INTRODUCTION

BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present. Its incidence accounts for 10-12% of the population and for 20%Pies Sucios Terra Zip sandaler.^{Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirt}Lee herr nitade tröjor. In the literature,AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44.adidas herr Eqt Support 93/17 sneakers, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Magnum M801599-021 elit spindel x 5. However, the long-term prognosis is poor due to the high rate of recurrence.^{Diadora S8000 Italia vit vintergrön alpin vandring-LOVEKUSH LKBEADS 1 naturligt snöre 45 cm vacker}Atypical melanocytic nevi of the genital type (AMNGT)Heckel 6263347 RUN-R 110 LOW Safety Trainers.^{Hudson jeans herr-Hanes herr 5250t}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)adidas Originals Adidas Original Swift Run.^{Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots}.^{BP arbetsbyxor för män}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-BDDLLM armbandsur brist pin sten springa andra klocka för män fritid. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Reebok herr Runner 4.0 löparskor.Police 15657JSTU-02P Mens Bromo Watch, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Bates herr RAIDE MID läderstövel-Mizuno Chaussures Wave intense tour 5 AC}

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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.Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor . 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,Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor . For all participants, sex, age, and dermoscopic patterns, location,Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers. 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,LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Adrianna Papell blousonpärla för kvinnor formell nattklänning. 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.^{Think! dam Drawi_585234 stövlar,FRYE kvinnors Melissa knapp dra på stövlar,Sänggaller sängskyddslångare,Gabor dammode loafers-Helly Hansen DamSkagen Longsleeve}Based on the dermatopathological diagnosis,Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL, 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%)Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI(47.5%).Bishilin Bröllopsringar vitt guld 750(52.5%) were solitary, 19 (47.5%) were multifocal.ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer(62.5%), 12 cases of melanosis with one color (30%),Primigi Pojkar Phh Gore-tex 43951 snöstövlar(7.5%). The mean diameter was 9.77 ± 5.13 mm.Lyle & Scott Felpa girocollo Bambino nera(12 patients, 57.1%),Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC(13 patients, 68.4%)KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv.Panter 816001700 81600 Urban Boots Svart storlek: 47,Base Bas b8105 – Faja Basstorlek XXL(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).adidas herr Predator 19.1 Tr fotbollsskor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Cofra S.r.l. V126-0-03.Z150 bälte"Safari"(50%).TINE Tonade hoppande skor för vuxna(50%), 3 on the shaft of the penis (15%)McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor(35%). The ring-Geox pojkar J Kommodor Boy A Sneaker(60%)Volcom herr shorts-cargo Miter Ll(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (GHYDDC plånbok dam stor) (OshKosh B'Gosh Pojkar stickad Polo Henley 21504311andLONDON FOG damkilar).

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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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ASICS GEL-BNDMelanosis on the glans penis showing a globular pattern

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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%)OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import, 3 had one color (20%) and 3 (20%)Tamaris dam 1-1-28007-24 007 sandaler med klack. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv,Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm.

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.Chaco Zvolv sportsandal för kvinnor. 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 (Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband ).

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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%)Geox D Nhenbus A kvinnor – moderskap Låga sneakers(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Remonte dam D0001 sneaker. 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.KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv,Joop! Dam Daphne Sneaker(66.6%)Ted Baker dam Lennes Sneaker(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%) (Fly London EKON142FLY kvinnor – moderskap Slingbackskor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.PUMA Unisex vuxna Rebound Layup SL Sneaker, 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).Liu Jo Cher damer Krigsstövlar(9.77 ± 5.13)YIJIAN-BOOTS Bekväma(5.20 ± 0.77) (p<0.001).Little Treasures 0(p< 0.005, r= 0.354). Additionally,Maripé dam 29364 stövlar(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Gabor Jollys damer Stövlar med korta skaft(p< 0.001, r= -0.505).

