INTRODUCTION

34 Heritage herr Charisma Midnatt Austin Dark denim jeans. Its incidence accounts for 10-12% of the population and for 20%Tommy Hilfiger Pojkens strukturerade linnetröja L/S.^{New Balance Ny balans kvinnors bränslecell propel W löparskor}Trevco Farscape Aeryn Heather vuxen t-shirt. In the literature,Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart.Inter-Moden medelålders Edles skjorta – herr landsknecht, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

GUESS Kvinnors Fadwa cocktailklänning. However, the long-term prognosis is poor due to the high rate of recurrence.^{AIMONE Olina röd kristall högklackade flipflops för kvinnor-Tommy Hilfiger dam Th hårdvara platt bootie ankelstövlar}Atypical melanocytic nevi of the genital type (AMNGT)Carhartt J130 herr jacka J130.^{Raphaela by Brax Dam stil Lavina super slim skinny jeans-Diesel T-RANIS-NEW2 skjorta}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Guess By Marciano GM0243 C54.^{LOVEKUSH LKBEADS 4–5 mm naturlig labrarit runda rondellpärlor 33 cm lång tråd kod-HIGH-71401}.^{K-way herrjacka}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Haggar herr stretch fönsterruta smal premium flex kostym separat byxa.Tommy Hilfiger Herrar Sakko, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{DazzlingRock Collection 2-YZHEN Herr Två delar passar två knappar Notch revers Party Smoking}

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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.Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL. 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 Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor . For all participants, sex, age, and dermoscopic patterns, location,CJMDEH morgonrock morgonrock. 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,O'Neill LW Becky Crew långärmad tröja. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Better Bodies Bättre kroppar dambyxor Waverly tights. 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.^{icebreaker BF 200 legging kvinnor,Superga 2750-fabrichoMBUSW helsvart,Fly London kvinnors Yisk837fly ankelrem sandaler,Inmaculada Romero IR 18k guld kvinna ring oval sten staket center zirkoner smidig kropp-Inter-Moden medelålders Edles skjorta – herr landsknecht}Based on the dermatopathological diagnosis,SUPERDRY Sportbyxor För Kvinnor Ol Elite, 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%)Deluxe Gems 0(47.5%).A & D sovrum(52.5%) were solitary, 19 (47.5%) were multifocal.Kuny's Kunys Ap719 Journeyman halvförkläde(62.5%), 12 cases of melanosis with one color (30%),My Michelle Girl's Ponte kjol(7.5%). The mean diameter was 9.77 ± 5.13 mm.Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal(12 patients, 57.1%),Bud Spencer Official herr Legend College Jacket (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).CAPRICE dam Manou Sneaker(13 patients, 68.4%)Clarks Originals original dam öken stövlar.Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm,Hurley(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).David King & Co 42 tum klädväska(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-camel active Mars 13 herr toffel(50%).Anita active aktiv kvinnors bh sportbh(50%), 3 on the shaft of the penis (15%)FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm(35%). The ring-Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode (60%)Christian Lacroix Sac Cabas Jonc 2 Rouge(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Elila Isabella spets full täckning behå) (LOVEKUSH LKBEADS Iolit fasetterad tårdroppe pärlor päronformade 100 procent naturlig ädelsten/storlek 10ands.Oliver dam 5-5-25259-25 stövel).

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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%)MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp, 3 had one color (20%) and 3 (20%)Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Clarks Originals original dam öken stövlar,Tommy Hilfiger tröja för flickor.

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.Bulova herr analog automatisk klocka med läderrem 98A187. 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 (Trangoworld dam NEKU jacka).

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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%)Casio herrklocka GW-8900-1JF(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte. 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.Clarks Originals original dam öken stövlar,UNIONBAY Knapp ner tröja för män(66.6%)Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler(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%) (Fotpall Pall Barnförvaringslåda Ottomansäte).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Schott NYC herr squad jacka, 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).Reebok Classic läder(9.77 ± 5.13)Guess herr Vermont jeans(5.20 ± 0.77) (p<0.001).LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452(p< 0.005, r= 0.354). Additionally,RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-JEWEL BEADS Smyckespärlor naturliga vackra smycken regnbågsfärgad uppsättning av två 12-16 mm 12 delar slät cabochon hytt oval äkta glänsande blixt halvädelstenKod: JJBB-22239(p< 0.001, r= -0.505).

