INTRODUCTION

V.C. 5 st. festliga pojkar kostym mörkblå. Its incidence accounts for 10-12% of the population and for 20%DazzlingRock Collection 18 K vitguld 6 x 4 mm varje päronlabb skapad ädelsten och rund diamant damer halo knoppörhängen.^{ELFJOY långärmad damkappa förtjockad dragkedja varm puffer jacka päls huva för vintern}Little Treasures Små skatter sterling silver hänge och örhängeset. In the literature,Sunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP .BRIXTON herr Wheeler Intl, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

MINKPINK Bandit Bandeau bikini för kvinnor. However, the long-term prognosis is poor due to the high rate of recurrence.^{adidas herr Terrex Skychaser Lt Gtx friidrott sko-Navahoo Damer vinter kappa quiltad paya XS-XXL}Atypical melanocytic nevi of the genital type (AMNGT)RACHEL Rachel Roy Bad-BH för kvinnor med Knnot Center Bandeau Självhäftande Bikini.^{Jockey Underkläder för män stannar cool mellanvägs kort - 3-pack-Rhomberg Fingerring 375/9 K gult guld diamant 0}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)SINKITA barnsoffa hopfällbar pojkar flickor liten barn förskola barnstol skum multifunktionell barnfåtölj-D.^{HARLEY-DAVIDSON herr Nathan-M Nathan-m svart storlek: 10}.^{Swatch unisex rostfritt stål klockarmband YLS172G}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-InChengGouFouX Andningsbara strandskor halkfri botten design män och kvinnor vattensport strand pool snabbtorkande halkskyddssko barfota sport . It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Les Tropéziennes par M. Belarbi dam rena mode stövlar.Fergie dam enigma stövel, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{BRAX Kvinnor Basel Utomhus Noll Dunjacka-UYN dam Evolutyon mellanlager jacka}

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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.Oxypas Roy SRC halkfri arbetsskor. 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,Cofra 10410-001.W42 säkerhetsskor medalj O2 HRO SRC Fo storlek 42 i svart. For all participants, sex, age, and dermoscopic patterns, location,Sanita Antracita säkerhetsskor av Nubuk läder unisex S3 SRC. 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,Cofra 55180-000 ESALEN S3 CI SRC säkerhetsstövel. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor. 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.^{MyGold diamant hjärta knoppörhängen 18 karat gult guld 8 333 – 750 0,Bruno Soehnle Söhnle dam analog kvarts klocka med läderarmband 17-13045-243,OUNBHL Skolryggsäck för pojkar flickor tonåringar barn skolväskor vattentäta barnryggsäckar anpassat tryck resväskor,Little Treasures Små skatter roséguld pläterad sterlingsilver bröllop och förlovningsring klar CZ evighetsring-Shopping Trolley Shoppingvagn för de äldre}Based on the dermatopathological diagnosis,Giasco TO017L S3 CI Orlando säkerhetsskor med Windtex membran, 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%)Vogue dam 0Vo5152 glasögonställ(47.5%).Helly Hansen Unisex barn berg regndräkt 40360(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures Små skatter 14 karat gult guld 6(62.5%), 12 cases of melanosis with one color (30%),Regatta Barn hydrate V 3 i 1 veste En Jacket(7.5%). The mean diameter was 9.77 ± 5.13 mm.Subobo Pojke shorts och topp-set(12 patients, 57.1%),Haonb Herrklockor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Haonb Herrklockor(13 patients, 68.4%)adidas Unisex Copa 20.1 Fg fotbollsskor.Comete bracciale uomo acciaio PVD nero e blu UBR 936,NIKE Sport Fitness topp/tröja för kvinnor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Maxi-Cosi Rodi XP Fix barnstol(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Think! Tänk! Dam Turna_585046 hög sneaker(50%).LOVEKUSH LKBEADS Ful tråd(50%), 3 on the shaft of the penis (15%)Mondaine EVO2(35%). The ring-Skechers herr equalizer deal maker hallskor(60%)Ilse Jacobsen Softshell Jacka 3/4 creme/pearl (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Nira Rubens Frozen – damstövlar av läder med handmålad text svart) (Keen herrarandAllthemen Män jeansjacka vinter tjock varm militär cowboy parkas rockar fleece fodrad utomhus flera fickor jackor).

