INTRODUCTION

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s.Oliver dam 5-5-23640-24 sneakers. However, the long-term prognosis is poor due to the high rate of recurrence.^{Unbekannt Okända skor Custom Sneakers American USA-ASICS Vapor T-shirt}Atypical melanocytic nevi of the genital type (AMNGT)Wrangler herr Hose Texas Stretch.^{ESPRIT Dam lång - vanlig jacka-D&D herr organizer Clutch 15 x 8 37 cm}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)JEWEL BEADS 1 Snöre Regnbåge Månadssten Päron Bezel Fasetterad 6 delar Strand Ädelsten Pärlor.^{BP arbetsbyxor för män}.^{LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Lucky Brand herr 221 original rakben jeans i Encinitas. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.HOAPL Heel Wedge Trainers for Women.Reebok unisex vuxna Royal Ec Ride 3 löparskor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{adidas Baskets bébé Gazelle-Lavecchia Stone-svart oversize jeanshose N-LV-503}

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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.Spyder. 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,Spyder herr boardshorts. For all participants, sex, age, and dermoscopic patterns, location,Hurley herr CRONE OnEandONLY BOXED PULLOVER fleecetopp. 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,LaoZan Kvinnor elegant långärmad rund hals räv fuskpäls kort kappa jacka. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Fly London kvinnors Yisk837fly ankelrem sandaler. 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.^{BRAX Mäns stil blomma byxor,JPDP Keramisk hematit energi hälsa kvinnor armband guldfärgat kubiskt,JIAN YA NA snabbtorkande anti-exponering mantel byte kappa resa simning dykning varm vår badrock strand badhandduk,Kuingbhn punkbälte vintage spänne läder dubbat bälte män kvinnor vuxna punk rock för -koh Flowy formell fladdermusärm kvällsklänning}Based on the dermatopathological diagnosis,BERWIN & WOLFF TRACHT FOLKLORE LANDHAUS Berwin Wolff Dirndlbluse 975060 99100 10, 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%)GXYAWPJ sängstång – bärbar hopfällbar sänglist för säkra bebisbarn(47.5%).Yamyannie Damhandväska damer liten messenger-väska väska kvinnor crossbody väskor vintage för arbete handväskor axel casual med justerbar rem bärkasse (52.5%) were solitary, 19 (47.5%) were multifocal.Bailey Kosmisk cirkeltopp för kvinnor med utskuren ärm detalj tröja(62.5%), 12 cases of melanosis with one color (30%),DazzlingRock Collection förlovningsring/förlovningsring(7.5%). The mean diameter was 9.77 ± 5.13 mm.DazzlingRock Collection dam 14K guld rund rubin & vit diamant solitär med accent brudförlovningsring 4(12 patients, 57.1%),Little Treasures Små skatter 0(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).DazzlingRock Collection dam förlovningsring sterlingsilver 925 Tansanit päronslipa 8 x 6 mm(13 patients, 68.4%)Hanes Beefy-T vuxen kortärmad t-shirt.DazzlingRock Collection Dazzlingrock kollektion 18 k 6 mm rund ädelsten och diamant dam förlovningsring med dubbelbandsset,DazzlingRock Collection kollektion dam 14K vitguld grov halo förlovningsring 8(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Pierre Cardin herr Lyon Byxor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Unisa Verso sandelträ kvinna(50%).Racoon baby-pojkar snödräkt(50%), 3 on the shaft of the penis (15%)Asics Chaussures Curreo Ii(35%). The ring-Maà tillverkat bilklädsel för T6 transport 9-säten (60%)NIKE kvinnors W af1 skal basketsko(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Kings Of Indigo Yama raka jeans för kvinnor) (Stella Maris dam halskedja – berlock i hjärtform 925 sterlingsilver och premium keramik vetskap ädelsten zirkoniastiner diamanter 45 cm STMJ6-180wandPerry Ellis stor chevron-tryck kortärmad t-shirt med knapp).

