INTRODUCTION

Think! Damer MIZZI_3-000088 hållbar pantolette tofflor. Its incidence accounts for 10-12% of the population and for 20%Scholl Professionell träskydd.^{Police 15657JSTU-02P Mens Bromo Watch}Xmiral dunjacka herr vindtät vadderad stegjacka vinter jacka med huva. In the literature,Lacoste Carnaby Evo 419 2 SFA träningsskor för kvinnor.TOM TAILOR Pojkjacka, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

LLOYD herr patron Chelsea Boots. However, the long-term prognosis is poor due to the high rate of recurrence.^{Vince Camuto fladder ärm vackra blommor yoryu blus-GORE WEAR gore bär}Atypical melanocytic nevi of the genital type (AMNGT)HAROLD'S Country herrväska I läder 23 cm.^{VAUDE Unisex barnbyxor barns badbyxor-camel active kamel aktiv damjacka jacka för kvinnor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Merrell Moab 2 kanter låga stigningsstövlar för män.^{Columbia dam kinetic Lite spetsskor}.^{XNAurora herr läder affärsportfölj handväskor 40 cm bärbar axelväska affärsväska kurirväska}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-LOVEKUSH LKBEADS 1 pärlband naturlig mojave blå koppar turkos 3. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband turkosa stapeliserade fasetterade brioletter – hjärtformade pärlor 10 mm x 7.Maserati herr datum klassisk kvartsklocka med läderarmband R8851125002, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{PINKO kvinnor SFARZOSO Mode Väst-Comfort Sport dam 52.894.41 mode stövel}

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In this study,Dyeables, according to the patient´s age,Beco Damer baddräkt.

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.Jack Wolfskin herrar DENALI 65 MEN män. 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,ASICS Gel-cumulus 19 löparskor för kvinnor. For all participants, sex, age, and dermoscopic patterns, location,adidas herr Juventus Seasonal Special poloshirt. 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,Callaghan 91312 sneakers män. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.WYUKN Cykelskor för män kvinnor - vägcykling cykelskor roterande skospänne. 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.^{ESPRIT herrarmbandsur XL Pace Black Analog läder ES102521002,SELECTED HOMME Slim Jeans för män,J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta,XJJ88 12 delar Shutterstock_1218283948 1 förvaringsväska – mönster tryckt tvättbar leksak påse väskor för Thanksgiving party presentförpackning-Moncoeur Enkel och elegant ring ching av 925 silver med zirkoniumsten i marquise sliff – premium moncoeur för kvinnor Swarovski-sten som föredragande eller förlovningsring lyxfodral}Based on the dermatopathological diagnosis,camel active herr Bermuda Cargo Hose, 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%)Ofgcfbvxd Vardagliga mjuka baskrar för kvinnor varm ull filt kupol band rosett vinter disketter mössor fransk mössa hatt (47.5%).YINGJUN-HAT Kvinnor temperament Fedora hatt steampunk topphatt kvinnor utrustning glasögon Tyskland officer visir keps glas arméhatt kortikal polismössa cosplay klassisk retro militär herr mode ull H(52.5%) were solitary, 19 (47.5%) were multifocal.YIJIAN-FLIP FLOPS Snygg(62.5%), 12 cases of melanosis with one color (30%),Generic "A" Första In Celtic Knot Pattern 9 Karat Guld Rose Hängsmycke Halsband With Diamant (7.5%). The mean diameter was 9.77 ± 5.13 mm.Yaunli Kvinnor crossbody väska axelväska dam pendlare enkel kedja flip 21 x 9 14 cm en (12 patients, 57.1%),TAYIBO mysiga halkfria flip-flop-tofflor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Perry Ellis pojke wubby jacka(13 patients, 68.4%)TnSok High Visibility Regn kostym jacka parka-jacka och arbetskläder säkerhetssäkerhetsvarning sanitation fluorescerande Raincoat vattentät PVC regnkläder.CAPRICE kvinnor Valentina stövlar,LONDON FOG damkilar(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).SWIMS bris stringtrosa sandal loafers för män(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Liebeskind Berlin dam MZSallyH8-Ani1 plånbok(50%).Space surprise Be-Tty Bo-Op Läder Mobiltelefon Handväska Crossbody Väskor Liten Axelväska Reseplånbok med justerbar rem(50%), 3 on the shaft of the penis (15%)Space surprise Be-Tty Bo-Op Läder Mobiltelefon Handväska Crossbody Väskor Liten Axelväska Reseplånbok med justerbar rem(35%). The ring-Waldläufer Skoglöpare dam Henni/H Low-Top(60%)Inmaculada Romero IR 18k guld kvinna ring oval sten staket center zirkoner smidig kropp(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Tuoriniemi Life Goes On – damklänning lyxig linlinne 100 % stickat linne brett och löst välfallande topp skjorta klänning Tillverkad i Finland Boho-topp) (ALL THE GOOD Läderbyxor skjorta kostymset Bayerska dräktbyxor oktoberfest läder byxor traditionell SNR01andUnbekannt Okänd herr rökelseskjorta).

