INTRODUCTION

ASICS dam gel-Squad amerikansk handboll skor. Its incidence accounts for 10-12% of the population and for 20%ASICS GEL-BND.^{Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld} Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp. In the literature,Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun.TBS Mojarra sandaler med öppen tå för kvinnor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer. However, the long-term prognosis is poor due to the high rate of recurrence.^{Mockberg dam digital kvartsklocka med Paqué or armband MO1601-LOVEKUSH LKBEADS granat – Moçambique vanliga päronformade droppar 5 x 3 mm till 7 vardera 4}Atypical melanocytic nevi of the genital type (AMNGT)G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import.^{DazzlingRock 14 K vitt guld rund & prinsessdiamant damer brud gloria ring förlovning matchande band set 1 1/4 CT -YYI Herr Kostym Mäns Notch Revers 3 Pieces Brudgum Smoking Wedding Bröllop Event Kostymer för Party}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Tamaris dam 1-1-28007-24 007 sandaler med klack.^{LOVEKUSH 50 % rabatt ädelsten smycken 20 cm tråd}.^{Paddocks jeans PAT}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Chaco Zvolv sportsandal för kvinnor.NIKE dam Roshe One Print löparskor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Craghoppers Nl Pro Trs byxor för kvinnor-Widmann – kostym skott}

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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.Ted Baker dam Lennes Sneaker. 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,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor. For all participants, sex, age, and dermoscopic patterns, location,WggWy Mäns fashionabla arbetssäkerhetsskor. 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,Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.PUMA Unisex vuxna Rebound Layup SL Sneaker. 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.^{Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10,Blaklader 496610103300L dam mikrofleece-jacka,Vado Star snöskor sportgolv flickor,adidas Originals Adidas Original Swift Run-Little Treasures 0}Based on the dermatopathological diagnosis,Liu Jo Cher damer Krigsstövlar, 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%)ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(47.5%).YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare(52.5%) were solitary, 19 (47.5%) were multifocal.adidas Herrbyxor Adidas Skitouring P – svart(62.5%), 12 cases of melanosis with one color (30%),N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(7.5%). The mean diameter was 9.77 ± 5.13 mm.adidas dam terrex Ax2r vandringsskor(12 patients, 57.1%),CafeNoir SNEAKER IN LAMINATO(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Remonte Damer sandaler R2950(13 patients, 68.4%)Geox pojkar J Kommodor Boy A Sneaker.BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar,Strellson Herrjacka(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Best Life Casual(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(50%).Teva dam Olowahu W's dragsko(50%), 3 on the shaft of the penis (15%)CallagHan herr cedron mokassin(35%). The ring-Uno de 50 Orion PUL1818CRLMTL0M(60%)Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (TEPPICH-CY-ZK Matta kreativ barnkammare matta blågul graffiti tryck design klassisk stil retro hygroskopisk fläckbeständig) (LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cmandadidas Originals Chaussures Basket Profi Lo).

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TABLE 2Naturino pojkar bekväma sandaler

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%)RAINS Unisex Msn Bag dagryggsäck(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)DazzlingRock Collection Gia-certifiering 1, 3 had one color (20%) and 3 (20%)adidas Originals Adidas Falcon RX W. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Geox pojkar J Kommodor Boy A Sneaker,ESPRIT Collection kollektion dam kjol.

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.Porsche Design glasögon P8250 K. 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 (MBT dam sandaler Haifa W 700371 16 vit 276835).

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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%)Wrangler Texas Slim jeans(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Replay mäns anbass smala 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.Geox pojkar J Kommodor Boy A Sneaker,Unbekannt Okända skor Custom Sneakers American USA(66.6%)Okänd Sneaker Original Slim Customized personliga skor unisex (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%) (Pandora pärla berlock 925 sterlingsilver zirkonia 796560CZ).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Superfit unisex barn sport7 mini sneaker. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå, 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).Hydrowear 072455 Usselo Simply No SweatCoverall(9.77 ± 5.13)DazzlingRock Collection 14 K vitt guld 7(5.20 ± 0.77) (p<0.001).Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp (p< 0.005, r= 0.354). Additionally,CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-DazzlingRock Collection 0(p< 0.001, r= -0.505).