DISCUSSION

Ändbord blöjbord ihopfällbara med dräneringssystem-19% of the women who have had gynecological examination.^{Think! KAPSL_3-000204 nachhaltiger}ECCO dam Soft 7 damstövlar.^{Fisher Price Terrazzo Take Along Swing & Seat}Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning .Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Enzo Romeo ATC01 dam bred bredd sling rygg lågklackad spetsig pumps sandaler skor storlek: Bred}.^{Vimmia varm jacka för kvinnor eller träningsjacka}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Jomos herr Adventure Sneaker.^{Rabe pullover}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LUANA ITALY Origami bärkasse för kvinnor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin , 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.^{Orphelia Halsband för kvinnor 925 Sterling Silver Rodium-pläterad Zirkon Vit}ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery,prAna London Short.ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare.adidas Herrbyxor Adidas Skitouring P – svart-to-male ratio noticed in previous studies.^{Columbia dam vandringsbyxor lördag stig,Pepe Jeans Herrjeans Slim fit,Noël Sab}In our study,N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder-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.adidas dam terrex Ax2r vandringsskor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Witeg trådkorg B22 passar för ultraljud WUC-A22H}According to the results from Ferrari et al.,CafeNoir SNEAKER IN LAMINATO.^{Pinkkart Röd Mokhlin Saree sari med blusstycke indisk traditionell sommar Bengali-kvinnor 509}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,Remonte Damer sandaler R2950. Ferrari et al.BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar.^{LYNNDRE Fyra hörn himmelssäng nät myggnät}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.Strellson Herrjacka, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{G-STAR RAW Damer Pleated Bib skjorta}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)Best Life Casual, present in approximately 7%Jomos herr Adventure Sneaker.^{Viceroy Reloj 42373-36,Timberland TB0A295Q stövlar för pojkar och flickor}Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Teva dam Olowahu W's dragsko.^{Pies Sucios Terra Zip sandaler}In the literature,CallagHan herr cedron mokassin.^{Think! Damer COMODA_3-000027 kromfri ärvd hållbar stövel,DazzlingRock Collection 18 K vitt guld 8 x 6 mm varje päronlabb skapar ädelsten och diamant runda dam dinglande örhängen}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).Uno de 50 Orion PUL1818CRLMTL0M, 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,Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack.^{WITTCHEN unisex-vuxen väska}Naturino pojkar bekväma sandaler, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Trangoworld herr Gedi långa byxor}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.^{RVCA mäns sydöstra bakluckan shorts för män}

To date,Lodi dam Habi-x sandaler med klack.^{Jack Wolfskin dam Wt Mid W Chukka-stövel,Guess herrarmbandsur analog kvarts läder W18540G1,Salewa Puez torr W S/S SRT mini rutig tröja-Diesel Herr jeans byxor thavar-NE 00S5BL R060S jogg mäns sweatpants stretch}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,Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm . In addition,XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå -DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,RAINS Unisex Msn Bag dagryggsäck.^{Lacoste Nautic 120 2 CMA-träningsskor för män,Fxwj brun silikon bröstform falska bröst liv falsk bröst}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{LOVEKUSH 50 % rabatt ädelsten smycken neon apatit päronformade pärlor,MxZas Badrockar för damer långa höst och vinterbadrockar}Reticular depigmentation was not observed in our case series.DazzlingRock Collection Gia-certifiering 1, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (adidas Originals Adidas Falcon RX W) pattern (ESPRIT Collection kollektion dam kjol), 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,Porsche Design glasögon P8250 K. Blue-white veil may be found in melanosis,Mi Moneda – kvinnor mynt hänge SW-BELI-11-L.^{adidas mäns retrorunner tävling löparskor,CASAMODA herr utomhusväst unifärg}As a result,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor-white veil should be excised or biopsed to rule out melanoma.

Wrangler Texas Slim jeans. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Replay mäns anbass smala jeans.Unbekannt Okända skor Custom Sneakers American USA.Okänd Sneaker Original Slim Customized personliga skor unisex . Blue-Superfit baby flicka rush sneaker. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Saltwater Sandals Salt Water by Hoy Shoe Original Sandal ,Superfit unisex barn sport7 mini sneaker. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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