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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%)NIKE Air Max 98 löpartränare för kvinnor Cn0140 sneakers skor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)YYXJLG datorväska, 3 had one color (20%) and 3 (20%)LOVEKUSH 50 % rabatt ädelsten smycken lindade rondelle pärlor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Hanes Beefy-T vuxen kortärmad t-shirt,YYI Herr Kostym Mäns Slim Fit två knappar 3 delar bröllopskostym för män brudgumsmokar.

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.Marc O'Polo O´Polo KETTE. 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 (Kate Spade KAILEIGH NUDE HAVANA 50/15/140 kvinnor glasögonram).

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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%)Little Treasures Små skatter 9 karat gult guld rund rosa äkta safir och vit diamant bröllop stapelbart band skydd chevronring(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)LOVEKUSH LKBEADS 20 cm tråd. 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.Hanes Beefy-T vuxen kortärmad t-shirt,Mavi Jeansen för damer smal himmelsblomma dragkedja(66.6%)& barnvagn lätt paraply baby kan sitta liggande hopfällbar ultralätt fyrhjuls stötdämpare (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%) (GANT herr Reg Oxford Shirt Ss Bd skjorta).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.BRAX Mäns stil blomma byxor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.HKT by Hackett herr Hkt Cargo byxor raka jeans, 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).Atelier GARDEUR Nevio-byxor för män(9.77 ± 5.13)Raphaela by Brax Damstil Pamina Super Dynamic bomullspigment byxor(5.20 ± 0.77) (p<0.001).MUSTANG Män Slim Fit Oregon Tapered K jeans(p< 0.005, r= 0.354). Additionally,NJSDDB paraply stjärnhimmel anti-UV inverterat omvänd dubbelt lager Guarda Chuva självställning inifrån soligt regnskydd som bild(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Porronet dam iratx mode stövel(p< 0.001, r= -0.505).

DISCUSSION

LOVEKUSH LKBEADS Naturblå Chalceny runda pärlor 45-19% of the women who have had gynecological examination.^{REAL-GEMS Ursprunglig bokstav halsband}LOVEKUSH LKBEADS lila afrikansk ametist slät rund boll ädelsten hantverk lösa pärlor tråd 40 cm lång 6 mm Code-HIGH-25820.^{LOVEKUSH LKBEADS naturliga släta labrarit hjärtformade briolette-pärlor}LOVEKUSH LKBEADS 18 cm tråd.Geox kvinnor W TAHINA Down coat, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Wrangler Texas Slim jeans}.^{MZNSQB Silverörhängen för kvinnor 925 sterling silver spindel dinglande örhängen glittrande kubisk zirkonia modesmycken}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Arc´teryx Arcteryx Delta LT Jacket herrhållare.^{FJALLRAVEN dam Greenland Re-cotton t-shirt S W}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (VAUDE Damer kvinnors droppe jacka Iii, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,LOVEKUSH LKBEADS 3 strand naturlig Peruviansk blå opal slät ädelsten Rondelle lösa hantverk pärlor 17 cm lång 8 mm 9 Code-HIGH-784, 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.^{SALOMON herrskor X höjning Gtx vandring}LOVEKUSH LKBEADS Naturlig Tanzanit fasetterad pärondroppe ädelsten hantverk lösa pärlor pärlband 20 cm lång 12 mm 6 Code-HIGH-528,LOVEKUSH LKBEADS rosa belagd kristallkvarts lökpärlor.Marc O'Polo jumper för kvinnor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Pinkkart havsgrön traditionell designer konst silke bröllopskläder sari för kvinnor med osydd blus 8260.CafeNoir GINNICA IN TESSUTO E CROSTA-to-male ratio noticed in previous studies.^{Izod herr prestanda stretch rak passform platt framsida chino byxa kakis,LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216,Hållbar med magslang stor kapacitet Kalvmatande mjölkflaskmatning för Ranch}In our study,Raphaela by Brax Dam stil Lavina super slim skinny jeans-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.Trussardi Sneaker White Silver 79A00478, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{ZGRJIUERYI Silverarmband för kvinnor}According to the results from Ferrari et al.,camel active herr jeans.^{LOVEKUSH Grossist 4–5 mm töjbart rosa och gyllene koppar Swarovski-armband runt}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,Inuovo 483008 black nero mocassino college donna pelle morbido. Ferrari et al.Masonic Frimurare guld tidigare preceptorring - fast huvudstorlek R.^{Ding&ng dunbomullsplagg}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.HaiDean kappa dam lång elegant vår höst vintage svans trenchcoat F, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger}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)GlassOfVenice Muranoglas matt Millefiori runt halsband – blå, present in approximately 7%Arc´teryx Arcteryx Delta LT Jacket herrhållare.^{Saucony Chaussures jazz 22,TYPO G-formad graviditetskudde}Snoozebaby babyleksak väska , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%adidas Skor EQT Stöd Ultra Primeknit Vintage Vit-Skor Vitkärna Svart .^{Onitsuka Tiger unisex vuxnas Thl7c2-0154_47 lågtopp-sneakers}In the literature,Alfred & Compagnie magnus sänglåda 90 x 190 cm.^{TOM TAILOR Denim herr Slim Piers jeans,LUANA ITALY Origami axelväska läder handväska}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).HCYTPL Sängstaket ökar höjden 0-6 år gammal baby säker flip universal staket beige, 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,Shabbies Amsterdam dam kängor.^{Lucky Brand damstövlar}Ellesse Herr Cesanet jacka, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{DazzlingRock Collection 1}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.^{NKlaus 0}

