INTRODUCTION

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Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-adidas Originals Adidas Falcon RX W. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.ESPRIT Collection kollektion dam kjol.Porsche Design glasögon P8250 K, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Nero Giardini damstövlar A909380DE-Venum unisex vuxen elit boxningsskor}

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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.Unbekannt Okända skor Custom Sneakers American USA. 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,Okänd Sneaker Original Slim Customized personliga skor unisex . For all participants, sex, age, and dermoscopic patterns, location,Superfit baby flicka rush sneaker. 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,Saltwater Sandals Salt Water by Hoy Shoe Original Sandal . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Superfit unisex barn sport7 mini 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.^{Carter's Baby Girls' tryckta leggings,Helly Hansen unisex vuxna kockbyxor,YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare,Little Treasures Små skatter 1-Mascot Maskot}Based on the dermatopathological diagnosis,Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå, 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 Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld (47.5%).Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures 0(62.5%), 12 cases of melanosis with one color (30%),Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(7.5%). The mean diameter was 9.77 ± 5.13 mm.Little Treasures 0(12 patients, 57.1%),Little Treasures 0(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Primadonna Forever hel kopp sidostöd behå(13 patients, 68.4%)CallagHan herr cedron mokassin.Portwest C467 Hi-Vis 3-i-1 jacka Bombardero,DC Shoes dam sneaker Trase Platform SE sneakers kvinnor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).DC Shoes Boxy – parkas för män ADYJK03063(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Cecil Lång tröja i djupblått(50%).NIKE Damer Epic Lux Top(50%), 3 on the shaft of the penis (15%)Designer Sterling Silver 925 sterlingsilver (35%). The ring-WESC Huvtröja för män(60%)Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LOVEKUSH LKBEADS 36 pärlor – 5-7 mm naturlig etiopisk opal regnbåge eld släta päronformade kod-HIGH-59170) (Wuxingqing smyckeskrin PU-läder flicka damgåva förvaringsbox displaybox rosa perfekt för din som födelsedagspresent andRZ.hs Kvinnor vinter flanell pyjamas set sexig 2-delad nattkläder bostad).

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TABLE 2Hit Notion Optiska glasögon för kvinnor – rektangulär form

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%)Krüger Dirndl trachtenmieder Hedda beige ros(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)5.11 Herrstrumpbyxor täckta lastbyxor, 3 had one color (20%) and 3 (20%)HEAD herr Sprint Pro 3.0 Clay tennissko. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).CallagHan herr cedron mokassin,Cole Haan Grandpro Turf Tränare 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.Lottusse herr L6902 mokassin. 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 (camel active kamel aktiv herr rymd 36 låg-toppsneakers).

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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%)Werner Kern kärna – dam dansskor Cindy 3(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan . 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.CallagHan herr cedron mokassin,Mizuno kvinnors våg belysning Z5 mitt volleybollskor(66.6%)NIKE herr Phantom Gt Pro Fg fotbollsskor(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%) (Rubin by Juwelier Fidan Smal ring i 333/gult guld med facetter).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Helly Hansen Jpn Rain regnjacka herrar. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.SALOMON herrskor X höjning Gtx vandring, 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).Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar(9.77 ± 5.13)SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning(5.20 ± 0.77) (p<0.001).Froddo unisex barn G3110168 Child Fashion Boot(p< 0.005, r= 0.354). Additionally,Tommy Jeans herr SLIM SCANTON SNSDK raka jeans(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-G-STAR RAW herrar G-Bleid slim jeans(p< 0.001, r= -0.505).

