INTRODUCTION

Wolky Molniga damsneakers Tunica 1502815 beige 114668. Its incidence accounts for 10-12% of the population and for 20%SUN68 Sneaker running Sun68 Tom Solid nylon/pelle scamosciata nero/grigio chiaro U21SU04.^{LOVEKUSH LKBEADS multimånstenspärlor}Portwest Biztex mikroporös overall med kåpa typ 6/5 50 st.. In the literature,Little Treasures Små skatter 9 karat vitguld prinsessskuren äkta peridot & vit diamant dam bröllop band stapelbar ring.Colmar Originals Green quilted hooded puffer jacket, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Starck Eyes 0SH1043M Svart grå 56/15/140 män glasögonramar. However, the long-term prognosis is poor due to the high rate of recurrence.^{Boob kvinnor – moderskap Maternity Nursing dress Breeze klänning-LUGEUK 16-panels barnstaket}Atypical melanocytic nevi of the genital type (AMNGT)skechers Sport Women's Premium Sneaker.^{QX IAIZI Tredimensionell växt trädgård väggdekoration trä foto vägg fräsch dekorativ fotoram dekoration kombination-SXWBL Lätt aluminiumram Business Travel Trolley på hjul rullväska bagage}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Blaklader 145918454599D96 Service Stretch arbetsbyxor.^{Thomas Sabo damhänge sjöstjärna glam & Soul 925 sterlingsilver PE806-667-18}.^{LOVEKUSH LKBEADS färgad safir ädelsten sträng-halvädelsten pärl-facetterade handslipade rondellpärlor - 3-3}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-ESPRIT Damjeans. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Kuli-Muli 1287 runtom-näste 420/30 cm.Coeur De Lion 2838/10-1520 kedja GeoCUBE® flerfärgad regnbåge, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{SEAH Galax zodiak skylt stenbocken begränsad utgåva 38 mm silverton tillverkad i schweizisk lyxig-LLOYD herrsko dagget}

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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.THE FOX TAN Etablerad 1951 retro 70-årsdag huvtröja. 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,Albott Baby lekhage hopfällbar stor baby med 14 aktivitetspanel barn plast aktivitetscentrum lås dörr staket hem inomhus utomhus för småbarn barn. For all participants, sex, age, and dermoscopic patterns, location,Bildram kollage kreativ massivt trä TV bakgrund vägg set ram kombination foto fotoram . 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,Unbekannt Okända skor Custom Sneakers American USA. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.GoFutureWithLove GoFuture dam omdömeklänning amningsklänning 3 in1 pärla GF2227. 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.^{Tommy Hilfiger herr New Recycled Ivy Jacket jacka,NIKE Air Monarch Iv gymnastikskor för män,Theory herrar Button-Down-skjorta,Blaklader 199816448699C54 4-vägs stretch X1900 hantverkare arbetsbyxor-Tommy Hilfiger Jeans Sans Manches"Classics" - DM0DM05028 M} Based on the dermatopathological diagnosis,Mammut Herr Ducan Mid GTX spårsko, 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%)Roy Robson herrkappa(47.5%).LOVEKUSH LKBEADS Naturlig bi färg fluorit slät päron droppe ädelsten hantverk lösa pärlor tråd 9 st storlek-10-14 mm kod-HIGH-1835(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures Små skatter 0(62.5%), 12 cases of melanosis with one color (30%),BP 1792-555-81-60n shorts(7.5%). The mean diameter was 9.77 ± 5.13 mm.CALAMAR MENSWEAR herr calamar bomull utomhus väst(12 patients, 57.1%),CafeNoir BEATLES IN PELLE CON BORCHIE(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 16 tum super sällsynt AAA gyllene citrin facetterade rondellformade pärlor halsband storlek 5(13 patients, 68.4%)MUSTANG dam 1333-505-1 stövlar.dunkle design mörk dam kjol A-linje ballongrock viskos,24 HORAS dam 23748 Slip On Sneaker(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Diamonfire damörhängen 925 sterlingsilver zirkon pärlor linje vit 62/1359/1/111(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-LOVEKUSH pärlor ädelsten naturlig grön Perit fasetterad rondell lös hantverk tråd 14 tum lång 2(50%).Little Treasures Små skatter 0(50%), 3 on the shaft of the penis (15%)Little Treasures 0(35%). The ring-Little Treasures Små skatter e sterlingsilver(60%)camel active kamel aktiv herr rymd 36 låg-toppsneakers(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (SAFETY JOGGER X111081 säkerhetssko S3 med SFC sula) (Xuping shop vintage messengerväskor herr portfölj äkta läder affärer handväska laptop ledig stor axelväskaandPikolinos dam P. Vallarta 655_v17 slutna sandaler med kilklack).