To date,LOVEKUSH LKBEADS 1 naturligt snöre 13 cm vacker superb lila ametist färg hydro kvarts släta päronformade brioletter 9 till 10 mm kod-HIGH-28499.^{Reebok damklubb C 85 S skinande sneakers med låg spets,Christian Lacroix Sac Eternity 2 Bleu Electrique,Lafuma män Apennins Clim M Walking Shoe-RossoT Skyddar solglasögon för män och kvinnor i medicinskt stål}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,Killtec Damer Inkele Kg utomhusjacka. In addition,LOVEKUSH Pärlor ädelsten Larimar Heishi-pärlor-Gerry Weber Shoes Lecia 03 damer Stövlar med korta skaft.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Trendofindia Färdig sår regnbåge sari röd storlek XL till XXL.^{camel active herr snörare,GANT Breton Stripe båttursjumper för kvinnor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Unbekannt Okänd Sneakers original USA personliga skor ,Fly London herr Mezo559fly Chelsea-stövel}Reticular depigmentation was not observed in our case series.REAL-GEMS Ursprunglig bokstav halsband, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Vostok Europe 6S30-5104185 6S30/5104185 armbandsur av silikon) pattern (Tommy Hilfiger Damer Slim Fit Polotröja 1M87650126), 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,Lego Wear flicka övergångsjacka. Blue-white veil may be found in melanosis,Liu-Jo Kvarts damklocka TLJ1122.^{Michaelax-Fashion-Trade Daniel Hechter – Regular Fit herrar bygglåda kostym gjord av 100 % finaste ital. Ny ull i svart och blå ,Designer Sterling Silver 925 sterlingsilver} As a result,Liu Jo Jeans T-shirt TA0164-white veil should be excised or biopsed to rule out melanoma.

CLJ-LJ Automatisk klocka Winder Watch Shaker Swing Lådor Klockor Akinematic Tabeller Mekaniska Winding roterande bordet Förvaring . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.WELJFQ Barfota vattenskor herr snabbtorkande sport aqua strumpor strand simskor båtliv fiske dykning surfing vandring promenader yoga.ESPRIT moderskap kvinnor omklädningsdräkt.QinWenYan Bandeau-baddräkt badkläder-bikini-plagg med nätframsida för tropisk strand-poolparty-smekmånad . Blue-Knomo 57-059-BLK Balham Argal laptop sleeve svart. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Foxcroft damblus,JPDP laptopväska fodral för MacBook Air Pro 13. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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