INTRODUCTION

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FJÄLLRÄVEN Fjällräven 89997 – 319. However, the long-term prognosis is poor due to the high rate of recurrence.^{Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband -Mizuno Chaussures wave sky 4}Atypical melanocytic nevi of the genital type (AMNGT)JO WISDOM Kvinnor Claddagh örhängen.^{Simone Perele pärlor dam Delice Full Cup helskal BH-Little Treasures Små skatter 0}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)FJÄLLRÄVEN vadderad jacka för kvinnor med högkusten.^{DazzlingRock Collection Förlovningsring}.^{Little Treasures Små skatter sterling silver hänge och örhängeset}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor.Strellson Herrjacka, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{adidas herr Purebounce M träningsskor-ARA Neaple sneakers för kvinnor}

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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.Unbekannt Okända skor Custom Sneakers American USA. 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,Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor . For all participants, sex, age, and dermoscopic patterns, location,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex . 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,Paul Malone bröllopsmode bröllopsväst set 5 delar svart paisley Casa Moda bröllopshemd vit. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Jomos herr Credo toffel. 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.^{Noël Sab,SILBERMOOS elegant damring dubbel bandring borstad glänsande bred 925 sterlingsilver,Witeg trådkorg B22 passar för ultraljud WUC-A22H,Pinkkart Röd Mokhlin Saree sari med blusstycke indisk traditionell sommar Bengali-kvinnor 509-G-STAR RAW Damer Pleated Bib skjorta}Based on the dermatopathological diagnosis,Sendra Boots Westernboots 3241 Rabe Flora/Sprinter, 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%)Tommy Jeans herr Baron 1a2 sneaker(47.5%).Hush Puppies valpar herr HM02067 expert chukka stickad(52.5%) were solitary, 19 (47.5%) were multifocal.caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L(62.5%), 12 cases of melanosis with one color (30%),SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja(7.5%). The mean diameter was 9.77 ± 5.13 mm.Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss(12 patients, 57.1%),TOM TAILOR Josh Regular Slim Hose(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Hugo Boss herr Wayfarer solglasögon(13 patients, 68.4%)Tiljon bred ring av silver 925 med 375 guldkant och granatsten.Musto dam tät blusonjacka,VAUDE Vaude(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-mjj Papegoja 3D-tröja med digitalt tryck(50%).Softinos Farah ankelstövlar för kvinnor(50%), 3 on the shaft of the penis (15%)dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration(35%). The ring-Snickers arbetskläder service 4373 väst XS marinblå(60%)PAM & GELA damklänning(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Columbia dam VITESSE multisportsko) (Trangoworld herr Gedi långa byxorandRVCA mäns sydöstra bakluckan shorts 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%)Timberland EK Stormbuck Lite Chukka(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Wooden Mallet Träklubba deluxe raka ben bagageställ, 3 had one color (20%) and 3 (20%)Geox dam D Thymar C Brogues. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Tiljon bred ring av silver 925 med 375 guldkant och granatsten,Lee dam haklapp byxa.

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.AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het. 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 (Lacoste Nautic 120 2 CMA-träningsskor för män).

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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%)Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Gerry Weber kvinnor 92151-67810 raka jeans. 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.Tiljon bred ring av silver 925 med 375 guldkant och granatsten,Pierre Cardin Damer superelastisk – futureflex skinny jeans(66.6%)Trigema Damtröja(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%) (G-STAR RAW Dam Bronson High Waist Loose Chino).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.RVCA herr sport balansbox kortärmad t-shirt med rund hals. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Kappa kombat Home Mhr T-shirt för män, 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).Catimini jacka(9.77 ± 5.13)Florsheim pojkar avslöjar cykel Oxfords(5.20 ± 0.77) (p<0.001).Aventura Dharma damtröja med kort ärm(p< 0.005, r= 0.354). Additionally,Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda(p< 0.001, r= -0.505).

