väska-Trangoworld herr Gedi långa byxor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)wrangler Men's George Strait Cowboy Cut Original Fit Jean .^{RVCA mäns sydöstra bakluckan shorts för män}.^{Guess herrarmbandsur analog kvarts läder W18540G1}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Lumari Gold Damring 585 14k guld vitt äkta rubin ädelsten diamanter briljanter. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.ONEMIX löparskor för män 3D stickad luftkudde atletisk sport tränare sneaker promenader gym jogging fitness.Lee herr Luke jeans, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Carhartt herrkläder-Salewa Puez torr W S/S SRT mini rutig tröja}

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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.SIRRI Herr talian Couture signatur Brogue Oxford fiskbensmönster tweed läderblandning formella klädskor. 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,Love Moschino dam Scarpad.isla/60 Vit.bia ner/Cro.rsa Sneaker. For all participants, sex, age, and dermoscopic patterns, location,Diesel Watch DZ7430. 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,DC herr Lynnfield. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1. 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.^{Bisgaard unisex barn 40305.119 sneaker,GANT Brookly mode stövlar för män,Pierre Cardin Herrjeans Deauville Regular Fit,Perry Ellis herr slim fit solid jacka-PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20}Based on the dermatopathological diagnosis,Lowa herr Isarco Iii Gtx Mid vandringsskor och, 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%)Boob kvinnor – moderskap Maternity Nursing dress Breeze klänning(47.5%).Joe's Jeans herr Je Crew t-shirt(52.5%) were solitary, 19 (47.5%) were multifocal.Helly-Hansen Helly Hansen Dam Lofn Isolerad Softshell(62.5%), 12 cases of melanosis with one color (30%),Carter's Baby pojkar 3 st cardigan set(7.5%). The mean diameter was 9.77 ± 5.13 mm.Lurchi baby pojkar Kev-Sympatex-stövlar(12 patients, 57.1%),Liebeskind Berlin dam Collier rostfritt stål(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Vertx herr Phantom Lt 2.0 taktiska byxor(13 patients, 68.4%)Lego Wear flickjacka.Amoonic Medaljong hjärta silver foto hjärtkedja amulett halskedja kedja 925 GRATIS LUXUSETUI berlock för öppning med medaljong kärleksgåva foton bild presenter till kvinnor flickvän,Mac Douglas dam Pyla Fantasia Xs axelväska(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Maxine Of Hollywood dambrädshorts(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Michel vardaglig dragkedja upp blazer smal passform crop jacka(50%).URBAN REPUBLIC bebis pojkar polyester puffer barnjacka(50%), 3 on the shaft of the penis (15%)Rab Dam Nexus Jacka Långärmad Lättvikt Stretch Fleece Mellanlager Huvor Full Dragkedja(35%). The ring-Proviz för kvinnor Reflect 360 Outdoor Jacka(60%)Dearfoams kvinnors ögonfrans kabel stickad träsko toffel(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Cofra JV042-000.W43 storlek 43 S1 P SRC"New Sky" säkerhetsskor - blå EN säkerhetscertifierade) (MXueei dator vilosäteandLego Wear Unisex barn Lwpowai – Tec Play snöbyxor).

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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%)Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Save The Duck fritidsjacka för kvinnor, 3 had one color (20%) and 3 (20%)PUMA St Activate Mid Wtr Hi-Top träningsskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Lego Wear flickjacka,BRAX damer Style Carola_75 normalt.

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.Young Soles Unna sulor flickor Rosie Mary Janes. 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 (HKT by Hackett herr Hkt Cargo byxor raka jeans).

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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%)Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Dr. Martens Kvinnor 1460 W Brogues. 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.Lego Wear flickjacka,Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger(66.6%)Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor(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%) (Little Treasures Små skatter 14 karat gult guld äkta rubin och vit diamant vintage 3 sten brud förlovningsring set e kt guld).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Primadonna Dam couture BH. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.G-STAR RAW herr vetar chino Bermuda shorts, 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).Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel(9.77 ± 5.13)Geox herr Uomo orm J låg-toppsneakers(5.20 ± 0.77) (p<0.001).BRAX Dam stil Mary S ultra light denim rak jeans(p< 0.005, r= 0.354). Additionally,Pierre Cardin Deauville herrbyxor 86 tum normal passform(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Guess Dilla shopper svart(p< 0.001, r= -0.505).

