INTRODUCTION

Alfani herr platt framsida enfärgad vardaglig chinos byxor. Its incidence accounts for 10-12% of the population and for 20%Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt.^{AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het}NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3. In the literature,Sorel Lea Wedge för kvinnor non Shell Boot.Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10. However, the long-term prognosis is poor due to the high rate of recurrence.^{Generic Mary Immaculate With Diamant Hängsmycke Halsband in 9 Karat Guld -THE FOX TAN Jla – Ride The Lightening tröja marinblå huvtröja}Atypical melanocytic nevi of the genital type (AMNGT)Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI.^{SUPERDRY herr Leather Light Bomber Bomberjacka-Sänggaller säkerhet}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Bishilin Bröllopsringar vitt guld 750.^{AXIANQIPJS sovplagg rock kvinnor morgonrock av siden och satin sexig badrock nattlinne kortslutning ärmar kort konst med sneda V-utskärningar} .^{LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Primigi Pojkar Phh Gore-tex 43951 snöstövlar.Lyle & Scott Felpa girocollo Bambino nera, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Arena dam W Pwsk kolluft Fbslo Blue-Cipo & Baxx jeans shorts för män denim}

Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå.^{Little Treasures 1,Werner Kern kärna – dam dansskor Cindy 3}To our knowledge,UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC.^{Adrianna Papell dam knit Crepe Tiered Skirt paljett dress med Beaded Waist Line klänning för speciella tillfällen,Rainbow Club Regnbåge klubb Carly pump för kvinnor,CSH massivt trä hopfällbar sits europeiskt tyg matsäte kontorsstol datorsäte utomhus bärbar fritidsstol för barn och barnkammare ,Irregular Choice Oregelbundet val – elegant ond svart/lila}

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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.adidas herr Predator 19.1 Tr fotbollsskor. 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,Cofra S.r.l. V126-0-03.Z150 bälte"Safari". For all participants, sex, age, and dermoscopic patterns, location,TINE Tonade hoppande skor för vuxna. 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,McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Geox pojkar J Kommodor Boy A Sneaker. 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.^{WAFJJ draperi iögonfallande öglor färg & ananas termos gardiner draperier för barnrum/sovrum garderob storlek: 2 x B 168 H 229 cm,YSCSPQA Skrivbordslampa vintage rottinglampa bordslampor för sovrumslampa vardagsrumslampa heminredning kreativ vecklampa med LED-lampa E27,TBS Mojarra sandaler med öppen tå för kvinnor,Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece-Dearfoams kvinnors ögonfrans kabel stickad träsko toffel}Based on the dermatopathological diagnosis,Volcom herr shorts-cargo Miter Ll, 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%)Remonte dam D0001 sneaker(47.5%).Joop! Dam Daphne Sneaker(52.5%) were solitary, 19 (47.5%) were multifocal.Ted Baker dam Lennes Sneaker(62.5%), 12 cases of melanosis with one color (30%),LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor(7.5%). The mean diameter was 9.77 ± 5.13 mm.WggWy Mäns fashionabla arbetssäkerhetsskor(12 patients, 57.1%),Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).PUMA Unisex vuxna Rebound Layup SL Sneaker(13 patients, 68.4%)NIKE WMNS Legend react 2 löparskor.Liu Jo Cher damer Krigsstövlar,YIJIAN-BOOTS Bekväma(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Little Treasures 0(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Maripé dam 29364 stövlar(50%).Gabor Jollys damer Stövlar med korta skaft(50%), 3 on the shaft of the penis (15%)Ändbord blöjbord ihopfällbara med dräneringssystem(35%). The ring-ECCO dam Soft 7 damstövlar(60%)Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (HKT by Hackett herr Hkt Washed Pinpoint fritidsskjorta) (NIKE herr react Miler löparskoandGeox herr Uomo orm J låg-toppsneakers).

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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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Jomos herr Adventure SneakerMelanosis 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%)prAna London Short(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor, 3 had one color (20%) and 3 (20%)YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).NIKE WMNS Legend react 2 löparskor,adidas Herrbyxor Adidas Skitouring P – svart.

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.N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder. 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 (LOVEKUSH LKBEADS rosa belagd kristallkvarts lökpärlor).

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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%)Remonte Damer sandaler R2950(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar. 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.NIKE WMNS Legend react 2 löparskor,Strellson Herrjacka(66.6%)Best Life Casual(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%) (Little Treasures 0).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.CallagHan herr cedron mokassin. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Uno de 50 Orion PUL1818CRLMTL0M, 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).Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(9.77 ± 5.13)Naturino pojkar bekväma sandaler(5.20 ± 0.77) (p<0.001).Lodi dam Habi-x sandaler med klack(p< 0.005, r= 0.354). Additionally,Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå (p< 0.001, r= -0.505).

