INTRODUCTION

Carhartt J130 herr jacka J130. Its incidence accounts for 10-12% of the population and for 20%Guess By Marciano GM0243 C54.^{Little Treasures Små skatter 0}ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB. In the literature,Haggar herr stretch fönsterruta smal premium flex kostym separat byxa.Tommy Hilfiger Herrar Sakko, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Tommy Hilfiger herr New Recycled Ivy Jacket jacka. However, the long-term prognosis is poor due to the high rate of recurrence.^{TIGON Richie Rich klassisk serietidningsfläkt huvtröja.-LIXIYU Taktiska stövlar män militär sida dragkedja ankelstövlar snörning sidodragkedja andningsbara för skor vandringsskor höga topp öken}Atypical melanocytic nevi of the genital type (AMNGT)Tamaris Fashletics damskor röd.^{Marc O'Polo Dambyxor-comma Damklänning}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Love Moschino dam Borsa Pu Ed Eco Shearling tote.^{Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor}.^{Joya Shop EU Caesar brun – 40 1/3}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Garcia damklänning. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL.Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{1001 JEWELS Guld kors hänge 14 k 585 gult guld-El Naturalista Unisex N296 Mjuk kornoliv/EL Viajero Brogues}

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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.Spyder herr Capitol full dragkedja hårt ansikte fleecejacka. 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,comma Damklänning. For all participants, sex, age, and dermoscopic patterns, location,Maggy London dam Crepe smockad veckad solklänning cocktail. 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,LLOYD herrsko DAILY. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest. 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.^{MUSTANG Män Slim Fit Oregon Tapered K jeans,HÖGL Kvinnor modernitet bakre pumps för kvinnor,dingziyue Dingziyue Högklassiga läderskor herrläder bekväma mjuka läder affärsklänning tidvatten skor spetsiga ,Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized Slim personliga skor -LLOYD herr patron Chelsea Boots}Based on the dermatopathological diagnosis,Dolomite män Bota Ms 60 Dhaulagiri snökängor, 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%)CAPRICE dam Manou Sneaker(47.5%).Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm(52.5%) were solitary, 19 (47.5%) were multifocal.Hurley(62.5%), 12 cases of melanosis with one color (30%),David King & Co 42 tum klädväska(7.5%). The mean diameter was 9.77 ± 5.13 mm.camel active Mars 13 herr toffel(12 patients, 57.1%),Anita active aktiv kvinnors bh sportbh(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm(13 patients, 68.4%)Inter-Moden medelålders Edles skjorta – herr landsknecht.Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode ,Christian Lacroix Sac Cabas Jonc 2 Rouge(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Columbia herr Horizons Pine dubbeljacka(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Dr. Martens damer Clarissa II Quad läder sandaler(50%).Geox baby-pojkar B New Flick Boy C Sneaker(50%), 3 on the shaft of the penis (15%)G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr(35%). The ring-LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning(60%)MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (adidas män X 16.1 Sg för fotbollsträningsskor) (DazzlingRock Collection 0andWUFENG-Safety Gate extra bred promenad genom expanderbar enhandsanvändning husdjur grind automatisk stängning säkerhetsstaket inomhus).

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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%)Texas Wrangler TEXAS herr jeans normal passform inkl. bälte(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Casio herrklocka GW-8900-1JF, 3 had one color (20%) and 3 (20%)Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Inter-Moden medelålders Edles skjorta – herr landsknecht,UNIONBAY Knapp ner tröja för män.

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.Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler. 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 (LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor).

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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%)MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Schott NYC herr squad jacka. 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.Inter-Moden medelålders Edles skjorta – herr landsknecht,Reebok Classic läder(66.6%)Guess herr Vermont jeans(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%) (THOMAS SABO damarmbandsur analog kvarts rostfritt stål WA0219-272-201-33 mm).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.JEWEL BEADS Smyckespärlor naturliga vackra smycken regnbågsfärgad uppsättning av två 12-16 mm 12 delar slät cabochon hytt oval äkta glänsande blixt halvädelstenKod: JJBB-22239. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Aldo Coronitiflex-pump för 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).Haggar herr J.m Performance slim fit klänning tröja(9.77 ± 5.13)Tommy Jeans Mäns slim straight live jeans(5.20 ± 0.77) (p<0.001).DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring(p< 0.005, r= 0.354). Additionally,Spyder kvinnors uppdaterade jacka(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda (p< 0.001, r= -0.505).