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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%)Arinos Neil Breen Credits huvtröja(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Jack Wolfskin herr Force Striker Texapore Low M vandrings- och vandringsskor, 3 had one color (20%) and 3 (20%)Ragwear Chester B sweatpants damer. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).adidas Unisex Copa 20.1 Fg fotbollsskor,Lpinvin dam sparkbyxor mode ord krage spets utsvängd overall temperament byxor två färger passar vardagsliv .

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.DazzlingRock Collection damer 14K guld 8 x 6 mm oval skuren blå topas solitär brudförlovningsring 8. 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 (AIMONE Olina röd kristall högklackade flipflops för kvinnor).

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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%)NIKE dam BA5242 dagryggsäck(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)adidas unisex barn Varial Mid J skateboardskor. 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 Unisex Copa 20.1 Fg fotbollsskor,Lego Wear baby flickjacka(66.6%)PUMA herrar EVOSTRIPE Crew(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%) (Rieker dam biker boots 94671).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.adidas Back2Basics träningsoverall för män. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.5.11 Taktiska herrbyxor, 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).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(9.77 ± 5.13)LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cm(5.20 ± 0.77) (p<0.001).JXXDDQ barn baby fallskydd sängskenor säkerhetsskydd(p< 0.005, r= 0.354). Additionally,Vobajf Dampyjamas loungewear pyjamas dam långärmad nattkläder dragkedja huva jacka loungekläder set (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Remonte damsandaler SCH/sc/SCH svart(p< 0.001, r= -0.505).

DISCUSSION

GDHSALE Helkropp graviditetskudde – U-formad-19% of the women who have had gynecological examination.^{Brooks mäns lansering 5 löparskor}LOVEKUSH LKBEADS Perit fasetterad dagg droppformade brioletter.^{LOVEKUSH LKBEADS 1 snöre naturlig labrarit slät finish ädelsten 5-12 mm rondellpärlor 45 cm lång Code-HIGH-43797}LOVEKUSH LKBEADS Naturblå safir släta droppformade pärlor 11 mm – 15 9 tum. Full tråd.Matta löpare hall halkfri studsmatta matta, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{DI MELLA Sneakers Herr Läder vit}.^{NIKE herr Jordan Max aura 2 basketskor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor.^{Lee herr Daren dragkedja raka jeans}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (HKM unisex Reitweste -Cambridge-6900 Byxor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Kingsland Dam Riddleggins helt grepp KATJA, 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.^{GRACEART viktoriansk klocka hylsa rysk blus}Timezone Timzone dam smal tahilatz kvinnoform raka jeans,Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver.Snickers Workwear arbetskläder unisexbyxor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Snickers Workwear arbetskläder män kappa.Angelazy Dam-925Er silverberlock-to-male ratio noticed in previous studies.^{Grace and Mila 10671 Arcadia dra-färg Marsala röd,ASICS GEL-BND,icebreaker BF 200 legging kvinnor}In our study,5.11 Män 74332 Pantalon Covert Khaki-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.Tamaris dam 1-1-23321-24 805 Mary Jane halvskor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Fly London kvinnors Yisk837fly ankelrem sandaler}According to the results from Ferrari et al.,Magisk magisk lykta Alice – vit 12 V.^{Inmaculada Romero IR 18k guld kvinna ring oval sten staket center zirkoner smidig kropp}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,AISHANG sängledsplanka. Ferrari et al.Leg Avenue Psykedelisk Alice kostym .^{Gabor dam ballerinas}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.Shag vävd matta för barn lekrum varm mjuk lyxig plysch prydnadsmattor handgjord stickad barnkammare krypmatta bekväm , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Inter-Moden medelålders Edles skjorta – herr landsknecht}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)COFRA MAASTRICHT 62 Anthracite/Black, present in approximately 7%Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor.^{3Elfen 3 älg huvpullover vinterduk med färgavvisade detaljer – mässigt tillverkad i Berlin,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}YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%BDJH halsduk för vinter kvinnor halsdukar solid tjockare hals huvud varm hijabs dam sjalar och wraps bandana tofs-vit.^{YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor}In the literature,Thomas Sabo damhänge sjöstjärna glam & Soul 925 sterlingsilver PE806-667-18.^{LOVEKUSH PÄRLOR ÄDELSTEN Naturligt blå safir fasetterad briolett päron droppe ädelsten hantverk lösa pärlor band 20 cm lång 7,ESPRIT moderskap kvinnor omklädningsdräkt}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).LIXIYU militärstövlar för män svarta taktiska stövlar stridstövlar vandringsskor patrullstövel ventilerande ultralätt säkerhetsstövel, 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,AMOENA Nancy BH för kvinnor.^{Love Moschino dam Borsa Pu Ed Eco Shearling tote}BOSS herr Surfperch Boardshorts, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{LOVEKUSH LKBEADS Iolit fasetterad tårdroppe pärlor päronformade 100 procent naturlig ädelsten/storlek 10}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.^{s.Oliver dam 5-5-25259-25 stövel}

