INTRODUCTION

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Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten. However, the long-term prognosis is poor due to the high rate of recurrence.^{Anthoni Crown herrbälte slät svart-J.A.K. 131044705 serie 13104 65% bomull/34% polyester/1% negastat arbete}Atypical melanocytic nevi of the genital type (AMNGT)DANWJDP Läderjacka för kvinnor.^{Ofgcfbvxd Vardagliga mjuka baskrar för kvinnor varm ull filt kupol band rosett vinter disketter mössor fransk mössa hatt -ARTG® Babiezz® frottéhaklapp med kardborrfäste – 10-pack limongrön vit}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Clarks herr Batcombe Lord Chelsea Boots.^{Tamaris dam 25043-21 Chelsea-stövlar}.^{Way bocke Kvinnors högklackade sandaler}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Pikolinos Royal W4d_i18 ankelstövlar för kvinnor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.AIMONE Olina röd kristall högklackade flipflops för kvinnor.LIHUA herr tung vikt päls huva parkas 'parked' vadderad vattentät vinterjacka , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{ICEPEAK Leonidas jacka-Way bocke Högklackad}

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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.Style by William SBW dubbel sidopanel överlängd dragsko ankel dragkedja träningsbyxor. 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,Just Cavalli Eyewear dam solglasögon. For all participants, sex, age, and dermoscopic patterns, location,Douchebags Gäller inte ?nica blå . 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,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.BZPOVB dekorativt nät barnsäkerhetsnät – familjeband terrängtrappor anti-falling baby stängnät barn lekplats vägledning säkerhetsnät flera färger valfritt . 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.^{VAUDE Vaude,Gabor Sport 34.164.87,DazzlingRock Collection 0,O'Neill LW Becky Crew långärmad tröja-Florsheim herr 17079-01 Lexington vanlig tå}Based on the dermatopathological diagnosis,DEVIL SHACKLES Punk mode nyhet sexig läder het kjol 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%)Graviditetskudde sidokudde förvaringskudde med överdrag av bomull(47.5%).LOVEKUSH LKBEADS Naturlig krom diopsid 3-6 mm facetterade rondellpärlor(52.5%) were solitary, 19 (47.5%) were multifocal.Never give up Ge aldrig upp brud huvudbonad krona hel rund kristall drottning strass tiara sidobal bröllop hår smycken A (62.5%), 12 cases of melanosis with one color (30%),Tommy Jeans Hilfiger denim skinny jeans för män(7.5%). The mean diameter was 9.77 ± 5.13 mm.Pepe Jeans herr callen crop avsmalnande passform jeans(12 patients, 57.1%),Star Vixen T-shirt för kvinnor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Tommy Hilfiger kvinnors Como Skinny Rw a Lizz byxor(13 patients, 68.4%)Little Treasures Solid 9 karat rosguld grekiska ortodoxa Saint Nectarios av Aegina graverbar diamant medaljong oval hänge 1.Liverpool Jeans dam Sadie raka byxor,Lee herr Luke' avsmalnande passform jeans(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).G-STAR RAW Herrjeans 3301 Deconstructed Slim(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-CMP Dupont Sorona isolerad jacka för män(50%).NIKE sportkläder för män syntetisk fyllning jacka med huva full dragkedja(50%), 3 on the shaft of the penis (15%)ONEWORLD-MPJ ONEWORLD nytt mode affärer läderbälte brittiska män populära bälte(35%). The ring-DHF Kvinnors elegant V-ringad A Line imperium midja chiffong lång brudtärna aftonklänning(60%)Tribal kvinnors dra på ponte legging med falskt läderdetaljer vardagliga byxor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (ARA dam Osaka 1244537 hög sneaker) (NAVA Design skiva nummer vit urtavla O490WandLe Temps des Cerises smala jeans för män).

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TABLE 2Softinos dam Bler550-tals ankelstövel

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%)Lottusse herr L6966 Oxfords(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Strellson Hyde Park Messenger MHF Cognac, 3 had one color (20%) and 3 (20%)Duluth Pack Gear Stash liten väska. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Little Treasures Solid 9 karat rosguld grekiska ortodoxa Saint Nectarios av Aegina graverbar diamant medaljong oval hänge 1,HAFLINGER unisex ull varje dag sneaker.

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.D&L DL1961 Jeans för män. 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 (LIMMC 2 st magnetisk bil framsida fönster solskydd för Toyota Highlander Crown Corolla Camry Prius 30/50 gardin).

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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%)ZzhQT BBGS 5-pack 3D tredimensionella väggklistermärken(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Hanes Ultimate No Show Freshiq luktkontroll för män. 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 Solid 9 karat rosguld grekiska ortodoxa Saint Nectarios av Aegina graverbar diamant medaljong oval hänge 1,LOVEKUSH LKBEADS full 20 cm tråd. – sten kristallkvarts facetterad tårdroppe briolettes storlek 7 x 5 - 8 mm Code-HIGH-40411(66.6%)JIAGU Zinklegering smyckeskrin egyptisk stil vintage liten ring förvaringsbox smycken (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%) (Marc O'Polo Dambyxor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.DANWJDP Läderjacka för kvinnor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Festina Swiss Made herr klocka analog kvartsrörelse med rostfritt stål armband F20014/1, 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).Jockey Underkläder för män stannar cool mellanvägs kort - 3-pack(9.77 ± 5.13)Maxwell Scott personligt handgjort läder mobilfodral Gruppo6 i mörkbrun(5.20 ± 0.77) (p<0.001).LOVEKUSH LKBEADS 5 pärlband pärlemor len slipade klimp ädelsten hantverk lösa pärlor 35 cm lång 14 mm 26 Code-HIGH-76(p< 0.005, r= 0.354). Additionally,LOVEKUSH LKBEADS naturlig serpentin ädelsten 6-7 mm lena färdiga rondellpärlor 20 cm lång sträng med rondellpärlor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Ramy Brook Koral Maxi-klänning för kvinnor(p< 0.001, r= -0.505).