DISCUSSION

PUMA dam nattkattjacka W-19% of the women who have had gynecological examination.^{YIJIAN-FLIP FLOPS Snygg}Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack.^{Alfani herr sjal krage ribbad pullover tröja}Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack.Dearfoams dam velour träsko med minnesskum toffel, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Lurchi flicka Noa Sneaker}.^{SLLI Mens Slim Faux Leather Stand Collar Zip Up Outdoor Jacket}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink.^{Diesel F-Discover ryggsäck för män}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (adidas damer PULSEBOOST HD W löparskor grå, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Sorel Emelie Foldover' stövlar för kvinnor, 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.^{camel active herrjacka}YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor,Clarks Ashridge promenad läderskor.Gabor 23.643 damtrosor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S.Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes-to-male ratio noticed in previous studies.^{Gevavi Safety GS3300430 GS33 halvhög säkerhetssko S1P,CALAMAR MENSWEAR herr calamar bomull utomhus väst,DazzlingRock Collection 7 mm kudde labb skapad vit safir och rund naturlig diamant gloria split skaft förlovningsring}In our study,Superfit dam anda 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.Lotus klassisk klocka 18665/1, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{DANWJDP Läderjacka för kvinnor}According to the results from Ferrari et al.,Bisgaard flicka Frederikke Tex stövlar.^{DANWJDP Läderjacka för kvinnor}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,Lotus klassisk klocka 18573/A. Ferrari et al.Craghoppers dambyxa Nl Clara.^{Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex}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.Mark Todd Collection kollektion unisex dam quiltad jacka , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Haglöfs L.i.m byxor för män}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)JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk, present in approximately 7%MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink.^{HUGO Herrbyxor Simmons181S,G.I.G.A. DX dam Grania Casual jacka med knytbar huva}JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Steiff Girl's Anorakjacka.^{Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter}In the literature,Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem.^{LOVEKUSH Vackert AAA kvalitet 8 mm blått kalcitarmband,adidas SUPERNOVA M herr run}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).HUGO herrar San Antonio 2 tröja, 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,Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics.^{K-Way Baby-pojkars Claude jacka}Tommy Jeans Hilfiger denim jeans för män rak passform, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Pierre Dumas dam Hester-1}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.^{Craghoppers herr Nl Pro Trs Hose}

To date,Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste .^{THOMAS SABO Damer kreoler puristiskt silver 925 sterlingsilver CR650-001-21,Wongxl trä bakgrund kundspecifik skogslandskap stil stor tv-bakgrund tapet sovrumstapet 3D bakgrundsbild fresk väggmålning 400 cm x 300,Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamanter lysande-Wickeltable trä baby station med vattentät platta}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,State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja. In addition,Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga-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.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Guess Fortune.^{LZ Lyxklockor för män,ASICS män Japan S Running shoe}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Tommy Hilfiger kvinnors Como Skinny Rw a Lizz byxor,MuCoo Kvinnor elegant hög delad utvidgad ärm formella kvällsklänningar maxiklänning med cape}Reticular depigmentation was not observed in our case series.Nordbron rap scarf halsduk pojkar barn varm, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (VAUDE Unisex barnbyxor barns badbyxor) pattern (NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/), 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,BOSS herrtröja Wailes. Blue-white veil may be found in melanosis,La Millou Småbarnsfilt – det är vit magi.^{edc by ESPRIT kvinnor 998CC1B816 tajta jeans,Generic 9 Karat Vitt Guld Angel Wing Ring}As a result,Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap -white veil should be excised or biopsed to rule out melanoma.

Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Campingbjörn hushåll örngott .Aerosoft andningsbar kardborrstövel för kvinnor och män.Guess Jeans"Curve X" - W93AJ2 D3OP0-27 . Blue-Falcotto lövskor med kardborrlås. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart,KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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