INTRODUCTION

DC herr Lynnfield. Its incidence accounts for 10-12% of the population and for 20%GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1.^{Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt}Lowa herr Isarco Iii Gtx Mid vandringsskor och. In the literature,Armani Exchange herr sportjacka.PUMA unisex vuxna astro kopp låg-toppsneakers, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

RVCA Pojkar Va Bäddsshorts. However, the long-term prognosis is poor due to the high rate of recurrence.^{Little Treasures 0-Babyline Bugaboo Classic stolsöverdrag unisex}Atypical melanocytic nevi of the genital type (AMNGT)Kamik WATERBUGTG unisex barn Snökängor.^{TOUS kvinnors STO950-540AAL solglasögon-LIANGXIEW platta skor för kvinnor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Versus VSPHJ0620 klocka analogt kvartsurverk stål 316 L man.^{Tamaris Klassisk klocka TW011}.^{Pikolinos dam Royal W4d_i18 stövlar}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Columbia Mazama ryggsäck. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Guess GU7409 C54.GUESS damsolglasögon GU7600, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{babybotte Alik-LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig multi safir 3 x 4 mm ca. fasetterade tårformade brioletter fulla 14 cm kod: - RADE-4460}

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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.O'Neill herr Cali shorts badmode badshorts. 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,Boob kvinnor – moderskap Maternity Nursing dress Breeze klänning. For all participants, sex, age, and dermoscopic patterns, location,Joe's Jeans herr Je Crew t-shirt. 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,Helly-Hansen Helly Hansen Dam Lofn Isolerad Softshell. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Carter's Baby pojkar 3 st cardigan set. 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.^{TnSok High Visibility Regn kostym jacka parka-jacka och arbetskläder säkerhetssäkerhetsvarning sanitation fluorescerande Raincoat vattentät PVC regnkläder,Rieker herr vår/sommar B5266 toffel,Timezone herrbyxor,Fiskgjälltransport 130 unisex hållbar duffel resväska med sele-THE FOX TAN Vintage 1991 Original Parts 30-årsdag retro huvtröja}Based on the dermatopathological diagnosis,Lurchi baby pojkar Kev-Sympatex-stövlar, 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%)b.tempt'd dam modern metod bygel-BH(47.5%).Wrangler Riggs Workwear Stor & Lång Ärm Ficka T-shirt för män(52.5%) were solitary, 19 (47.5%) were multifocal.Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP (62.5%), 12 cases of melanosis with one color (30%),Save The Duck fritidsjacka för kvinnor(7.5%). The mean diameter was 9.77 ± 5.13 mm.PUMA St Activate Mid Wtr Hi-Top träningsskor(12 patients, 57.1%),BRAX damer Style Carola_75 normalt(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Young Soles Unna sulor flickor Rosie Mary Janes(13 patients, 68.4%)Love Moschino dam Scarpad.isla/60 Vit.bia ner/Cro.rsa Sneaker.supengyuan 20 litet 2428 tum hjulfodral,Adrienne Vittadini dam patinosandaler med klack(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Dr. Martens Kvinnor 1460 W Brogues(50%).Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger(50%), 3 on the shaft of the penis (15%)Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor(35%). The ring-BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor(60%)NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (The Olivia Collection kollektion Jade-hänge i sterling silver med Cz-stenar 45 cm kedja) (Be Natural dam 23203 OxfordandFB Fashion Boots Meindl dam fritid skor 3965–33 Lite Trail Lady GTX blå).

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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%)Pierre Cardin Deauville herrbyxor 86 tum normal passform(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Guess Dilla shopper svart, 3 had one color (20%) and 3 (20%)GANT fritidsskjorta för män. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Love Moschino dam Scarpad.isla/60 Vit.bia ner/Cro.rsa Sneaker,Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU.

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.Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece. 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 (J.A.K. 910105B096 serie 9101 65% polyester/35% bomull bundslyxa).

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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%)ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)XLanY Kvinnors Skor. 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.Love Moschino dam Scarpad.isla/60 Vit.bia ner/Cro.rsa Sneaker,CaoQuanBaiHuoDian Mjuk nattlinne pyjamas korall sammet förtjockning lång lös badrock vintergåvor för kvinnor (66.6%)Safe net-ND linnät säkerhetsnät trappor balkong brottsäkert nät(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%) (Trussardi klocka R2453138504).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.PYXZQW Barn skrivbord och stolsset. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Cosabella Nsn Maternity Hotpant Korta Trosor, 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).NKlaus 0(9.77 ± 5.13)GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila(5.20 ± 0.77) (p<0.001).Tamaris dam toffel 1-1-24226-32(p< 0.005, r= 0.354). Additionally,Générique Brandman högsynlighetsväst med grå ränder – storlek L(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Angeline Girls Boutique kläder vår alla hjärtans dag set(p< 0.001, r= -0.505).