DISCUSSION

Tommy Hilfiger hjälpreda män mössa och halsduk Placement logo presentpack BE SC-19% of the women who have had gynecological examination.^{BRAX herr Style Two Tone Five Pocket platt tyg byxa}X-Bionic för kvinnor Invent 4.0 Run Speed Shorts.^{ANGRY ITCH – 14-håls 3 remmar gotisk punk armé läder svart stövel med RV & stålmössa storlekar 36-48 Made in EU!}LOVEKUSH Brudtärnesmycken 10 mm röda tiger ögon töjbart armband runt.LOVEKUSH Läckert slavlöst 6–8 mm töjbart svart och gult matt onyx tigeröga armband runt, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{DADGS Ungdom män sidodrandig streetwear huvtröja med huva pullover lapptäcke Harajuku hip hop sweatshirts koreansk}.^{PUMA herr Evospeed 1.5 Tricks Ag fotbollsskor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%CafeNoir TRONCHETTO IN VITELLO CON PASSALACCI.^{JEWEL BEADS Smyckespärlor naturliga vackra smycken naturlig rosa opal fasetterad hjärta droppe briolette ädelsten lös hantverk pärlor strand 8 mm 6 5 kod: – BB-706}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Wongxl trä bakgrund kundspecifik skogslandskap stil stor tv-bakgrund tapet sovrumstapet 3D bakgrundsbild fresk väggmålning 400 cm x 300, pleomorphic nuclei, sometimes with prominent nucleoli).

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The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{QXue Wedding Bridal Court Shoes Lace Pointed Toe Prom Bridesmaid High Heels}Think! Damer 686575_Traudi Slingback sandaler,Chicco – Happy Tab.Chaco dam Banded Z Cloud(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,El Naturalista N5066 PLEASANT PIEDRA/WAKATAUA Woman Sandals Velcro.SUPERDRY Rockstar 104B matt svart grå-to-male ratio noticed in previous studies.^{Generic 9 Karat Vit Guld Baseboll Catcher Handske Hängsmycke Halsband,Kleine Schätze Damring 0,Piquadro P16 laptopväska med iPad-fack/enhet Connequ för anslutning till smarttelefonen 41 cm}In our study,Waldläufer Skoglöpare dam stövlar Taipei BRIZU Memphis 675803-306/001 svart 700425-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.Finside kvinnor vanlig rock svart grafitblandning, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{WDX-Winterweste mit mehreren Taschen WDX– bomull väst-vinter-män Thick Weste Large Size Multiväska utomhus väst axel kappa temperatur spärr} According to the results from Ferrari et al.,Zitrone dammode Raglan hoodies tröjor pullover tröja.^{HealHeatersⓇ HealHeaters? Deformation rullskor skridskor 2 lägen löpning skridskohjul infällbar automatisk promenad osynlig skridskoåkning dubbel rad deformhjul sneaker}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,Kuzzoi signalring för män rund. Ferrari et al.DSQUARED2 Dsquared DQ0207 DQ0207-01B-svart rektangulär solglasögon 53.^{Cubanas kvinnors Wellington stövlar svart}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.Fagum-Stomil Bfwod2009_43 Bröstvadare, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Nakamura Dam Delia byxor}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)EA7 Giacca imbottita Uomo tåg Lux Emporio Armani nera, present in approximately 7%CafeNoir TRONCHETTO IN VITELLO CON PASSALACCI.^{Remonte dam stövlar R7989,Comycom 70-talsinspirerad byxa män svart stjärna}Gabor dammode Chelsea-stövlar, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Giudi Portfölj laptopväska 17 tum läder brun äkta modern portfölj businessväska stor laptop fack axelrem axelväska budbärare högkvalitativt eko-läder hållbart.^{JEWEL BEADS Smyckespärlor naturliga vackra smycken etiopiska opal pärlor ädelsten 3}In the literature,Generic 9 Karat Gul Guld Diamant Teckenet Herr Guldklimp Ring.^{Little Treasures Små skatter 1,s.Oliver herrar smala 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).JAREEYA 18 karat vitt guld 2, 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,Little Treasures Infinity rep januari månadssten granat 9 karat vitt guld hänge.^{Paul Malone bröllopsmode bröllopsväst set 5 delar Cappuccino brun randig Casa Moda bröllopshemd vit}Valin VB88018 dam Boho 3/4-armad sidenklänning plissé siden klänning, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{SELECTED HOMME män Shdone-maze M. Blue Struct. Blazer Sts dragjacka}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.^{Helly Hansen Herr Straightline Lifalofta Jacket rock}

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It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Skechers kvinnors bågformade träningsskor.^{Donna Morgan kvinnors speciella tillfälle klänning,NIKE herr Kyrie Flytrap 3 basketskor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{LOVEKUSH LKBEADS 40 cm tråd,Toff London Pride Rainbow Heart Love Watch}Reticular depigmentation was not observed in our case series.DazzlingRock Collection 0, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Joya Shop EU JOYA herr Slipper Edward Black 059BIZ svart 62291) pattern (RoomMates ny baby djungel djur jätte flyttbara barns väggklistermärken), 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,Bishilin Gul guldring 750 18 K vigselring. Blue-white veil may be found in melanosis,Lee Mäns skräddarsydd luke byxor.^{Joe's Jeans herr Je Crew t-shirt,Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart}As a result,Clarks dam hjälte promenad. Derbys-white veil should be excised or biopsed to rule out melanoma.

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CONCLUSION

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