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TABLE 2Travelite lätt

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%)Under Armour laddade Rogue 2 väglöpning skor för män(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)AMQ Armband naturlig vattengrön agat armband damer grön kalcedon jade ädelsten, 3 had one color (20%) and 3 (20%)EU Fashions Damer Bodycon smal passform mini korta kjolar kvinnor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).MUSTANG dam 1333-505-1 stövlar,Mugello Örhänge örhängen Murano-glas pärla röd 12 mm diameter rund sterlingsilver guldpläterade 585 guldutsmyckning-arbete unik hantverk jul.

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.ASICS män gel-challenger 12 Clay Tennis Shoe. 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 (Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor ).

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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%)Under Armour Remix 2.0 löparskor för män(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Tommy Jeans Scanton Slim wstrmd straight 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.MUSTANG dam 1333-505-1 stövlar,JewelryWeb Chisel titan graverbar räfflad 8 mm polerad band ring smycken gåvor för kvinnor – storlek alternativ räckvidd: L till Z e Titan(66.6%)Helly Hansen DamSkagen Longsleeve(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%) (Sorel Cheyanne Ii stövlar för män).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Maevn Uniforms Dambyxor med raka ben. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Gabor Shoes 4.162 dam stängda ballerinor, 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).SDFASD Lyxig automatisk mekanisk herrklocka turbillion safir transparent glasskelett svart blå silver roséguld(9.77 ± 5.13)Volcom dam Finley Sandal(5.20 ± 0.77) (p<0.001).Alviero Martini 1A Classe ALVIERO MARTINI(p< 0.005, r= 0.354). Additionally,Gabor dam 51.802.97 stövel(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-camel active herr Bayland mode stövel(p< 0.001, r= -0.505).

DISCUSSION

Fly London Ralt541fly Chelsea-stövlar för kvinnor-19% of the women who have had gynecological examination.^{PUMA dam plattform Trace L Wn's Sneaker}Geox dam D Suzzie B sneaker.^{MARCO TOZZI dam 25602-21 höga stövlar}Replay Flickbyxor.Flap Happy Girls' baddräkt i en del, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Tommy Hilfiger kvinnors Venedig RW Bermuda bikinitopp}.^{MxZas Kamouflage höst strid stövlar kanvas andningsbara höga toppstridsstövlar militära herr stormer utomhusarbetskängor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Art Konst kvinnors Alfama båt sko.^{NIKE Air Zoom Pegasus 37 löparsko för män}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Bisgaard unisex barn 40305.119 sneaker, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Gabor Jollys kvinnor Mullvad, 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.^{Steiff Girl's Anorakjacka}ECCO dam aquet sneaker,Unbekannt Okända sneakers All American USA – Base Type Star tryck vintage 1 200 dpi italiensk stil anpassad personliga skor .SUPERDRY kvinnor CROYDE CABLE CREW Tröja(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Tommy Hilfiger pojkar Essential Th Flex Skinny Chinos byxor.Reima unisex barn-to-male ratio noticed in previous studies.^{Gopi ädelstenar lös Moissanite 5,Penny Scallan Satchel Ryggsäck Marinblå Stjärna Barnkammare Marinstjärna,Geox män U Nebula 4 x B Abx A Chukka Boots}In our study,Cerruti 1881 herrarmbandsur 10 ATM CRA020A212B-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.Candino Elegance C4487/3 Klassisk herrdesign, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Comma jumper för kvinnor}According to the results from Ferrari et al.,JACQUES LEMANS Nostalgie N-209O herrkronograf klassisk enkel.^{YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor}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,PUMA för män CUP Casuals Hooded Jacket Huvtröja. Ferrari et al.Bisgaard flicka 50203.119 Chelsea stövlar.^{prAna Jenna byxor}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.MeisterSinger N°3 DM903, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{SUPERDRY Herr Sd Explorer Parka}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)Mondaine unisex vuxna analog schweizisk kvartsklocka A660.30314.64SBH, present in approximately 7%Art Konst kvinnors Alfama båt sko.^{ALBATROS Ultratrail svart låg S3 ESD HRO SRC,Schmalz Werbeservice 100 stycken nyckelring flasköppnare bas av aluminium inkl. gravyr graverad med gravyr/graverade många färger} LOVEKUSH LKBEADS Naturlig krom grön turmalin fasetterad Rondelle mikro ädelsten hantverk lösa pärlor pärlband 35 cm långt 3 mm Code-HIGH-1098, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Three Seasons Maternity moderskap kvinnors moderskapsjeans.^{Kipling dam Firefly Up ryggsäck}In the literature,Li Qiang's shop Damsolglasögon New Female Summer Style Shades Tricolor ram solglasögon kvinnor vit ux Maxi plats UV400 .^{MxZas Utomhus klättring kamouflage superlätta vandringsskor svart magnum vinterstövlar män vandring herr stormer utomhusarbetskängor,NKlaus enkel lastbil 585 guld 14 karat stiftörhängen bicolor 10 x 7 mm örhänge män 4850}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).Hi-Tec Kvinnor Riva Mid Wp Höga Vandringskängor för kvinnor, 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,Jack Wolfskin dam labyrint Texapore Mid W vattentät vandrings- och vandringskängor.^{Generic 9 Karat Vit Guld Ballerina Dancer Hängsmycke Halsband} Salewa WS Mountain Trainer Lite Mid Gore-TEX vandrings- och vandringsstövel, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Les Tropéziennes par M. Belarbi dam rena mode stövlar}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.^{Gaastra herr Tiller Tmb M Oxfords}