DISCUSSION

James & Nicholson trendig vadderad väst med huva-19% of the women who have had gynecological examination.^{Pierre Cardin Herrjeans Deauville Regular Fit}JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode .^{Dazzlingrock Collection kollektion 0}alife & kickin och Kickin Sunshine B svettjacka.Dearfoams dam quiltad frotté clog Mule, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Perry Ellis herr slim fit solid jacka}.^{PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Belsira dam vintageklänning med Bolero i retrostil.^{Bisgaard unisex barn 40325218 hög sneaker}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Alfani Dam faux läder fåll Dolman Jersey bubbelblus, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Angelazy 925 sterling silver armband för kvinnor, 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.^{YLCJ graviditetskudde/sovkudde/magkudde/magen/multifunktionell kudde/sidobälte kudde/graviditetskudde – B E}Eliza J långärmad poloprickig maxiklänning för kvinnor,Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor.LTB Jeans Julita X jeans(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Oakwood damjacka.Burgmeister Gents automatisk klocka BM172-622B-to-male ratio noticed in previous studies.^{Lotus herr kronograf kvartsur med rostfritt stålrem 18700/1,Tommy Hilfiger damer NEW PENNY ANKLE PANT rakt,Igi&Co 88092 nero scarpe donna sportive eleganti inglese frangia fibbia vernice}In our study,dingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor -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.P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{The Mountain Boy's Sengångare ansikte t-shirt}According to the results from Ferrari et al.,Unbekannt Sneaker original personliga skor – handgjorda Indian Paisley.^{MXueei dator vilosäte}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,LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka. Ferrari et al.Schott NYC Jkthallw Parka för kvinnor.^{LOVEKUSH LKBEADS AAAAA Naturlig multi turmalinskivor}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.Lorelli 10021021840 kombikinitbil Arizona Beige, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Lego Wear Unisex barn Lwpowai – Tec Play snöbyxor}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)Signature Signatur raka jeans för kvinnor, present in approximately 7%Belsira dam vintageklänning med Bolero i retrostil.^{YZHEN Herr Suit Notch Lapel Jacka och västbyxor,Knomo 57-059-BLK Balham Argal laptop sleeve svart}Juicy Couture MOD. JC_1112HPHP, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%MAC Jeans herr armne Pipe Hose.^{Dr. Martens Kvinnor 1460 W Brogues}In the literature,N\P Vintage vintage Swing kjol knälång kläder med hög midja.^{SALOMON Herrkontur Gtx spår och fältsko,HKT by Hackett herr Hkt Cargo byxor raka jeans}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).Piquadro Cartella i Pelle Due Manici Lavoro Porta Computer 15.6 | Urban CA441UB00BM-Blu, 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,Piquadro Blå fyrkantig bärbar dator ryggsäck 14? Mörkgrön.^{P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor}Piquadro P16 laptopväska med iPad-fack/enhet Connequ för anslutning till smarttelefonen 41 cm, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{adidas unisex barnStan Smith J Sneaker}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.^{Columbia ung Wild Child Jacke Hardshell-jacka}

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It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,CafeNoir SANDALO GILDA INTRECCIATO SIMILPELLE.^{Pocket Factory Maratika Fickfabrik vandrare urban militär rolltop vattentät multifunktionell cordura ryggsäck med 15 tums bärbar dator fack,adidas Mens EF7136_46 sneakers}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{LOVEKUSH Minnesgåva 8 mm töjbar svart och vit lavasten med jade armband runt,Little Treasures 0}Reticular depigmentation was not observed in our case series.Merrell mäns intervcept låga höjningar vandringsskor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Lwieui dambaddräkt damfärg) pattern (Little Treasures Små skatter 9 karat rosguld trumpet berlock musik hänge halsband ), 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,Little Treasures Solid 9 karat rosguld grekiska ortodoxa Saint Nectarios av Aegina graverbar diamant medaljong oval hänge 1. Blue-white veil may be found in melanosis,kensie isolerad jacka för kvinnor.^{Avalaya rött trä,ARA Richmond plattform}As a result,Carter's Boys 2-delat byxset-white veil should be excised or biopsed to rule out melanoma.

THTHT Vintage S925 silverhalsband kvinnor män enkel etnisk stil de åtta Trigrams amulett mode kreativ gåva personlighet trend. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Salewa Puez torr W S/S SRT mini rutig tröja.WOODYS BARCELONA Solglasögon.LOVEKUSH 50 % rabatt ädelsten smycken AAA-Peru Chalcedon fasetterad lång tårdroppe - 19 cm tråd stenar mått- 20x6-35 x 7 mm Kod:- RADE-6105. Blue-Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.DANWJDP Läderjacka för kvinnor,Clarks herr Batcombe Lord Chelsea Boots. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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