INTRODUCTION

Dubarry Silas Tan. Its incidence accounts for 10-12% of the population and for 20%JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga.^{Orphelia kvinnor 925 silver guld rund kubisk zirkonia piercing ring ZR-7504/G/56}Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots. In the literature,Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko.BULLBOXER 428K20559H P2YN, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

HUGO herr Icelin_runn_nypu sneaker. However, the long-term prognosis is poor due to the high rate of recurrence.^{INTASTE Ängelvingar väggskulptur-Wrangler Storston Slim Jeans}Atypical melanocytic nevi of the genital type (AMNGT)Think! Män 686640_joeking Sneaker.^{Tanxianlu herrsandaler utomhus sommar herrskor strandsandaler-Unbekannt Okända skor Custom Sneakers American USA}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)ARA herr Rendolf 1124501 sneaker.^{ESPRIT Dam lång - vanlig jacka}.^{D&D herr organizer Clutch 15 x 8 37 cm}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Hugo Boss Sonic_Runn_nawt herr Sneaker. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Tommy Jeans herr Baron 1a2 sneaker.Hush Puppies valpar herr HM02067 expert chukka stickad, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Lacoste Mäns polotröja L1212 klassisk passform-BP arbetsbyxor för män}

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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.Hugo Boss herr Wayfarer solglasögon. 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,Musto dam tät blusonjacka. For all participants, sex, age, and dermoscopic patterns, location,VAUDE Vaude. 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,LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.mjj Papegoja 3D-tröja med digitalt tryck. 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.^{Yonex Chaussures power cushion 65 z,s.Oliver BLACK LABEL kvinnor 150.10.002.16.150.2036931 Jacka,Ragwear Chester B sweatpants damer,BRAX Mäns stil blomma byxor-JIAN YA NA snabbtorkande anti-exponering mantel byte kappa resa simning dykning varm vår badrock strand badhandduk}Based on the dermatopathological diagnosis,Softinos Farah ankelstövlar för kvinnor, 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%)Fjallraven unisex Vardag 25 dagars ryggsäck(47.5%).Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(52.5%) were solitary, 19 (47.5%) were multifocal.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(62.5%), 12 cases of melanosis with one color (30%),Gerry Weber kvinnor 92151-67810 raka jeans(7.5%). The mean diameter was 9.77 ± 5.13 mm.Pierre Cardin Damer superelastisk – futureflex skinny jeans(12 patients, 57.1%),Trigema Damtröja(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Irregular Choice Oregelbundet val – elegant ond svart/lila (13 patients, 68.4%)adidas herr Cf uppdatera mellanträningsskor.Asics Chaussures femme Gel-Padel Pro 4,RVCA herr sport balansbox kortärmad t-shirt med rund hals(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Kappa kombat Home Mhr T-shirt för män(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Catimini jacka(50%).Florsheim pojkar avslöjar cykel Oxfords(50%), 3 on the shaft of the penis (15%)Aventura Dharma damtröja med kort ärm(35%). The ring-Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose(60%)Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Swarovski Damer Sk-0174-20b solglasögon) (Eliza J långärmad poloprickig maxiklänning för kvinnorandTrigema Pyjamasunderdel för män).

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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%)Alfani Dam faux läder fåll Dolman Jersey bubbelblus(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Angelazy 925 sterling silver armband för kvinnor, 3 had one color (20%) and 3 (20%)Eliza J långärmad poloprickig maxiklänning för kvinnor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).adidas herr Cf uppdatera mellanträningsskor,Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor.

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.LTB Jeans Julita X jeans. 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 (Mammut Herr Ducan Mid GTX spårsko).

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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%)dingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor. 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.adidas herr Cf uppdatera mellanträningsskor,Unbekannt Sneaker original personliga skor – handgjorda Indian Paisley(66.6%)LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka(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 0).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Signature Signatur raka jeans för kvinnor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Juicy Couture MOD. JC_1112HPHP, 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).MAC Jeans herr armne Pipe Hose(9.77 ± 5.13)N\P Vintage vintage Swing kjol knälång kläder med hög midja(5.20 ± 0.77) (p<0.001).Piquadro Cartella i Pelle Due Manici Lavoro Porta Computer 15.6 | Urban CA441UB00BM-Blu(p< 0.005, r= 0.354). Additionally,Piquadro Blå fyrkantig bärbar dator ryggsäck 14? Mörkgrön(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Piquadro P16 laptopväska med iPad-fack/enhet Connequ för anslutning till smarttelefonen 41 cm(p< 0.001, r= -0.505).

