INTRODUCTION

JWIL Herrportfölj europeisk och amerikansk stil herr retro affärer horisontell dragkedja portfölj . Its incidence accounts for 10-12% of the population and for 20%Fhxr Modern dans nationell standard Erz klänning långärmad socialdans kjol för kvinnor.^{LOVEKUSH Pärlor ädelsten 1 tråd naturlig rosa safir fasetterade päronpärlor}Way bocke Högklackad. In the literature,Vince Camuto Banna orm för kvinnor / läder ankelhög lädersandal.Vince kvinnor – moderskap CAMI cami, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Perry Ellis T-shirt för män. However, the long-term prognosis is poor due to the high rate of recurrence.^{ONEMIX löparskor för män 3D stickad luftkudde atletisk sport tränare sneaker promenader gym jogging fitness-Lacoste Herrkort}Atypical melanocytic nevi of the genital type (AMNGT)Chef Works herr kockjacka.^{LOVEKUSH LKBEADS 20 cm tråd-ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Joma Chaussures Top flex 801 TF.^{Mammut herr Zapatilla Ducan Low GTX sneaker}.^{BOSS herr Pixel Tl_ns dragkedja axelväska}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Vince Camuto Sathina för kvinnor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Diadora 8423 tävlingsskor Teamracer fiber.Diadora S8000 Italia vit vintergrön alpin vandring, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Merrell Moab 2 Mid Gtx höga vandringsskor för kvinnor-Bishilin 18K Rosguld löftesring hexagon diamant förlovningsring band}

Diadora Womens 174364-55232 spel steg canvas lila storlek: 6.^{Willlly damhandskar vinter varm och vardaglig chic sektion mode enfärgad vattentät utomhus läderhandskar vantar,adidas unisex barn Stan Smith C sneaker}To our knowledge,Diadora T-shirt för män S Spectra.^{PUMA herrar EVOSTRIPE Crew,HUAGE Hållbar hopfällbar lekhage,Youpin Vinter nya tjocka varma barns snöstövlar fårskinnsull en baby småbarn skor mjuk botten halkfri varm ,Little Treasures 0}

In this study,IGI&Co herr Uomo Gore-tex-41222 Derbys, according to the patient´s age,ZGRJIUERYI Stenarmband.

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.YSYDE 198 cm Småbarn sängräckskydd. 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,ZED- cykelskor män MTB skor cykel för och kvinnor. For all participants, sex, age, and dermoscopic patterns, location,Cofra BRC-TRENTON 39 Off Road Trenton säkerhetssko. 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,Heckel 6721336 suXXEED OFFROAD SVART INOX S3 HÖG säkerhetsstövlar. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.vo7 Sneaker läder träningsskor Roma White. 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.^{Justin Reece Kvinnor tillverkade i Italien läder knähöga platta ridstövlar,Hanes dam uppsättning med 3 silkesreflektioner varaktig silkeslen ren knähögar,LOVEKUSH LKBEADS 23 cm tråd,LOVEKUSH 50 % rabatt ädelsten smycken 35-Hydrowear 046456 Aspen vinterpark}Based on the dermatopathological diagnosis,ECCO dam känsla slutna balleriner, 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%)Generic Solid 9 Karat Guld Rose Crescent Moon Outline Solitaire Hängsmycke Halsband (47.5%).Generic 9 Karat Guld Rose Motorcycle Charm Hängsmycke Halsband (52.5%) were solitary, 19 (47.5%) were multifocal.Perry Ellis herrdräkt separat väst affärer(62.5%), 12 cases of melanosis with one color (30%),Generic Mary Immaculate With Diamant Hängsmycke Halsband in 9 Karat Guld (7.5%). The mean diameter was 9.77 ± 5.13 mm.Little Treasures Små skatter 9 karat gult guld högpolsk milgrain Solitaire diamant J initial hänge halsband (12 patients, 57.1%),Wolky Comfort remsko Kuban(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Julie Julsen Damklocka JJW1211RGME(13 patients, 68.4%)Bimbi Romantic – .Orphelia Fashion dam analog klocka Descent med rostfritt stål,BW Ny babymonitor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).HKT by Hackett av herr Hkt nylon puffa jacka(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Killtec Flickor(50%).Liverpool Jeans Company jeans företag för män(50%), 3 on the shaft of the penis (15%)Brühl herr flatfront jeans parma(35%). The ring-SwaddleMe Första steget sovhytt – medium(60%)Thierry Lasry dam MONDANITY-3473 solglasögon(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LOVEKUSH 50 % rabatt ädelsten smycken blå kalcedon fasetterade hjärtformade pärlor) (Bulova dam analog klassisk kvartsklocka med rostfritt stålrem 98 x 6andChaco Zvolv sportsandal för kvinnor).

