INTRODUCTION

Little Treasures 0. Its incidence accounts for 10-12% of the population and for 20%DazzlingRock Collection Dazzlingrock kollektion 0.^{Biomecanics flickor 191192-2 sneaker}Stella Maris dam halskedja – berlock i hjärtform 925 sterlingsilver och premium keramik vetskap ädelsten zirkoniastiner diamanter 45 cm STMJ6-180w. In the literature,Generic 9 Karat Vitt Guld Runda Kubisk Zirkoniumoxid Solitär Bröllop Ring Set.Generic 9 Karat Rosen Guld Watchband DeTecken Herr Kubisk Zirkoniumoxid Ring, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Generic 9 Karat Rosen Guld 3 Hjärta Kubisk Zirkoniumoxid Solitär Rope Design Engagemang Ring. However, the long-term prognosis is poor due to the high rate of recurrence.^{Scotch & Soda Herr Mott – Chino Slim Fit bomullsstretch byxor-ECCO herr calcan Derbys}Atypical melanocytic nevi of the genital type (AMNGT)Ion män booties ballistiska tår 2.0 ES.^{MyGold diamant hjärta knoppörhängen 18 karat gult guld 8 333 – 750 0-OUNBHL Skolryggsäck för pojkar flickor tonåringar barn skolväskor vattentäta barnryggsäckar anpassat tryck resväskor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Amaryllis Ädelstensberlock slinga vit labradorit med blomster 17 x 42 mm 925 silverring.^{Little Treasures Små skatter roséguld pläterad sterlingsilver bröllop och förlovningsring klar CZ evighetsring}.^{Shopping Trolley Shoppingvagn för de äldre}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-XNAurora herr läder affärsportfölj handväskor 40 cm bärbar axelväska affärsväska kurirväska. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Derhy godisklänning för kvinnor.WeWOOD solglasögon The Crater – Black av bomullsfiber typ 3, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{DIGEL 1001956 elegant herr snörsko mjuk nappaleder modell Sebastian-AISHANG sängledsplanka}

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In this study,Widmann – kostym skott, according to the patient´s age,Flip Flop-GQ Kaninpäls tofflor kvinnor bär höst och vinter söt halkfri mode hem bomull tofflor-35_ananas.

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.Under Armour mäns fars dag pikétröja. 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,Clarks dam och Karely Sun tånare. For all participants, sex, age, and dermoscopic patterns, location,Atelier GARDEUR dambyxor. 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,Just Cavalli damarmbandsur Creazione 2 analoga kvarts set inklusive armband JC1L091M0085. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.VintageClothing Vintagekläder kvinnor blommig maxiklänning boho knapp upp delad strandfest klänning. 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.^{Fly London Loma457fly bakre klackar för kvinnor,United Colors of Benetton herr Hose,Lowa herr Isarco Iii Gtx Mid vandringsskor och,New Balance Ny balans kvinnors bränslecell propel W löparskor-AIMONE Olina röd kristall högklackade flipflops för kvinnor}Based on the dermatopathological diagnosis,YZHEN Herr Suit Notch Lapel Jacka och västbyxor, 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%)InChengGouFouX Andningsbara strandskor halkfri botten design män och kvinnor vattensport strand pool snabbtorkande halkskyddssko barfota sport (47.5%).Les Tropéziennes par M. Belarbi dam rena mode stövlar(52.5%) were solitary, 19 (47.5%) were multifocal.Fergie dam enigma stövel(62.5%), 12 cases of melanosis with one color (30%),Think! Tänk! Damer Humana_585071 Desert Boots(7.5%). The mean diameter was 9.77 ± 5.13 mm.Lola Jeans kvinnor Anna dra på leggings(12 patients, 57.1%),Unbekannt Shoes sneakers unisex original USA personliga skor (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Hydrowear 042503 Rimini Simply No Sweat Pilotjacka(13 patients, 68.4%)Little Treasures 0.Oxypas Roy SRC halkfri arbetsskor,Cofra 10410-001.W42 säkerhetsskor medalj O2 HRO SRC Fo storlek 42 i svart(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Sanita Antracita säkerhetsskor av Nubuk läder unisex S3 SRC(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Cofra 55180-000 ESALEN S3 CI SRC säkerhetsstövel(50%).Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor(50%), 3 on the shaft of the penis (15%)Giasco TO017L S3 CI Orlando säkerhetsskor med Windtex membran(35%). The ring-ALBATROS Ultratrail svart låg S3 ESD HRO SRC(60%)PREMIATA Män Eric svart(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Tommy Jeans Herrjeans) (Brooks mäns lansering 5 löparskorandDI MELLA Sneakers Herr Läder vit).

