INTRODUCTION

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RAINS Unisex Msn Bag dagryggsäck. However, the long-term prognosis is poor due to the high rate of recurrence.^{WAFJJ iögonfallande draperier för barn Blue & Dream Catcher mörka gardiner med öglor vardagsrum sovrum barnrum-Little Treasures 14 karat vitguld diamant dubbel rå förlovning/förslagsring med vit topas mittsten e vitt guld}Atypical melanocytic nevi of the genital type (AMNGT)DazzlingRock Collection Gia-certifiering 1.^{Diesel herr jeans-Florsheim pojkar avslöjar cykel Oxfords}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)adidas Originals Adidas Falcon RX W.^{Easy Spirit kvinnors Ap1 Sneaker}.^{DC herr Lynnfield}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-ESPRIT Collection kollektion dam kjol. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Porsche Design glasögon P8250 K.Mi Moneda – kvinnor mynt hänge SW-BELI-11-L, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{New Balance herr M530-vcb-d sneaker-Josef Seibel Amelie 02}

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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.Okänd Sneaker Original Slim Customized personliga skor unisex . 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,Superfit baby flicka rush sneaker. For all participants, sex, age, and dermoscopic patterns, location,Saltwater Sandals Salt Water by Hoy Shoe Original Sandal . 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,Superfit unisex barn sport7 mini sneaker. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå. 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.^{BERA Män 100 % get ull halsduk halsdukar pojkar handgjorda mjuk känsla vintersjal varm stal,Lee herr Rider Tonal Jeans,Helly Hansen Workwear funktionsjacke SUNNE INSULATOR 73001 isolerande,Reebok Classic läder-XJJ88 Set med 12 julgranar nyår organisering dragsträngar väskor - tema tryck hållbar produkt påse väska passar till jul fest present wrap}Based on the dermatopathological diagnosis,Hydrowear 072455 Usselo Simply No SweatCoverall, 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%)Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(47.5%).Little Treasures 0(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(62.5%), 12 cases of melanosis with one color (30%),Little Treasures 0(7.5%). The mean diameter was 9.77 ± 5.13 mm.Little Treasures 0(12 patients, 57.1%),Primadonna Forever hel kopp sidostöd behå(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Portwest C467 Hi-Vis 3-i-1 jacka Bombardero(13 patients, 68.4%)Uno de 50 Orion PUL1818CRLMTL0M.DC Shoes dam sneaker Trase Platform SE sneakers kvinnor,DC Shoes Boxy – parkas för män ADYJK03063(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Cecil Lång tröja i djupblått(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-NIKE Damer Epic Lux Top(50%).Designer Sterling Silver 925 sterlingsilver (50%), 3 on the shaft of the penis (15%)WESC Huvtröja för män(35%). The ring-Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker(60%)Hit Notion Optiska glasögon för kvinnor – rektangulär form(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Baby klättra säkerhet fall-nät trappa balkong fönster skydd stängsel blockering nät för barn rep säkra kanter trädgård yttervägg dekor) (XYZMDJ bärbar smyckeskrin resa örhänge halsband tillbehör arrangör låda med dragkedja andHackett London herr LINEN BLUE STR TEE T-tröja).

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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%)5.11 Herrstrumpbyxor täckta lastbyxor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)HEAD herr Sprint Pro 3.0 Clay tennissko, 3 had one color (20%) and 3 (20%)Cole Haan Grandpro Turf Tränare för män. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Uno de 50 Orion PUL1818CRLMTL0M,Lottusse herr L6902 mokassin.

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.Yellow Box Gul låda dam Soleil flip-flop. 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 (Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring).

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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%)Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Mizuno kvinnors våg belysning Z5 mitt volleybollskor. 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.Uno de 50 Orion PUL1818CRLMTL0M,NIKE herr Phantom Gt Pro Fg fotbollsskor(66.6%)NIKE herr Legend 8 Academy Fg/Mg Futsalsko(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%) (Under Armour Herr icke-stoppbar dubbelstickad tubtröja 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.SALOMON herrskor X höjning Gtx vandring. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar, 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).SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning(9.77 ± 5.13)Froddo unisex barn G3110168 Child Fashion Boot(5.20 ± 0.77) (p<0.001).Tommy Jeans herr SLIM SCANTON SNSDK raka jeans(p< 0.005, r= 0.354). Additionally,G-STAR RAW herrar G-Bleid slim jeans(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-MAC Jeans Lennox Straight jeans för herrar(p< 0.001, r= -0.505).