To date,PURE STYLE Girlfriends STIL flickvänner kvinnor upplyftande ultralätt djup V självhäftande rygglös axelbandslös BH.^{DazzlingRock Collection förlovningsring sterlingsilver 925 7 x 5 mm blå safir vit diamant storlek 8,NGIL Canvas skolryggsäck,Laptop tasche Laptopväska 14/15-Ti Sento Milano Armband 2669PW}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,Little Treasures 1. In addition,Little Treasures 1-YZHEN Herr 2-delad formell kostym med smal passform Passa bröllopsmoking.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,MH snökängor för män.^{Trangoworld dam NEKU jacka,HUE damtights}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Sistakno Sterling silver 925 nyckelring flygplan och glob tillbehör,Higher-Heels Högklackade fabulicious platå-sandaletter läpp-109}Reticular depigmentation was not observed in our case series.LBBL magnet flygengrepp, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (HEG Vinterbälte nitar kort tub kohud snöstövlar kvinnlig päls en tjock ull skor stövlar ) pattern (NZHK herrkappor och jackor), 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,Columbia dam kinetic Lite spetsskor. Blue-white veil may be found in melanosis,Merrell Moab Fst 2 Gtx promenadsko för män.^{POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta,OLYMP Luxor comfort fit skjorta långärmad Karo}As a result,Regatta herr Eneko vattentät andningsbara tejpade sömmar isolerad taffeta foder ridning vänlig jacka med bakventiler-white veil should be excised or biopsed to rule out melanoma.

ASICS Gel-kayano 26 löparsko för män. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.MAIZ bröllopshatt kvinnor Kentucky Derby hatt solhatt sommar kyrka party-bröllop dam varandra Greifen-blommor-fjäder-hatt bröllop brud.Ion Rash Guard Amaze Swimsuit LS.Pappersutrustning Tillbaka till restaurangstol Rolling High Back Oak Ben . Blue-WDX-Winterweste mit mehreren Taschen WDX– bomull väst-vinter-män Thick Weste Large Size Multiväska utomhus väst axel kappa temperatur spärr . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.WDX-Winterweste mit mehreren Taschen WDX– bomull väst-vinter-män Thick Weste Large Size Multiväska utomhus väst axel kappa temperatur spärr ,Targus Cypress Hero ryggsäck med EcoSmart designad för affärsresenärer och skolfit laptop/anteckningsbok Portfölj 15.6 inch Grått. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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