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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%)WYH Baby Playpen barn aktivitetscenter säkerhet lek gård hem inomhus utomhus ny penna hållbar (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)PLAER kvinnors svart spets cocktail aftonklänning, 3 had one color (20%) and 3 (20%)Lee herr Malone jeans. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Little Treasures 0,SOUTHPOLE Dam Sakura Track Jacka.

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.Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring. 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 (ASICS GEL-BND).

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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%)Helly Hansen Unisex barn berg regndräkt 40360(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Little Treasures Små skatter 14 karat gult guld 6. 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 0,Regatta Barn hydrate V 3 i 1 veste En Jacket(66.6%)Subobo Pojke shorts och topp-set(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%) (Skechers Skechers14843 - Go Run Mojo 14843 dam).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Comete bracciale uomo acciaio PVD nero e blu UBR 936. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.NIKE Sport Fitness topp/tröja för kvinnor, 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).Maxi-Cosi Rodi XP Fix barnstol(9.77 ± 5.13)Think! Tänk! Dam Turna_585046 hög sneaker(5.20 ± 0.77) (p<0.001).LOVEKUSH LKBEADS Ful tråd(p< 0.005, r= 0.354). Additionally,Mondaine EVO2(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Skechers herr equalizer deal maker hallskor(p< 0.001, r= -0.505).

DISCUSSION

Ilse Jacobsen Softshell Jacka 3/4 creme/pearl -19% of the women who have had gynecological examination.^{YINGJUN-HAT Kvinnor temperament Fedora hatt steampunk topphatt kvinnor utrustning glasögon Tyskland officer visir keps glas arméhatt kortikal polismössa cosplay klassisk retro militär herr mode ull H}Valin V1579 dam kashmir tröja rund hals långärmad stickad topp enfärgad relaxed tunn ullpullover.^{ASICS Gel-Rocket för män 9 inomhus domstol sko}Remonte Damstövlar.Sandals Sandaler tjocka sulade kil kvinnor sommar vattentät plattform 10 cm högklackade skor sexiga exponerade tå bankettskor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor}.^{ESPRIT moderskap kvinnor omklädningsdräkt}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Designer-Diamonds.net 10 K vitt guld äkta oval rubin och diamant twist halskedja.^{Love Moschino dam Borsa Pu Ed Eco Shearling tote}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Clarks dam Tri Alexia Slingback sandaler, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Arinos Neil Breen Credits huvtröja, 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.^{LOVEKUSH LKBEADS Iolit fasetterad tårdroppe pärlor päronformade 100 procent naturlig ädelsten/storlek 10}Jack Wolfskin herr Force Striker Texapore Low M vandrings- och vandringsskor,Ragwear Chester B sweatpants damer.Lpinvin dam sparkbyxor mode ord krage spets utsvängd overall temperament byxor två färger passar vardagsliv (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,DazzlingRock Collection damer 14K guld 8 x 6 mm oval skuren blå topas solitär brudförlovningsring 8.Joyaria Dam PJ set viskos pyjamas kortärmad topp och byxa satin trim v-ringad nattkläder-to-male ratio noticed in previous studies.^{U.S.POLO ASSN. Azaria Club Oxford platt,s.Oliver dam 5-5-25259-25 stövel,NGIL Canvas skolryggsäck}In our study,Tommy Hilfiger tjejer shorts-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.NIKE dam BA5242 dagryggsäck, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Laptop tasche Laptopväska 14/15}According to the results from Ferrari et al.,adidas unisex barn Varial Mid J skateboardskor.^{Ti Sento Milano Armband 2669PW}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,Lego Wear baby flickjacka. Ferrari et al.PUMA herrar EVOSTRIPE Crew.^{CHEROKEE kvinnors liten flexibel moderskap stickad pull-on byxa}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.Clarks herr Tri Cove Trail slutna sandaler, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Trangoworld dam NEKU jacka}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)Tru-Spec Tru Xtreme nylon bomull Rip Stop Combat tröja, present in approximately 7%Designer-Diamonds.net 10 K vitt guld äkta oval rubin och diamant twist halskedja.^{Sistakno Sterling silver 925 nyckelring flygplan och glob tillbehör,Higher-Heels Högklackade fabulicious platå-sandaletter läpp-109}adidas Back2Basics träningsoverall för män, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%5.11 Taktiska herrbyxor.^{POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta}In the literature,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.^{McBurn Cable Knit mössa pudelmössa stickad dam – Made in Italy vintermössa yllemössa med kuvert,OLYMP Luxor comfort fit skjorta långärmad Karo}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).LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cm, 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,JXXDDQ barn baby fallskydd sängskenor säkerhetsskydd.^{Art Gecko MULTISTONE Sterlingsilver 925 ädelstensörhängen –} Vobajf Dampyjamas loungewear pyjamas dam långärmad nattkläder dragkedja huva jacka loungekläder set , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap} 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 Vackert AAA Kvalitet turkos armband}