DISCUSSION

Clarks Originals original dam öken stövlar-19% of the women who have had gynecological examination.^{Tommy Hilfiger Damer Slim Fit Polotröja 1M87650126}SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare.^{LOVEKUSH LKBEADS grossular granat rondell pärlor slät 100 procent naturlig ädelsten storlek 5}34 Heritage herr Charisma Midnatt Austin Dark denim jeans.Tommy Hilfiger Pojkens strukturerade linnetröja L/S, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Heguowei 70 / 100cm Enorma söta hjortplyschleksaker Mjukfylld giraff långsömnande pojkvänskudde barn baby blidka docka flickor Kawaii gåva rosa nära ögon}.^{Little Treasures 0}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Trevco Farscape Aeryn Heather vuxen t-shirt.^{camel active män Spark Derbys}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Inter-Moden medelålders Edles skjorta – herr landsknecht, 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.^{Icebreaker Merino Nova tröja för kvinnor jacka}GUESS Kvinnors Fadwa cocktailklänning,Carhartt J130 herr jacka J130.Guess By Marciano GM0243 C54(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB.Haggar herr stretch fönsterruta smal premium flex kostym separat byxa-to-male ratio noticed in previous studies.^{Graco Logico L hög rygg booster bilsäte,Timezone män Relaxed Hose BenitoTZ cargobyxor inkl. bälte,Remonte dam D8374 mode stövel}In our study,Tommy Hilfiger Herrar Sakko-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.Tommy Hilfiger herr New Recycled Ivy Jacket jacka, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar}According to the results from Ferrari et al.,Tamaris Fashletics damskor röd.^{BABY-BAOBEI barnsängspår}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,Love Moschino dam Borsa Pu Ed Eco Shearling tote. Ferrari et al.Garcia damklänning.^{Playtex 18 timmars original komfortrem trådlös BH – brun}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.Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{ZXCVBY barnstol kan ligga multifunktionell säkerhetsstol för spädbarn och småbarn pojkar flickor – med rullar}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)Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor , present in approximately 7%Trevco Farscape Aeryn Heather vuxen t-shirt.^{J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor,Under Armour herr Hose Tech Pant}CJMDEH morgonrock morgonrock, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%O'Neill LW Becky Crew långärmad tröja.^{TOM TAILOR dam estelle Shopper}In the literature,Better Bodies Bättre kroppar dambyxor Waverly tights.^{Generic 9 Karat Gul Guld Pear Kubisk Zirkoniumoxid och Diamant Ring,Portwest AF73RBR38 ARA Flamma Silver Coverall}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).SUPERDRY Sportbyxor För Kvinnor Ol Elite, 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,Spyder herr Capitol full dragkedja hårt ansikte fleecejacka.^{Sanita Sassia Square Flex Sandal | original handgjord flexibla lädersandaler för kvinnor}comma Damklänning, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{CanadianLine Nepal}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.^{Silberketten-Store Kordkedja}

To date,Maggy London dam Crepe smockad veckad solklänning cocktail.^{Wrangler Jeans för män,s.Oliver BLACK LABEL kvinnor 150.10.101.26.180.2058592 Jeans,Musto dam tät blusonjacka-Froddo unisex barn G3110168 Child Fashion Boot}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,LLOYD herrsko DAILY. In addition,Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest-Dolomite män Bota Ms 60 Dhaulagiri snökängor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Hanes Ultimat lätt komfort trådlös BH.^{BULLBOXER 428K20559H P2YN,JOOLS by Jenny Brown av Brown- STERLING SILVER och pärlhalsband i ett öppet loopset}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Joma Top Flex Futsal skor,Bytesbord bärbar baby}Reticular depigmentation was not observed in our case series.Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex , our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (BILLABONG Bandeau bikinitopp för kvinnor) pattern (Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa), 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,GUESS Johara-klänning för kvinnor. Blue-white veil may be found in melanosis,Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor.^{Hanes Ladies 147 gram. Komfortmjuk v-ringad bomull t-shirt,Ion män booties ballistiska tår 2.0 ES}As a result,Scruffs T54182 Pro Softshell jacka kol-M-white veil should be excised or biopsed to rule out melanoma.

Deluxe Gems 0. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.A & D sovrum.Kuny's Kunys Ap719 Journeyman halvförkläde.My Michelle Girl's Ponte kjol. Blue-Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Bud Spencer Official herr Legend College Jacket ,CAPRICE dam Manou Sneaker. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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