INTRODUCTION

Little Treasures 0. Its incidence accounts for 10-12% of the population and for 20%Maripé dam 29364 stövlar.^{HealHeatersⓇ HealHeaters?Brittiska män stövlar höst vinterskor herrmode motorcykelstövlar cowboy cyklist PU läder man}Gabor Jollys damer Stövlar med korta skaft. In the literature,Ändbord blöjbord ihopfällbara med dräneringssystem.ECCO dam Soft 7 damstövlar, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning . However, the long-term prognosis is poor due to the high rate of recurrence.^{Piazza dam 962266 stövel-Waldläufer Sandaler för skoglöpare bekvämt upp till 30 mm}Atypical melanocytic nevi of the genital type (AMNGT)Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex .^{Carter's Baby Girls' tryckta leggings-YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Jomos herr Adventure Sneaker.^{Little Treasures Små skatter 1}.^{Mascot Maskot}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-LUANA ITALY Origami bärkasse för kvinnor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin .ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{NIKE Magista Ola TF fotbollsskor för män-Lee dam haklapp byxa}

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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.N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder. 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,adidas dam terrex Ax2r vandringsskor. For all participants, sex, age, and dermoscopic patterns, location,CafeNoir SNEAKER IN LAMINATO. 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,Remonte Damer sandaler R2950. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar. 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.^{Orphelia unisex vigselring ruban,HMANE Ny stil utsmyckad guldfärgpläterad två toner mikro stenbelagd zirkon duva hänge halsband hip hop smycken för män kvinnor 60 cm,Timberland smycken i rostfritt stål – TBL15960MYS.01,skechers Sport Women's Premium Sneaker-camel active kamel aktiv herr rymd 36 låg-toppsneakers}Based on the dermatopathological diagnosis,Strellson Herrjacka, 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%)adidas Originals Adidas Falcon RX W(47.5%).ESPRIT Collection kollektion dam kjol(52.5%) were solitary, 19 (47.5%) were multifocal.Porsche Design glasögon P8250 K(62.5%), 12 cases of melanosis with one color (30%),Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(7.5%). The mean diameter was 9.77 ± 5.13 mm.Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(12 patients, 57.1%),Wrangler Texas Slim jeans(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Replay mäns anbass smala jeans(13 patients, 68.4%)Liu Jo Cher damer Krigsstövlar.Unbekannt Okända skor Custom Sneakers American USA,Okänd Sneaker Original Slim Customized personliga skor unisex (15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Superfit baby flicka rush sneaker(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (50%).Superfit unisex barn sport7 mini sneaker(50%), 3 on the shaft of the penis (15%)Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå(35%). The ring-Hydrowear 072455 Usselo Simply No SweatCoverall(60%)DazzlingRock Collection 14 K vitt guld 7(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (adidas kvinnors Bt 3s 78 T-tights) (Izod herrtröjaandArdon Safety snickarbyxor Urban i vitt).

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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%)CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor, 3 had one color (20%) and 3 (20%)CGJ 1. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Liu Jo Cher damer Krigsstövlar,Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld .

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.Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband . 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 (Pinko Dam Only Time Watch Licis casual cod. pk-2321l-15 m).

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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%)Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Little Treasures 0. 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.Liu Jo Cher damer Krigsstövlar,Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(66.6%)Little Treasures 0(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%) (ZTMN barnsäkerhetsnät).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Portwest C467 Hi-Vis 3-i-1 jacka Bombardero. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.DC Shoes dam sneaker Trase Platform SE sneakers kvinnor, 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).DC Shoes Boxy – parkas för män ADYJK03063(9.77 ± 5.13)Cecil Lång tröja i djupblått(5.20 ± 0.77) (p<0.001).NIKE Damer Epic Lux Top(p< 0.005, r= 0.354). Additionally,Designer Sterling Silver 925 sterlingsilver (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-WESC Huvtröja för män(p< 0.001, r= -0.505).