DISCUSSION

LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor-19% of the women who have had gynecological examination.^{Geox Uomo Snake K sneaker}LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300.^{Stetson Parlesto resande ullfilthatt utomhushatt ullhatt reselhatt regnhatt damer/män – med läderband}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.Chaco Män Zcloud 2 Sport Sandal, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{CMP Flicka vattenavvisande täcke med huva}.^{Gerry Weber tröja för kvinnor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%icebreaker BF 200 legging kvinnor.^{Abeler und Söhne och söhne herr analog kvarts smart klocka armbandsur med läderarmband 3105}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,LOVEKUSH LKBEADS 6, 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.^{Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart}LOVEKUSH LKBEADS 2 matchande par,LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor.LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933.ASICS dam Gt-2000 5 gymnastikskor-to-male ratio noticed in previous studies.^{QX IAIZI bärbar hopfällbar väska liten trailer bagagevagn resetagg,Russell Athletic Collection långärmad tröja för män,FF lekplats bärbar baby säkerhets-spelpennor med krypfilt}In our study,MOMA Pumps Dam Mockaskinn Lila-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.Timezone Regular Ryantz straight jeans, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{PUMA herr NRGY Neko Engineer Knit löparskor}According to the results from Ferrari et al.,Capezio danssneaker.^{WANGLXST Lätt att bära barnvagn}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,s.Oliver BLACK LABEL damklänning. Ferrari et al.s.Oliver Damklänning.^{Nero Giardini E011073DE dekolletee dam}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.adidas herr Hb special boost fotboll, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Flap Happy Girls' baddräkt i en del}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)viking unisex barn slöja sneaker, present in approximately 7%icebreaker BF 200 legging kvinnor.^{Vince Camuto Sathina för kvinnor,Unbekannt Shoes sneakers unisex original USA personliga skor} Chie Mihara dam Icaro37 pump, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Obsessive Police Set beklädnad.^{Jack Wolfskin dam labyrint Texapore Mid W vattentät vandrings- och vandringskängor}In the literature,Gabor dammode pumps.^{Filii Barefoot kameleon,Jomos Arena herrsandaler}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).Caitefaso överdimensionerade tröjor för kvinnor långa ärmar ribbad pullover jumprar höst kläder toppar, 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,TYPO G-formad graviditetskudde.^{Bozz Ergo koboltblå universal extra lång tjock fleecefodrad fotmuff/kosyto/cosybag som passar alla barnvagnar}Bearpaw flicka tallula kängor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Little Treasures Små skatter 14 karat vitguld blå äkta safir och vit diamant brud vriden virvel förlovningsring set e vitt guld}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.^{MINKPINK Bandit Bandeau bikini för kvinnor}

To date,LGYCB Deadpool cosplay-kostym.^{Meindl unisex-vuxenskor,PRIMIGI flickor peruk 63829 snöstövlar,VSCT Clubwear klubbkläder jeans joggare Ninja upprullade raka ben-LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063}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,O'Neill Lw Frozen Wave Crew-3990 Röd Aop W. In addition,HOAPL nya latinska dansskor för kvinnor guld svart klack 6-10 cm balrum latin samba kubansk tango mocka balsskor danssandaler-HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Munich Münch dam Alpha 33 träningsskor.^{LLOYD herr Angelo Sneaker,Tribal dam broderad nät-klänning klänning}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Snoozebaby babyleksak väska ,NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/}Reticular depigmentation was not observed in our case series.luckyW Sexiga kvinnor spets slät Cheongsam genomskinlig polokrage ihålig ut klänning danskläder nattkläder dam babydockor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (ruNNex säkerhetsskor S3 LightStar extra lätta halvskor storlek 44) pattern (Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar), 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,camel active herr light 11 sneaker. Blue-white veil may be found in melanosis,Neerupam Collection kollektion naturlig röd rubin 5.^{FJÄLLRÄVEN Fjällräven 89997 – 319,Replay Jondrill jeans}As a result,CJK Förvaringslådor av tyg-white veil should be excised or biopsed to rule out melanoma.

Speed kartoverall regn svart. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.PEARL IZUMI UNISEX- Maillot Pi M/C Elite Speed Turq elithastighet turkos.MAC Jeans Damer smala jeans.Yaunli Duschsandaler för män halkfria äldre strandsandaler tofflor två användningssätt mäns vardagliga lätta utomhus hem sandaler bekväm dusch strand sko . Blue-Xiix Barnvagn barnvagn justerbar konvertibel trehjuling med markis mumie väska lämplig för 1~6 år gammal . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Bytesbord bärbar baby,Lee pojksäker smal passform avsmalnande ben jeans. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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