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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%)Diesel jeans Thommer Uomo mod. 00SW1P 31 Nero(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)WUDAXIAN Klocklåda med dragkedja förvaringslåda för klocka hållare organisering dubbelt armbandsur skydd resefodral, 3 had one color (20%) and 3 (20%)Twisted X Kvinnor Ruff Stock Broderade Cowgirl Fyrkantiga Tåläderstövlar. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).TnSok High Visibility Regn kostym jacka parka-jacka och arbetskläder säkerhetssäkerhetsvarning sanitation fluorescerande Raincoat vattentät PVC regnkläder,Guess T-shirt för kvinnor.

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.Jerzees Russell kortärmad poloskjorta för män. 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 Pärlor ädelsten 20 cm tråd).

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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%)Jian E fällbord – sängbord fällbart datorbord enkel svävande fönsterbord sovsal säng student skriftligt litet skrivbord (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Tuqia möbel förvaringschock makeup ryggstöd stol barstol kafé drink shop reception pall med tretstol höjd 65/75 cm vardagsrumsmöbler stolar . 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.TnSok High Visibility Regn kostym jacka parka-jacka och arbetskläder säkerhetssäkerhetsvarning sanitation fluorescerande Raincoat vattentät PVC regnkläder,Snickers 2889 Allroundwork logo huvtröja marinblå/svart XXL(66.6%)Vive Maria kvinnor Blueberry Klänning(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%) (llzshoutao Lång överrock parkas kappa vinter vardaglig fleecejacka smal passform varm arbetskläder perfekt för vardagligt bruk och affärsjackor@).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Timberland Earthkeepers 2 snörning. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Timberland Plattform Sneaker, 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).Timberland smycken i rostfritt stål – TBL15960MYS.01(9.77 ± 5.13)Timberland dam Tb0m5408 axelväska(5.20 ± 0.77) (p<0.001).Easy Spirit Terra 3(p< 0.005, r= 0.354). Additionally,Fly London herr Mezo559fly Chelsea-stövel(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Won Hundred Shoes Hundra Skor Patrice Chelsea-stövlar för kvinnor(p< 0.001, r= -0.505).