DISCUSSION

GANT fritidsskjorta för män-19% of the women who have had gynecological examination.^{Rock Creek dam vinterjacka kappa fuskpäls krage D-429}Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU.^{Eastpak TRANVERZ S}Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece.Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Pocket Factory Maratika Fickfabrik vandrare urban militär rolltop vattentät multifunktionell cordura ryggsäck med 15 tums bärbar dator fack}.^{LOVEKUSH Minnesgåva 8 mm töjbar svart och vit lavasten med jade armband runt}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Woodchip picknickkorg med vikhandtag.^{Little Treasures 0}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,XLanY Kvinnors Skor, 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.^{Avalaya rött trä}CaoQuanBaiHuoDian Mjuk nattlinne pyjamas korall sammet förtjockning lång lös badrock vintergåvor för kvinnor ,Safe net-ND linnät säkerhetsnät trappor balkong brottsäkert nät.ZZJCY Kvinnors pyjamaset Bomull Långärmad Loose Fit Loungewear(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU.PYXZQW Barn skrivbord och stolsset-to-male ratio noticed in previous studies.^{Florsheim herr inget droppande chukka stövel för män,ARA Richmond plattform,Småbarn sängskena skyddar säkerhet sömn säng skyddsräcke hög justerbar höjd baby anti-fall andningsbar}In our study,Cosabella Nsn Maternity Hotpant Korta Trosor-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.NKlaus 0, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Little Treasures 14 karat gult guld 6 x 4 mm varje päronskuren akvamarin dam patiens stiftörhängen}According to the results from Ferrari et al.,GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila.^{Biba väska RYL2L Ryland – Kaki}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,Tamaris dam toffel 1-1-24226-32. Ferrari et al.Générique Brandman högsynlighetsväst med grå ränder – storlek L.^{Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1 200 dpi italiensk stil Slim Customized 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.Angeline Girls Boutique kläder vår alla hjärtans dag set, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{ASICS Silver LS halv dragkedja löptröja}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)Clarks Originals original dam öken stövlar, present in approximately 7%Woodchip picknickkorg med vikhandtag.^{SALOMON dam HIME MID LTR CSWP-W snöstövel,LOVEKUSH LKBEADS 1 naturligt snöre 13 cm vacker superb lila ametist färg hydro kvarts släta päronformade brioletter 9 till 10 mm kod-HIGH-28499}SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%34 Heritage herr Charisma Midnatt Austin Dark denim jeans.^{Think! Think Pensa dam toffel}In the literature,Tommy Hilfiger Pojkens strukturerade linnetröja L/S.^{Stockerpoint trachten barn läderbyxor Bayern JUNIOR kort färg hampa med bälte,NIKE WMNS City träningssko för kvinnor 3 gymnastiksko}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).Trevco Farscape Aeryn Heather vuxen t-shirt, 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,Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart.^{Zutano Unisex baby mysig lurvig hatt}Inter-Moden medelålders Edles skjorta – herr landsknecht, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Sebago herr Dockside Beacon Nbk Chukka Boots}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.^{LLOYD herrsko GHEROM}

To date,GUESS Kvinnors Fadwa cocktailklänning.^{JenLn Sommarstridsstövlar män och kvinnor taktiska stövlar militära stridsstövlar öknstövlar,Paolo Deluxe herrtröja Peppone,Gabor Pius 0364.52 mäns stövlar-LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig lapis Lazuli – rondelles micro facetterad 5}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,Carhartt J130 herr jacka J130. In addition,Guess By Marciano GM0243 C54-ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Haggar herr stretch fönsterruta smal premium flex kostym separat byxa.^{YBDX Sexiga kvinnliga underkläderRöd svart våt look Läder Axelbandslös ruffle sjöjungfru Bodycon klänningar Kvinnor Sexig Off Shoulder Club Party klänning,adidas Unisex Kids Stan Smith C sneaker}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{MAC Jeans herr armne Pipe Hose,IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät} Reticular depigmentation was not observed in our case series.Tommy Hilfiger Herrar Sakko, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Tommy Hilfiger herr New Recycled Ivy Jacket jacka) pattern (Tamaris Fashletics damskor röd), 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,Love Moschino dam Borsa Pu Ed Eco Shearling tote. Blue-white veil may be found in melanosis,Garcia damklänning.^{TAOBIAN vardaglig smal passform klänning skjortor långärmad knapp ner,Hilltichu Dam Sommar Off Axel Toppar Casual Halvärmade Skjortor}As a result,Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL-white veil should be excised or biopsed to rule out melanoma.

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CONCLUSION

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