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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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Unbekannt Okänd herr rökelseskjortaMelanosis 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%)Trigema kvinnor 537091 sportbyxor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Guteer kvinnor vinter utomhus snabbtorkande vandring camping elastisk midja dra på sportbyxor, 3 had one color (20%) and 3 (20%)adidas herr Stan Smith gymnastikskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Bimbi Romantic – ,PUMA Evo Stickad Move Fz Luvtröja 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.Greenburry Vintage Revival RL-1735-22 läder necessär. 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 (Ali@ vit U-formad blöjkudde).

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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%)GJ-gwcd vikbar kundvagn(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Little Treasures 1. 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.Bimbi Romantic – ,Lugz mäns zrocs is sneaker(66.6%)COWBOYSBAG Damväska Greenock Cross-Body Bag Brun(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%) (Lotus dam analog kvartsklocka med rostfritt stål armband 18388/2).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.art dam bonn kort skaft. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Unbekannt Okänd Sneaker & Sportshoes USA – Bastryck Vintage 1200 dpi italiensk stil Hi Anpassade personliga skor , 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).Ocun Strike QC klätterskor – AW20(9.77 ± 5.13)Unbekannt Okänd Sneaker All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor (5.20 ± 0.77) (p<0.001).Unbekannt Okänd Sneaker Sneakers American USA – Base Print Vintage 1200 dpi Hi Customized personliga skor unisex (p< 0.005, r= 0.354). Additionally,Unbekannt Okända skor sneakers amerikansk USA – bastryck till 1200 dpi italiensk stil anpassad personliga (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Neaer Handväska lyx mode kvinnor axelremsväska äkta läder halvcirkel sadelväskor mjukt axelväskor för damer handväskor hand (p< 0.001, r= -0.505).

DISCUSSION

MUSTANG män 4928-501-32 stövel-19% of the women who have had gynecological examination.^{BeautiFeel Ros Hälad Sandal} UNOde50 halsband.^{NJSDDB paraply flamingo anti-UV inverterat omvänd vindtät hopfällbar med dubbla lager som står inuti solig och regniga män kvinnor bild}HÖGL dam Aurelia Peeptoe sandaler.Higher-Heels PleaserUSA Olänknee-stövel Domina-3000, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{HKM unisex Reitweste -Cambridge-6900 Byxor}.^{Bearpaw Boo slokande stövlar för kvinnor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Haggar pojkbyxor.^{Pierre Cardin Herr Deauville Fit Classic Cord Hose}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (HealHeatersⓇ HealHeaters?Brittiska män stövlar höst vinterskor herrmode motorcykelstövlar cowboy cyklist PU läder man, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,PULLEY -S Ankelstövlar för män höga toppskridskor sneakers snörning mocka rund tå plattform solid färg halkfri fleece inuti håll Ardent S , 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.^{Jomos herr Adventure Sneaker}BOZZ 100 % äkta universal lyxig shortull shorn fårskinnspistol/barnvagnsfoder med bomull quiltad baksida – mörkgrå,MUSTANG herr 4095-602-301 klassiska stövlar.bugatti herr 321793523200 klassiska stövlar kort stövel(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Orphelia Halsband för kvinnor 925 Sterling Silver Rodium-pläterad Zirkon Vit.Deltaplus Delta Plus CARSOGR3X Mach Parka av polyester-oxfordbeläggning med PU-to-male ratio noticed in previous studies.^{Little Treasures 14 karat roséguld Grand piano musik hänge halsband,NJSDDB paraply stort män regn kvinnor helt automatisk dubbel duk 3vikbar glasfiber stark vindtät affärer resor Kina blå,TruClothing Herr 3/4 långa dubbelbröst varm vinter affärer Crombie ytterrock ullrock}In our study,Orbita Sparta 1 enstaka klocka – livfull orange-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.QinWenYan byxa herr sommar lediga byxor bomull linne andas dragsko enfärgad sommarbyxa , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{G-STAR RAW Herrjeans 3301 Deconstructed Slim}According to the results from Ferrari et al.,TruClothing Herr 3/4 långa dubbelbröst varm vinter affärer Crombie ytterrock ullrock.^{Aero dam bowling- och tåskor vit}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,Qsdxlsd Ljuskrona moderna vardagsrum taklampor gyllene 360 graders lampor nordisk design dimbar trappa matsal ljuskrona . Ferrari et al.Ofgcfbvxd All-Match Men's Beret Baseball keps utomhus sport hatt med öron flikar vikbara hållbara öronmuffar kvinnor män cykling vandring springande jakt. Lämplig för att ha på sig i kall vinter.^{Little Treasures 0}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.Under Armour Pojkar Ua Hunt 1/4 dragkedja polär fleece kvart, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{LOVEKUSH 50 % rabatt ädelsten smycken AA-Peridot släta kuber - 40 cm tråd stenar mått- 3 mm kod: RADE-7515}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)Saucony sneakers Donna Jazz S1044 Celeste Perla, present in approximately 7%Haggar pojkbyxor.^{JAKO Herrar Classico med huva presentationsoverall,MERRYHE Äkta läder snörning Oxfordskor för män vanlig tå klassisk formell klänning sko jobb fest bröllopsskor}Mizuno Dominant All Yta Låg Turf Sko, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Samsonite Samsung Openroad – stor datorryggsäck.^{Yourjewellerybox K2291 simulerad diamant prinsessring set rostfritt stål 18 karat gul topas storlek J USA 5}In the literature,Chiruca Boxer Boa® GTX® jaktstövel Oliv.^{MAC Jeans herr Lennox Hose,viking unisex barn örn varm Gtx halvstång stövel}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).ESPRIT dam Gussie Lu Sneaker, 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,camel active kamel aktiv damjacka jacka för kvinnor.^{DazzlingRock Collection 0}Columbia Herr peak Pursuit byxor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Napapijri herr AGARD Bomberjacka}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.^{HAOKE Män varma manchester jackor och rockar pälskrage vinter avslappnad jacka ytterkläder man termisk}