DISCUSSION

MAC Jeans Lennox Straight jeans för herrar-19% of the women who have had gynecological examination.^{Izod herrtröja}LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor.^{DNSJB Vintage läder herr Messenger portfölj väska skolväska axel 13 tum notebook laptop surfplatta handväska}LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300.LOVEKUSH LKBEADS 1 snöre naturlig himmelsblå topas färg hydro kvarts fasett tårformade brioletter pärlor 15 cm lång full slinga djupt blå färgkvalitet 16-32 mm kod-HIGH-22383, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Ardon Safety snickarbyxor Urban i vitt}.^{adidas Herrbyxor Adidas Skitouring P – svart}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Chaco Män Zcloud 2 Sport Sandal.^{Majesty Diamonds 2 1/10 ctw rund svart diamant patiens med accent förlovningsring och vigselring set ring i 14 K vitt guld} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (icebreaker BF 200 legging kvinnor, 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.^{David Aubrey dam ankare med halsband berlock FNA915 längd 40}LOVEKUSH LKBEADS 6,LOVEKUSH LKBEADS 2 matchande par.LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063.LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933-to-male ratio noticed in previous studies.^{DazzlingRock Collection Dazzlingrock kollektion 10 k 8 mm kudde ädelsten och rund vit diamant dam brud förlovningsring,Pinko Dam Only Time Watch Licis casual cod. pk-2321l-15 m,Maddox Country Linen Kostym GToilet-Oliver – Marinblå Modern herrväst för läderbyxor jeans}In our study,ASICS dam Gt-2000 5 gymnastikskor-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.MOMA Pumps Dam Mockaskinn Lila, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Meindl unisex-vuxenskor}According to the results from Ferrari et al.,Timezone Regular Ryantz straight jeans.^{SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop} 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,Capezio danssneaker. Ferrari et al.s.Oliver BLACK LABEL damklänning.^{Think! Obajo stövlar i överstorlek svart 3-83193-09 stora damskor}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.s.Oliver Damklänning, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Hobra-Gold små örhängen vitguld med zirkon halvklotor öronsmycke – modeguld}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)adidas herr Hb special boost fotboll, present in approximately 7%Chaco Män Zcloud 2 Sport Sandal.^{Liu-Jo dam löparskor Maxi Alexa – löpning,DazzlingRock Collection Dazzlingrock kollektion 18 k 6 mm rund ädelsten och diamant dam förlovningsring med dubbelbandsset}viking unisex barn slöja sneaker, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Chie Mihara dam Icaro37 pump.^{Cashmere & Class Kaschmir Klass Stor Mjuk Mysig Pashmina Vävt Halsduk Vik Kvinnor Varm Sjal Stole Presentförpackning}In the literature,Obsessive Police Set beklädnad.^{LOVEKUSH LKBEADS 1 tråd naturlig mojave lila koppar turkos 7 tum AAA kvalitet slät päronformade brioletter x 10 mm kod-HIGH-22021,Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals}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).Gabor dammode pumps, 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,Caitefaso överdimensionerade tröjor för kvinnor långa ärmar ribbad pullover jumprar höst kläder toppar.^{Gianfranco Ferré Ferre dam glasögonställ svart}TYPO G-formad graviditetskudde, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{HUGO herr Icelin_runn_nypu sneaker}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.^{ALTRA Lone Peak 4.0 låg vattentät vandringsskor för kvinnor – AW19}

To date,Bearpaw flicka tallula kängor.^{Pepe Jeans Eva handväska,Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm,Maxwell Scott personligt handgjort läder mobilfodral Gruppo6 i mörkbrun-Hydrowear 072455 Usselo Simply No SweatCoverall}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,LGYCB Deadpool cosplay-kostym. In addition,O'Neill Lw Frozen Wave Crew-3990 Röd Aop W-HOAPL nya latinska dansskor för kvinnor guld svart klack 6-10 cm balrum latin samba kubansk tango mocka balsskor danssandaler.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder .^{ASICS unisex vuxna gel-Lyte löparskor,Michaelax-Fashion-Trade Krüger – dam trachten Dirndl}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{DazzlingRock Collection 12 x 6 mm markis granat och rund svart diamant förlovningsring för brud,DazzlingRock Collection dam förlovningsring sterlingsilver 925 Tansanit päronslipa 8 x 6 mm}Reticular depigmentation was not observed in our case series.Munich Münch dam Alpha 33 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 (luckyW Sexiga kvinnor spets slät Cheongsam genomskinlig polokrage ihålig ut klänning danskläder nattkläder dam babydockor) pattern (ruNNex säkerhetsskor S3 LightStar extra lätta halvskor storlek 44), 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,Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar. Blue-white veil may be found in melanosis,camel active herr light 11 sneaker.^{Gemondo USA 925 sterling silver markasit & granatarmband,s.Oliver kvinnor 120.10.101.26.180.2058693 Jeans}As a result,Neerupam Collection kollektion naturlig röd rubin 5-white veil should be excised or biopsed to rule out melanoma.

CJK Förvaringslådor av tyg. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Speed kartoverall regn svart.PEARL IZUMI UNISEX- Maillot Pi M/C Elite Speed Turq elithastighet turkos.MAC Jeans Damer smala jeans. Blue-Yaunli Duschsandaler för män halkfria äldre strandsandaler tofflor två användningssätt mäns vardagliga lätta utomhus hem sandaler bekväm dusch strand sko . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Xiix Barnvagn barnvagn justerbar konvertibel trehjuling med markis mumie väska lämplig för 1~6 år gammal ,Bytesbord bärbar baby. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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