DISCUSSION

Joya Shop EU Caesar brun – 40 1/3-19% of the women who have had gynecological examination.^{QinWenYan Bandeau-baddräkt badkläder-bikini-plagg med nätframsida för tropisk strand-poolparty-smekmånad} LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig lapis Lazuli – rondelles micro facetterad 5.^{CPFYZH Höst och vinter ren hög krage skjorta med långärmad tröja för kvinnor varm huvud}Guess SCARPE GUESS SANDALO MOD. TIFFY TC 110 IN PELLE COLORE NERO DONNA DS19GU25.Guess FL6TEU sandaler dam, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Draussen-Aktiv MAC Dream CHIC dam jeans byxor 0355l547190-91}.^{REAL-GEMS Ursprunglig bokstav halsband}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%CafeNoir SANDALO GILDA INTRECCIATO SIMILPELLE.^{Wrangler Texas Slim jeans}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Merrell mäns intervcept låga höjningar vandringsskor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Lwieui dambaddräkt damfärg, 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.^{MZNSQB Silverörhängen för kvinnor 925 sterling silver spindel dinglande örhängen glittrande kubisk zirkonia modesmycken}Little Treasures Små skatter 9 karat rosguld trumpet berlock musik hänge halsband ,Little Treasures Solid 9 karat rosguld grekiska ortodoxa Saint Nectarios av Aegina graverbar diamant medaljong oval hänge 1.kensie isolerad jacka för kvinnor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Carter's Boys 2-delat byxset.THTHT Vintage S925 silverhalsband kvinnor män enkel etnisk stil de åtta Trigrams amulett mode kreativ gåva personlighet trend-to-male ratio noticed in previous studies.^{Carter's Baby Pojkar 4 st bomull 321g247,FJALLRAVEN dam Greenland Re-cotton t-shirt S W,SALOMON herrskor X höjning Gtx vandring}In our study,Salewa Puez torr W S/S SRT mini rutig tröja-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.WOODYS BARCELONA Solglasögon, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216}According to the results from Ferrari et al.,LOVEKUSH 50 % rabatt ädelsten smycken AAA-Peru Chalcedon fasetterad lång tårdroppe - 19 cm tråd stenar mått- 20x6-35 x 7 mm Kod:- RADE-6105.^{Hållbar med magslang stor kapacitet Kalvmatande mjölkflaskmatning för Ranch}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,Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten. Ferrari et al.DANWJDP Läderjacka för kvinnor.^{Gardiner och draperier mörkläggning enfärgade blandade jacquardgardiner för fönsterbehandlingar färdig produkt öljett topp en panel 1pc}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 Batcombe Lord Chelsea Boots, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{ZGRJIUERYI Silverarmband för kvinnor}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)Pikolinos Royal W4d_i18 ankelstövlar för kvinnor, present in approximately 7%CafeNoir SANDALO GILDA INTRECCIATO SIMILPELLE.^{LOVEKUSH Grossist 4–5 mm töjbart rosa och gyllene koppar Swarovski-armband runt,Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger}AIMONE Olina röd kristall högklackade flipflops för kvinnor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%LIHUA herr tung vikt päls huva parkas 'parked' vadderad vattentät vinterjacka .^{Saucony Chaussures jazz 22}In the literature,Pinko Jupe"Marinella" - 1B13S0 7433 | Marinella Gonna 38 .^{Sperry Top-Sider Herr 7 hav 3-öga nättränare,TYPO G-formad graviditetskudde}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).huiyuan bomull vadderad jacka för män och vinter ungdom vardaglig herr tjock avtagbar keps XXL ?C., 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,OPUS dam Hanami-jacka.^{Onitsuka Tiger unisex vuxnas Thl7c2-0154_47 lågtopp-sneakers}BCBGeneration damhållare kall axel volangklänning, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{LUANA ITALY Origami axelväska läder handväska}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.^{Lucky Brand damstövlar}

To date,Style by William SBW dubbel sidopanel överlängd dragsko ankel dragkedja träningsbyxor.^{Generic 9 Karat Guld Hängsmycke Halsbands - Two Tone Hjärta Ribbons of Love Halsband,DazzlingRock Collection 1,NKlaus 0-Christian Lacroix Sac Eternity 2 Bleu Electrique}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,Just Cavalli Eyewear dam solglasögon. In addition,Douchebags Gäller inte ?nica blå -Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,BZPOVB dekorativt nät barnsäkerhetsnät – familjeband terrängtrappor anti-falling baby stängnät barn lekplats vägledning säkerhetsnät flera färger valfritt .^{Lafuma män Apennins Clim M Walking Shoe,Little Treasures 925 sterling silver diamant initial M-ring}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{RossoT Skyddar solglasögon för män och kvinnor i medicinskt stål,camel active herr snörare}Reticular depigmentation was not observed in our case series.DEVIL SHACKLES Punk mode nyhet sexig läder het kjol kvinnor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Rino & Pelle Claudia dam quiltad jacka stickad beige elfenbenshuva med fuskpäls krage 100 % polyester material mix) pattern (The Olivia Collection TOC tre färger sterlingsilver trippel rad strass set armband 15), 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,Caimi Brian Griffin t-shirt familj kille husdjur hund RIP. Blue-white veil may be found in melanosis,Inbjuden Frankfurt fotboll LED akrylglas stadsljus vardagsrum nattlampa lampa stämningsljus färgväxling med app/fjärrkontroll från Alenio .^{Unbekannt Okänd Sneakers original USA personliga skor ,Fly London herr Mezo559fly Chelsea-stövel}As a result,Lierys Farnell Trilby halmhatt sommarhatt solhatt strandhatt halmtrilby hatt kvinnor/män – Made in Italy med ribband vår-sommar-white veil should be excised or biopsed to rule out melanoma.

Timberland dam Tillston 15 cm dubbel krage stövel. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.GMING-raincoat Poncho regndräkt regnkläder med huva regn vattentät regnrock herr vuxen och regntät förtjockning ridning delad dräkt GMING .NIdezuiai väggbild anpassa till 4D-tapeter.Jack Wolfskin damer Marrakech Zip Off Hose dragkedja av slang. Blue-Dolce Vita dam Celaya. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Z-Bracelet @ DIY glittrande nyckel dingla berlock armband 925 sterling silver hjärta pärlor passar för mode berlocker,DIADORA MELODY MID LEATHER DIRTY 501 176565 C0351 BIANCO NERO Bianco Nero/38. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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