INTRODUCTION

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GUESS damsolglasögon GU7600. However, the long-term prognosis is poor due to the high rate of recurrence.^{BMS Clima-fleece overall fodrad-Songqiang Knapp Jacka Män Mode Sportkläder Tröja Cardigans Multimän Resa}Atypical melanocytic nevi of the genital type (AMNGT)THOMAS SABO Damhänge roséguld oändlighet kedja med diam. Silver förgylld diamant vit - D_LBKE001-923-14-L45v.^{Lodi dam Habi-x sandaler med klack-Oxypas Roy SRC halkfri arbetsskor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)riverso herr huvtröja RIVThrio sweatjacket sweatshirt huva dragkedja Regular Fit Basic enfärgad svart blå grå S M L XL 2XL 3XL.^{Tommy Hilfiger rak Denton Pstr Caddo grå jeans med lös passform}.^{JUN-Shopping Trolleys Livsmedelsvagn vikbar shoppingvagn med 6 hjul livsmedel trappklättring kundvagn vattentät/avtagbar marknadsförvaringsväska i grå|Max belastning 40 kg | kapacitet 39 L}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Little Treasures Små skatter – 9 ct gult guld krucifix hänge leveransens. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Kavat unisex baby Edsbro Ep lövskor.O'Neill herr Cali shorts badmode badshorts, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Wrangler herr hög 20 X tävling slim fit Jean-Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes}

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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.Lurchi baby pojkar Kev-Sympatex-stövlar. 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,Liebeskind Berlin dam Collier rostfritt stål. For all participants, sex, age, and dermoscopic patterns, location,Vertx herr Phantom Lt 2.0 taktiska byxor. 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,Amoonic Medaljong hjärta silver foto hjärtkedja amulett halskedja kedja 925 GRATIS LUXUSETUI berlock för öppning med medaljong kärleksgåva foton bild presenter till kvinnor flickvän. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Mac Douglas dam Pyla Fantasia Xs axelväska. 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.^{Globe mäns Encore-2 skateboardskor,Generic Solid Two Tone 9 Karat Guld Rose Miraculous Medal of Our Lady Graces Hängsmycke Halsband,Splendid Fantastiska sandaler för kvinnor,Premium Pearl-Hydrowear 042851K Rhodos konstruktorbyxa}Based on the dermatopathological diagnosis,Maxine Of Hollywood dambrädshorts, 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%)BRAX damer Style Carola_75 normalt(47.5%).Young Soles Unna sulor flickor Rosie Mary Janes(52.5%) were solitary, 19 (47.5%) were multifocal.supengyuan 20 litet 2428 tum hjulfodral(62.5%), 12 cases of melanosis with one color (30%),Adrienne Vittadini dam patinosandaler med klack(7.5%). The mean diameter was 9.77 ± 5.13 mm.Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set(12 patients, 57.1%),Dr. Martens Kvinnor 1460 W Brogues(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger(13 patients, 68.4%)Armani Exchange herr sportjacka.Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor,BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Primadonna Dam couture BH(50%).G-STAR RAW herr vetar chino Bermuda shorts(50%), 3 on the shaft of the penis (15%)Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel(35%). The ring-Geox herr Uomo orm J låg-toppsneakers(60%)BRAX Dam stil Mary S ultra light denim rak jeans(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Little Treasures Små skatter 14 karat vitt guld 6 mm kudde äkta peridot & rund diamant brud gloria stil förlovningsring e guld) (Hydrowear 042854K Rhodos konstruktorbyxorandUNIONBAY Knapp ner tröja för män).

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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%)Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Woodchip picknickkorg med vikhandtag, 3 had one color (20%) and 3 (20%)ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Armani Exchange herr sportjacka,XLanY Kvinnors Skor.

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.CaoQuanBaiHuoDian Mjuk nattlinne pyjamas korall sammet förtjockning lång lös badrock vintergåvor 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 (David King & Co. Laptop Messenger Bag Plus).

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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%)adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)PYXZQW Barn skrivbord och stolsset. 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.Armani Exchange herr sportjacka,Cosabella Nsn Maternity Hotpant Korta Trosor(66.6%)NKlaus 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%) (BLÅKLÄDER Blaklader 49312117 dam randjake).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Générique Brandman högsynlighetsväst med grå ränder – storlek L. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Angeline Girls Boutique kläder vår alla hjärtans dag set, 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).Clarks Originals original dam öken stövlar(9.77 ± 5.13)SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare(5.20 ± 0.77) (p<0.001).34 Heritage herr Charisma Midnatt Austin Dark denim jeans(p< 0.005, r= 0.354). Additionally,Tommy Hilfiger Pojkens strukturerade linnetröja L/S(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Trevco Farscape Aeryn Heather vuxen t-shirt(p< 0.001, r= -0.505).