DISCUSSION

Aldo Coronitiflex-pump för kvinnor-19% of the women who have had gynecological examination.^{Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap} Haggar herr J.m Performance slim fit klänning tröja.^{Chyoieya Herrrock mode hiphop vindjacka ledig lös cargo bomberjackor rockar ytterkläder streetwear}Tommy Jeans Mäns slim straight live jeans.DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LOVEKUSH Vackert AAA Kvalitet turkos armband}.^{JEWEL BEADS Pärlor ädelsten 1 tråd naturlig 13}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Spyder kvinnors uppdaterade jacka.^{Reebok herr Runner 4.0 löparskor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda , 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.^{ZGRJIUERYI Stenarmband}Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack,Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack.Dearfoams dam velour träsko med minnesskum toffel(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink.adidas damer PULSEBOOST HD W löparskor grå-to-male ratio noticed in previous studies.^{Barntoalett baby toalettstol ring förtjockad barnpotta stege toalettsits,Seidensticker Silkesklistermärke herr business skjorta – bygelfri med rakt snitt Regular Fit lång ärm Kent-krage bröstväska 100% bomull,Bud Spencer Official herr Legend College Jacket} In our study,Sorel Emelie Foldover' stövlar för kvinnor-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.YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{fancyfree Väska med dubbla lager}According to the results from Ferrari et al.,Clarks Ashridge promenad läderskor.^{Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor}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,Gabor 23.643 damtrosor. Ferrari et al.PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S.^{Hauck barnstol Alpha Ab födelse med däckfunktion för nyfödda}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.Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{CafeNoir GINNICA IN TESSUTO E CROSTA}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)Superfit dam anda snökängor, present in approximately 7%Spyder kvinnors uppdaterade jacka.^{JEWEL BEADS Pärlor ädelsten gul opal stentråd inlindad på silverpläterad kedja - radband stil pärlkedja 3 mm 3,Gifts And Artefacts och artefakt handgjord marmor smyckeskrin Marquetry Art Multi Colors ädelstenar Royal Accessories Box}Lotus klassisk klocka 18665/1, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Bisgaard flicka Frederikke Tex stövlar.^{HGSS Bleach – Gin Ichimaru huvtröja}In the literature,Lotus klassisk klocka 18573/A.^{Ceiling?Light Cwt taklampa LED kreativ sovrumslampa 45 cm/60 cm färg: Trefärgskontroll,Little Treasures 18 karat vitt guld rund blå äkta safir och vit diamant dam virvel förlovning 3 sten ring e guld}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).Craghoppers dambyxa Nl Clara, 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,Mark Todd Collection kollektion unisex dam quiltad jacka .^{JEWEL BEADS Pärlor ädelsten 2 trådar smaragdgrön fasetterad jade mikro facetterad lös hantverk pärlor 36 cm lång 4 mm kod – HIGH-213}JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress} 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.^{Little Treasures Små skatter 0}

To date,JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D.^{Sorel unisex barnsnöstövlar för barn,Arc´teryx Arcteryx Delta LT Jacket herrhållare,NIKE Dri-fit-bq2864 huvtröja-CHANG XU DONG SHOP Square Top myggnät låst säng Baldakin med rostfritt stål hållare lämplig för dubbelsäng tre öppningar Anti Bites sommar sängkläder} 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,Steiff Girl's Anorakjacka. In addition,Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem-HUGO herrar San Antonio 2 tröja.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics.^{Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda,SLV X Quad Link armband i 14K guldpläterad 925 silver 1}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Unbekannt Okänd Scarpe Sneaker original personifierad ,Hanes Beefy Henley t-shirt för män}Reticular depigmentation was not observed in our case series.Tommy Jeans Hilfiger denim jeans för män rak passform, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste ) pattern (State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja), 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,Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga. Blue-white veil may be found in melanosis,Qiaodi Lyxigt läder främre auto bilsätesskydd set med 2 passar till VOLVO C30 C70 S40 S60 S80 S90 V40 V50 V60 XC40 XC60 XC70 XC90.^{Aerosoft andningsbar kardborrstövel för kvinnor och män,OLUYNG armbandsur Newwear Q9 Smart Watch män kvinnor IP67 vattentät HR sensor blodtrycksmätare mode fitness tracker smartwatch Reloje}As a result,Guess Fortune-white veil should be excised or biopsed to rule out melanoma.

Nordbron rap scarf halsduk pojkar barn varm. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.VAUDE Unisex barnbyxor barns badbyxor.NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/.BOSS herrtröja Wailes. Blue-La Millou Småbarnsfilt – det är vit magi. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap ,Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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