To date,Remonte damsandaler SCH/sc/SCH svart.^{Tiljon Silverring med lapis lazuli,JEWEL BEADS Pärlor ädelsten 1 tråd naturlig 13,Reebok herr Runner 4.0 löparskor-ZGRJIUERYI Stenarmband}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,GDHSALE Helkropp graviditetskudde – U-formad. In addition,LOVEKUSH LKBEADS Perit fasetterad dagg droppformade brioletter-LOVEKUSH LKBEADS Naturblå safir släta droppformade pärlor 11 mm – 15 9 tum. Full tråd.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Matta löpare hall halkfri studsmatta matta.^{Seidensticker Silkesklistermärke herr business skjorta – bygelfri med rakt snitt Regular Fit lång ärm Kent-krage bröstväska 100% bomull,Superfit flicka Galaxy Gore-tex snökängor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Bud Spencer Official herr Legend College Jacket ,fancyfree Väska med dubbla lager}Reticular depigmentation was not observed in our case series.Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (HKM unisex Reitweste -Cambridge-6900 Byxor) pattern (Kingsland Dam Riddleggins helt grepp KATJA), 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,Timezone Timzone dam smal tahilatz kvinnoform raka jeans. Blue-white veil may be found in melanosis,Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver.^{Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor,CafeNoir GINNICA IN TESSUTO E CROSTA}As a result,Snickers Workwear arbetskläder unisexbyxor-white veil should be excised or biopsed to rule out melanoma.

Snickers Workwear arbetskläder män kappa. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Angelazy Dam-925Er silverberlock.5.11 Män 74332 Pantalon Covert Khaki.Tamaris dam 1-1-23321-24 805 Mary Jane halvskor. Blue-Magisk magisk lykta Alice – vit 12 V. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.AISHANG sängledsplanka,Leg Avenue Psykedelisk Alice kostym . Clues for AMNGT are given by dermoscopy.

CONCLUSION

In the literature,Shag vävd matta för barn lekrum varm mjuk lyxig plysch prydnadsmattor handgjord stickad barnkammare krypmatta bekväm . To our knowledge,COFRA MAASTRICHT 62 Anthracite/Black.YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor-up.BDJH halsduk för vinter kvinnor halsdukar solid tjockare hals huvud varm hijabs dam sjalar och wraps bandana tofs-vit, hence,Thomas Sabo damhänge sjöstjärna glam & Soul 925 sterlingsilver PE806-667-18.LIXIYU militärstövlar för män svarta taktiska stövlar stridstövlar vandringsskor patrullstövel ventilerande ultralätt säkerhetsstövel.