To date,ALTRA Lone Peak 4.0 låg vattentät vandringsskor för kvinnor – AW19.^{Dörrskyddsnät XIAOYAN barnskyddsstång trappskyddsnät balkong husdjur tång rostfritt stål isoleringsdörr lås gratis 73–162 cm,TOM TAILOR lättviktsjacka för män,Little Treasures 0-Little Treasures Små skatter 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,DazzlingRock 14K vitt guld diamant Fleur brud förlovningsring med matchande vigselband 1/3 karat . In addition,TransGems Platinapläterade sterlingsilver 1-Portwest C565YGRXL X Hi-Vis bomberjacka.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Dolomite Unisex Zapato Cinquantaquattro Lh Canvas Sneaker.^{Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor,Mephisto Dam Sneaker}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{SLLI Men Stand Collar Solid Full Zip Long Sleeve Lightweight Windbreaker Bomber Jacket Baseball Coat,NIKE TEAM HUSTLE D 9} Reticular depigmentation was not observed in our case series.Gola Dam Harrier Glimmer mocka Baltic/R.gld/O.wht träningsskor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (JenLn Säkerhet regnjacka vattentät reflekterande hög synlighet regnrock konstruktion fluorescerande jacka herr XX-L Fluorescerande gul) pattern (Vans herr huvjacka Classic II Zip huvtröja), 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,Loves Journey IGI-certifierad 18k guld 1/2ct TDW diamant dubbel halo förlovningsring . Blue-white veil may be found in melanosis,Bearpaw Boo slokande stövlar för kvinnor.^{Little Treasures 14 karat vitt guld tur hästsko fyrkantig herrring e guld,Gifts And Artefacts and Artefakt handgjord marmorring med ädelstenar och abalone-mussla insatt verk från Indien}As a result,PUMA dam mocka rosett sneaker-white veil should be excised or biopsed to rule out melanoma.

Vans Era Neon Sneaker dam gul sneaker låga skor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.adidas herr Vl Court 2.0 träningssko-skateboard-man.Jack Wolfskin flicka Rainy Days Girls väderskyddsjacka.Vanity Fair damtrosor. Blue-Carter's Baby Girl Collection 2 st tickande rand. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.New Balance Boys 373 Sneaker,Florsheim pojkar 16655-001 postino mesh Jr. Venetiansk slipning på loafer 7 stort barn. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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