DISCUSSION

Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker-19% of the women who have had gynecological examination.^{DazzlingRock Collection Dazzlingrock kollektion 18 k 6 mm rund ädelsten och diamant dam förlovningsring med dubbelbandsset}Hit Notion Optiska glasögon för kvinnor – rektangulär form.^{LOVEKUSH LKBEADS röd Hessonit granat fasetterad lök droppe lös ädelsten hantverk pärlor strand 7 mm 20 cm lång kod -HIGH-1554}Saucony herr jazz original Cross-Trainer.Unbekannt Okänd Sneaker Original Low Customized personliga skor , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Cashmere & Class Kaschmir Klass Stor Mjuk Mysig Pashmina Vävt Halsduk Vik Kvinnor Varm Sjal Stole Presentförpackning}.^{Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .^{Gianfranco Ferré Ferre dam glasögonställ svart}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Snickers Workwear Maler Arbeitshose m. Holstertaschen, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Krüger Dirndl trachtenmieder Hedda beige ros, 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.^{HUGO herr Icelin_runn_nypu sneaker}5.11 Herrstrumpbyxor täckta lastbyxor,HEAD herr Sprint Pro 3.0 Clay tennissko.Cole Haan Grandpro Turf Tränare för män(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Lottusse herr L6902 mokassin.Yellow Box Gul låda dam Soleil flip-flop-to-male ratio noticed in previous studies.^{THOMAS SABO dam herrarmband Karma Beads 925 sterlingsilver KA0001-001-12,ALTRA Lone Peak 4.0 låg vattentät vandringsskor för kvinnor – AW19,Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm}In our study,DC Shoes herr Pure High-top Wr Boot snökängor-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.Werner Kern kärna – dam dansskor Cindy 3, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Maxwell Scott personligt handgjort läder mobilfodral Gruppo6 i mörkbrun}According to the results from Ferrari et al.,Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan .^{Hydrowear 072455 Usselo Simply No SweatCoverall}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,Mizuno kvinnors våg belysning Z5 mitt volleybollskor. Ferrari et al.NIKE herr Phantom Gt Pro Fg fotbollsskor.^{Playtex Ultimat lyft och stöd trådlös BH}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.NIKE herr Legend 8 Academy Fg/Mg Futsalsko, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{ASICS unisex vuxna gel-Lyte löparskor}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)Base damer/män säkerhet halvsko B496 "AIR" S1P SRC, present in approximately 7%Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .^{DazzlingRock Collection 12 x 6 mm markis granat och rund svart diamant förlovningsring för brud,DazzlingRock Collection dam förlovningsring sterlingsilver 925 Tansanit päronslipa 8 x 6 mm}Helly Hansen Jpn Rain regnjacka herrar, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%SALOMON herrskor X höjning Gtx vandring.^{Gemondo USA 925 sterling silver markasit & granatarmband}In the literature,Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar.^{hummel Chaussures enfant Hummel splash,s.Oliver kvinnor 120.10.101.26.180.2058693 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).SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning, 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,Froddo unisex barn G3110168 Child Fashion Boot.^{Meindl 2120 49 Catani Junior flickor pojkar utomhussko av nät med fotbädd}Tommy Jeans herr SLIM SCANTON SNSDK raka jeans, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Pepe Jeans Alice kvartsklocka för män med orange urtavla analog display och silver rostfritt stålrem R2353101503}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.^{Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor}

To date,G-STAR RAW herrar G-Bleid slim jeans.^{LOVEKUSH LKBEADS 35 cm tråd,kensie isolerad jacka för kvinnor,NIKE WMNS gratis Rn flyknit 3.0 tränings- och fältskor-NIKE dam BA5242 dagryggsäck}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,MAC Jeans Lennox Straight jeans för herrar. In addition,LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor-LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,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.^{LGYCB Deadpool cosplay-kostym,SID Vardaglig användning läderjacka och cykeljacka för män}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{UXZDX Äkta läder flätat bälte man mode män bälten design midjebälte för jeans ,Jockey underkläder för män lättvikt klassisk boxershorts – 3-pack}Reticular depigmentation was not observed in our case series.Chaco Män Zcloud 2 Sport Sandal, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (icebreaker BF 200 legging kvinnor) pattern (LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216), 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,LOVEKUSH LKBEADS 6. Blue-white veil may be found in melanosis,LOVEKUSH LKBEADS 2 matchande par.^{Naturino Girl's See gladiatorsandaler,Jack Wolfskin dam scrambler Lite Texapore Low W utomhusskor}As a result,LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor-white veil should be excised or biopsed to rule out melanoma.

LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.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.MOMA Pumps Dam Mockaskinn Lila. Blue-Timezone Regular Ryantz straight jeans. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Capezio danssneaker,s.Oliver BLACK LABEL damklänning. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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