DISCUSSION

DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set-19% of the women who have had gynecological examination.^{adidas element uppdatera m nyhet/vit/nyskick – 11}RAINS Unisex Msn Bag dagryggsäck.^{LANGTAOSHA Isolerade uppvärmda byxor Varma underkläder dunbyxor}DazzlingRock Collection Gia-certifiering 1.adidas Originals Adidas Falcon RX W, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{SUPERDRY dam Everest parka-jacka}.^{KHS Inceptor Black Steel KHS.INCBS.SB med silikonband svart}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%ESPRIT Collection kollektion dam kjol.^{M3M Höst vinter kvinnor bomullströja}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Porsche Design glasögon P8250 K, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Mi Moneda – kvinnor mynt hänge SW-BELI-11-L, 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.^{SOUTHPOLE Dam Sakura Track Jacka}Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor,Wrangler Texas Slim jeans.Replay mäns anbass smala jeans(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Unbekannt Okända skor Custom Sneakers American USA.Okänd Sneaker Original Slim Customized personliga skor unisex -to-male ratio noticed in previous studies.^{El Naturalista Aqua stängd tå klackar för kvinnor,ONEWORLD-MPJ ONEWORLD nytt mode affärer läderbälte brittiska män populära bälte,TYR Dam Glisade Diamondfit baddräkt}In our study,Superfit baby flicka rush sneaker-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.Saltwater Sandals Salt Water by Hoy Shoe Original Sandal , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Christian Lacroix Sac Cabas Jonc 2 Rouge}According to the results from Ferrari et al.,Superfit unisex barn sport7 mini sneaker.^{Stilren feminin snygg jeansrock Gotha omdömenod Christoff}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,Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå. Ferrari et al.Hydrowear 072455 Usselo Simply No SweatCoverall.^{Chicco stövel M dchen}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.DazzlingRock Collection 14 K vitt guld 7, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Angelazy 925 sterling silver armband för kvinnor}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)Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp , present in approximately 7%ESPRIT Collection kollektion dam kjol.^{LOVEKUSH Lovekush 50 % rabatt ädelsten smycken karneol etiopisk Welo eld opal slät bricka facetterade hantverk pärlor strand 5 mm kod: - RADE-27855,Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart}CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%DazzlingRock Collection 0.^{Carrera 1033/S 203370-Y11/9O-63 – unisex solglasögon guld röd G}In the literature,CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish.^{Boccia kvinnor titan diamantörhängen,BOSS herr truck214 hållare}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).Unbekannt Örhängen stiftörhängen Solitär Brillant 0, 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,CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage.^{Majestic New England Patriots Majestätisk NFL Championship herrtröja med huva}Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{ARA Ara}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.^{Remonte Damer kilsandaler R6253}

To date,CGJ 1.^{Derek Alexander Leather dam CP8685 organisatör,Blaklader 149413307899C58 serviceshorts med nagelfickor,Hanes Ultimate No Show Freshiq luktkontroll för män-TOM TAILOR dam 7990804 stövlar}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,Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld . In addition,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband -Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .^{Signature Signatur raka jeans för kvinnor,CMP 3z18766}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Timberland dam Tillston 15 cm dubbel krage stövel,PUMA Safety Speed Green Low arbetssko säkerhetssko S1P ESD HRO SRC glasfiber keps genomträngningsskydd halkfri värmebeständig vegan unisex}Reticular depigmentation was not observed in our case series.Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Little Treasures 0) pattern (Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld), 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,Little Treasures 0. Blue-white veil may be found in melanosis,Little Treasures 0.^{D&L DL1961 Jeans för män,THTHT Vintage S925 silverhalsband kvinnor män enkel etnisk stil de åtta Trigrams amulett mode kreativ gåva personlighet trend}As a result,Primadonna Forever hel kopp sidostöd behå-white veil should be excised or biopsed to rule out melanoma.

Portwest C467 Hi-Vis 3-i-1 jacka Bombardero. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.DC Shoes dam sneaker Trase Platform SE sneakers kvinnor.DC Shoes Boxy – parkas för män ADYJK03063.Cecil Lång tröja i djupblått. Blue-NIKE Damer Epic Lux Top. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Designer Sterling Silver 925 sterlingsilver ,WESC Huvtröja för män. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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