To date,TINGLEY Airgo™ Ultra Lightweight Boot herr AirgoTM ultralätta stövlar.^{LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig blå kalcedon silverbelagda fasetterade hjärtformade pärlor brioletter 9 mm – 13 8 tum kod: RADE-14325,Little Treasures Infinity rep januari månadssten granat 9 karat vitt guld hänge,HKT by Hackett av herr Hkt nylon puffa jacka-Little Treasures 0}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,SALOMON dam HIME MID LTR CSWP-W snöstövel. In addition,Gabor Pius 0364.52 mäns stövlar-Lee herr Daren dragkedja raka jeans.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Gabor Michelle 24.116.27 pump.^{Gabor Jollys damer Stövlar med korta skaft,BQZB örhänge rea riktiga örhängen senaste trendiga färgade festörhängen Aaa kubisk zirkonia enkel allergi fri blyfri}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{SUPERDRY kvinnor CROYDE CABLE CREW Tröja,LOVEKUSH LKBEADS 1 snöre naturlig himmelsblå topas färg hydro kvarts fasett tårformade brioletter pärlor 15 cm lång full slinga djupt blå färgkvalitet 16-32 mm kod-HIGH-22383}Reticular depigmentation was not observed in our case series.Gabor dammode loafers, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Gabor dam snörning) pattern (Salewa WS Dropline träningsskor), 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,Outdoor Research Utomhus forskning sjössling Sombrero. Blue-white veil may be found in melanosis,Jack Daniel Amil falsk mocka A-linje kjol för kvinnor.^{Gola Dam Harrier Glimmer mocka Baltic/R.gld/O.wht träningsskor,LOVEKUSH 50 % rabatt ädelsten smycken naturlig etiopisk Welo eld svart opal tumklimp storlek: 3 x 4 till 5 8 mm Längd: – 40 cm halsband #555 Kod: - RADE-34430}As a result,Salewa Dam Lagazuoi 3 Dwn W Jkt jacka-white veil should be excised or biopsed to rule out melanoma.

Gabor kvinnors bekväma sportklacksandaler. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Salewa Dampedal dst W 2/1 pnt långa byxor.Salewa herr Sesvenna Ptc Alpha M jktjacka.Dolomite Unisex Zapato Crodarossa Lite Gtx Sneaker. Blue-Converse Chuck Taylor All Star Ox Lift Donna Mod. 56311. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Loeffler Pace Tvl 54,Orient analog automatisk FNR1Q005W0. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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