DISCUSSION

Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart-19% of the women who have had gynecological examination.^{Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack}Inter-Moden medelålders Edles skjorta – herr landsknecht.^{JEWEL BEADS Pärlor ädelsten naturlig smaragd 3x5–9x12 mm tårformade brioletter 8}GUESS Kvinnors Fadwa cocktailklänning.Carhartt J130 herr jacka J130, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Finkid Vankka Husky förstärkta utomhus regn snickarbyxor för spädbarn och småbarn}.^{adidas herr poloshirt Ultimate 365 rugby}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Guess By Marciano GM0243 C54.^{Lee vardagsbyxor för män}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB, pleomorphic nuclei, sometimes with prominent nucleoli).

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The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{Darn Tough tuff herr merinoull vandrare mikro crew kudde strumpa} Tommy Hilfiger Herrar Sakko,Tommy Hilfiger herr New Recycled Ivy Jacket jacka.Tamaris Fashletics damskor röd(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Love Moschino dam Borsa Pu Ed Eco Shearling tote.Garcia damklänning-to-male ratio noticed in previous studies.^{Men's shoes Utomhus remskivor,COFRA MAASTRICHT 62 Anthracite/Black,Killtec Damer Inkele Kg utomhusjacka}In our study,Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL-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.Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Lumari Gold Damring 585 14k guld vitt äkta ädelsten diamanter lysande}According to the results from Ferrari et al.,CJMDEH morgonrock morgonrock.^{Stadlbauer Lorenz mod. TRAVEL-24 GMT}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,O'Neill LW Becky Crew långärmad tröja. Ferrari et al.Better Bodies Bättre kroppar dambyxor Waverly tights.^{Little Treasures Diamantslipade sjöstjärna örhängen i 9 karat gult guld}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.SUPERDRY Sportbyxor För Kvinnor Ol Elite, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Teva dam Olowahu W's dragsko}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)Spyder herr Capitol full dragkedja hårt ansikte fleecejacka, present in approximately 7%Guess By Marciano GM0243 C54.^{Unbekannt Sneaker original personliga skor – handgjorda Flowery Paisley,ECCO Rudny gladiator för kvinnor}comma Damklänning, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Maggy London dam Crepe smockad veckad solklänning cocktail.^{camel active herr stand-up pullover}In the literature,LLOYD herrsko DAILY.^{SJZC Naturlig Xinjiang spenat grönt armband Hetian jade jaspis ger tur,Xiix Barnvagn barnvagn justerbar konvertibel trehjuling med markis mumie väska lämplig för 1~6 år gammal} 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).Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest, 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,Dolomite män Bota Ms 60 Dhaulagiri snökängor.^{JewelryWeb Chisel titan graverbar räfflad 8 mm polerad band ring smycken gåvor för kvinnor – storlek alternativ räckvidd: L till Z e Titan}Hanes Ultimat lätt komfort trådlös BH, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 band utmärkt kvalitet grön ametist fasetterade hjärtformade pärlor brioletter -9 mm-10 mm 7 tum SB3451 Code-HIGH-35040}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.^{Loeffler Pace Tvl 54}

To date,Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex .^{Billieblush Klänning barn,Rhomberg Halslänk 585/14 K gult guld 42 cm,Unbekannt Okända skor Custom Sneakers American USA-Globe herralternativ Evo Track sko}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,BILLABONG Bandeau bikinitopp för kvinnor. In addition,Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa-GUESS Johara-klänning för kvinnor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor.^{Mac Douglas dam Pyla Fantasia Xs axelväska,Munich herr G 3 Profit 08 sneaker}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Kaporal Jean Homme Deli förstöra,IMBM Stick paraplyer transparent paraply regn kvinnor vika sol för} Reticular depigmentation was not observed in our case series.Scruffs T54182 Pro Softshell jacka kol-M, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Deluxe Gems 0) pattern (A & D sovrum), 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,Kuny's Kunys Ap719 Journeyman halvförkläde. Blue-white veil may be found in melanosis,My Michelle Girl's Ponte kjol.^{Little Treasures 14 karat gult guld kuddslipad peridot & runda slipade vit diamant dam dinglande droppörhängen,MIRKADA Jewelry Mirkada damhalsband silver halsband med charoit}As a result,Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal-white veil should be excised or biopsed to rule out melanoma.

Bud Spencer Official herr Legend College Jacket . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.CAPRICE dam Manou Sneaker.Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm.Hurley. Blue-David King & Co 42 tum klädväska. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.camel active Mars 13 herr toffel,Anita active aktiv kvinnors bh sportbh. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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