DISCUSSION

CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish-19% of the women who have had gynecological examination.^{HAFLINGER unisex ull varje dag sneaker}Unbekannt Örhängen stiftörhängen Solitär Brillant 0.^{Jenny damtofflor svart läder storlek 37}CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage.Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Chyuanhua Herrryggsäck retro vardaglig hållbar ryggsäck laptop högskola vattentät vintage väska män och kvinnor vandring skola canvas perfekt för arbete resor utmärkt affärsresa}.^{CANDYANA Realistiska Transvestit Crossdresser byxor verklighetstrogen vaginala underkläder silikon konstgjorda sexiga transgender}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%CGJ 1.^{Guteer kvinnor vinter utomhus snabbtorkande vandring camping elastisk midja dra på sportbyxor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband , 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.^{JFCDB Badrock}Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband ,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Little Treasures 0.Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld-to-male ratio noticed in previous studies.^{Gonso Damcykelbyxor Lisa V2-byxor,UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel,Geox kvinnor W TAHINA Down coat}In our study,Little Treasures 0-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.Little Treasures 0, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{an*tai*na* Antaina svart bomull rysk spets ståkrage gotisk knälång elegant Lolita klänning}According to the results from Ferrari et al.,Primadonna Forever hel kopp sidostöd behå.^{Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex} 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,Portwest C467 Hi-Vis 3-i-1 jacka Bombardero. Ferrari et al.DC Shoes dam sneaker Trase Platform SE sneakers kvinnor.^{dekodino® väggtatuering bil barnkammare gammal röd väggdekal fordon}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.DC Shoes Boxy – parkas för män ADYJK03063, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Erima herr fotbollstrikå}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)Cecil Lång tröja i djupblått, present in approximately 7%CGJ 1.^{MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang ,AG Adriano Goldschmied Jeans för kvinnor}NIKE Damer Epic Lux Top, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Designer Sterling Silver 925 sterlingsilver .^{JenLn Vår Martin-stövlar rabarberstövlar kanvasstövlar herr vandringsskor hopfällbara lediga vikbara ökenstövlar} In the literature,WESC Huvtröja för män.^{Generic Första L 9 Karat Vit Guld Charm Hängsmycke Halsband,HUGO herr Record_Waist Crossbody Bag}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).Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker, 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,Hit Notion Optiska glasögon för kvinnor – rektangulär form.^{Qiaodi Lyxigt läder främre auto bilsätesskydd set med 2 passar till VOLVO C30 C70 S40 S60 S80 S90 V40 V50 V60 XC40 XC60 XC70 XC90}Saucony herr jazz original Cross-Trainer, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Giudi Portfölj laptopväska 17 tum läder brun äkta modern portfölj businessväska stor laptop fack axelrem axelväska budbärare högkvalitativt eko-läder hållbart}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.^{Salewa herr Sesvenna Ptc Alpha M jktjacka}

To date,Unbekannt Okänd Sneaker Original Low Customized personliga skor .^{LOVEKUSH Hantverkare löst 6 mm töjbart svart & orange karneol matt onyx-armband runt,Kubler 12417322-9946-XXL väderjacka klassisk storlek XXL i svart/blåklint blå,camel active Mars 13 herr toffel-Think! Damer MIZZI_3-000088 hållbar pantolette tofflor}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,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex . In addition,Snickers Workwear Maler Arbeitshose m. Holstertaschen-Krüger Dirndl trachtenmieder Hedda beige ros.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,5.11 Herrstrumpbyxor täckta lastbyxor.^{Little Treasures 925 sterling silver 6 x 4 mm vardera ovalt skuren granat dam solitärörhängen,RVCA Jumpsuit för kvinnor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Marc O'Polo jumper för kvinnor,Dollin & Dockin Home Betten textil påslakan säng-i-A-bag 3D cool bläckfisk tentakel sova bekväm andningsbar dragkedja drottning klassisk storlek passar alla}Reticular depigmentation was not observed in our case series.HEAD herr Sprint Pro 3.0 Clay tennissko, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Cole Haan Grandpro Turf Tränare för män) pattern (Lottusse herr L6902 mokassin), 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,Yellow Box Gul låda dam Soleil flip-flop. Blue-white veil may be found in melanosis,DC Shoes herr Pure High-top Wr Boot snökängor.^{MyGold stjärntecken berlock ,BMS Clima-fleece overall fodrad}As a result,Werner Kern kärna – dam dansskor Cindy 3-white veil should be excised or biopsed to rule out melanoma.

Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Mizuno kvinnors våg belysning Z5 mitt volleybollskor.NIKE herr Phantom Gt Pro Fg fotbollsskor.NIKE herr Legend 8 Academy Fg/Mg Futsalsko. Blue-Base damer/män säkerhet halvsko B496 "AIR" S1P SRC. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Helly Hansen Jpn Rain regnjacka herrar,SALOMON herrskor X höjning Gtx vandring. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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