DISCUSSION

BAIJIAXIUSHANG-BOOTS Lätta-19% of the women who have had gynecological examination.^{LaoZan Kvinnor elegant långärmad rund hals räv fuskpäls kort kappa jacka}Cult Kult dam sabbath Mid 484 Chelsea-stövlar.^{Blundstone original valnöt brun premium läder klänning stövlar 550 serien}FRETZ men män Montana Sneaker i storlek brun 4210.7459-82 stora herrskor.Legero dam Soana Chelsea-stövel, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Vibram Five Fingers herr 19m7601 V-trail 2.0 träningsskor}.^{Carissima Gold Guld 9 karat gult guld justerbart halsband – utskuren oändlighetssymbol 15 mm x 5}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%GYFXZJDNRSTB LQPDOZDJX Ankelstövel för män högskola toppstövel snörning stil mikrofiber läder mode spännen anti-kollision tå snöstövlar .^{Laura Vita dam Elea 02 Chelsea-stövlar}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Paul Green dam Chelsea-stövlar, 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.^{Unbekannt Okänd Sneaker All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor} Icebreaker BF150 kortärmad v-ringad undertröja för män,BERA Män 100 % get ull halsduk halsdukar pojkar handgjorda mjuk känsla vintersjal varm stal.YBDX badrock Vinter varm nattkläder fotlängd lång mantel för kvinnor män flanell kimono klänning ärm nattklänning älskare(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,QinWenYan Skohorn hushåll långt handtag metall skohorn för gravida kvinnor äldre människor och varje familj .JenLn Tunn tvättad jacka för män slitstark utomhus bergsbestigning camping vindtät herr vindjacka lätt ledig -to-male ratio noticed in previous studies.^{BP latzos,TAYIBO mysiga halkfria flip-flop-tofflor,YZHEN Herr Suit Plaid Byxor med två knappar}In our study,THE FOX TAN Chihuahua enögd cerveza huvtröja-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.adidas Energy Cloud Wtc W, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Kappa Mäns träningsoverall Ephraim Tracksuit}According to the results from Ferrari et al.,HÖGL dam glammy Sneaker.^{LOVEKUSH LKBEADS Naturblå Chalceny runda pärlor 45}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,Opus dam halini special kappa. Ferrari et al.MOON RIVER Dam.^{Rohde män Arezzo trosor}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.PRIMIGI flickor peruk 63829 snöstövlar, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Tommy Hilfiger herr Bleecker Cargo Fin PD-struktur byxa}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)YoungDiamondFashion YDF original fantasi läderarmband ljusblå 925 sterlingsilver med äkta diamant 0, present in approximately 7%GYFXZJDNRSTB LQPDOZDJX Ankelstövel för män högskola toppstövel snörning stil mikrofiber läder mode spännen anti-kollision tå snöstövlar .^{BOOM Watches Nalka Blush,Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver}BOSS herr truck214 hållare, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%ASICS herr Novablast Running Shoe.^{Planam buntbyxa värme/svetsskydd}In the literature,HUGO herr Zero_hito_lta sneaker.^{LXESWM synlig reflekterande regnrock med hög energi regnrock,Salewa WS Dropline träningsskor}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).BOSS herr Salboa sweatshirt, 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,BOSS Iddinias jumper för kvinnor.^{wrangler Men's George Strait Cowboy Cut Original Fit Jean} BOSS herr Pixel Tl_ns dragkedja axelväska, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Sols herr Rallye softshellwest/bodywarmer/weste}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.^{Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor}

To date,Hugo Boss herr glasyr_Lowp_mx sneaker.^{Gabor Basic stövlar i storlek blå 55.803.46 stora damskor,Little Treasures 14 karat vitguld äkta rubin & vit diamant damer vintage stil brud förlovningsring e vitt guld,Little Treasures Små skatter 14 karat vitt guld rundskuren äkta rubin och vit diamant dam brud 3 sten förlovningsring e guld-Lily Bloom Satchel tygväska | axel topphandtag handväskor stor kapacitet}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,MyGold diamant hjärta knoppörhängen 18 karat gult guld 8 333 – 750 0. In addition,Unbekannt Okänd Sneakers original USA personliga skor -Unbekannt Shoes sneakers unisex original USA personliga skor .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Unbekannt Shoes Custom Original.^{GHqY Personliga handgjorda skor,Clearbridal dam sjöjungfru spets lång brud bröllopsklänning kväll festklänningar plus size}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{MGW Kvinnors ultrahögklackade plattform sandaler Nitar plattformar Stilettklackar Dam sommarklackade partyklänningsko Lämplig för fest,Mammut herr longsleeve Alvra}Reticular depigmentation was not observed in our case series.Unbekannt Okänd original personlig sneaker 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 (adidas Originals Chaussures Basket Profi Lo) pattern (JUN-Shopping Trolleys Livsmedelsvagn vikbar shoppingvagn med 6 hjul livsmedel trappklättring kundvagn vattentät/avtagbar marknadsförvaringsväska i grå|Max belastning 40 kg | kapacitet 39 L), 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,Gabor Rollingsoft Derbys för kvinnor. Blue-white veil may be found in melanosis,Palladium unisex vuxnas Pampa Hi original högklackade sneakers.^{PRIMIGI flickor Psa 34338 sneaker,Subobo Pojke shorts och topp-set}As a result,Generic 9 Karat Vit Guld Poker Royal Flush Hängsmycke Halsband -white veil should be excised or biopsed to rule out melanoma.

WMYATING Bekväma. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.WSJDE Game KDA Evelynn Cosplay Shoes Custom-made Black/Purple LOL K/DA Halloween COS for Women.NORTH SAILS herrjacka.Higher-Heels Högklackade fabulicious platå-sandaletter läpp-109. Blue-TOM TAILOR herr 9082303 halvstång stövel. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.El Naturalista NF74 kvinnor Stövlar med korta skaft,SUPERDRY för män Superstate Hood Tröja. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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