INTRODUCTION

Volcom herr shorts-cargo Miter Ll. Its incidence accounts for 10-12% of the population and for 20%ASICS dam gel-Squad amerikansk handboll skor.^{PUMA herrtröja Ess Fz Hoody Fl}ASICS GEL-BND. In the literature,Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp.Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

TBS Mojarra sandaler med öppen tå för kvinnor. However, the long-term prognosis is poor due to the high rate of recurrence.^{GIORO Marlis förlovningsring/ansökningsring i 585 guld med Swarovski-kristaller-Unbekannt Skor sneakers American USA original personlig by MYS - handgjorda shoes blommor rosa}Atypical melanocytic nevi of the genital type (AMNGT)OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer.^{Matta löpare hall halkfri studsmatta matta-BRAX Mäns stil Fabio in Hi-Flex superelastiska smala chino-byxor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import.^{Just Cavalli Eyewear dam solglasögon}.^{HOAPL Heel Wedge Trainers for Women}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Tamaris dam 1-1-28007-24 007 sandaler med klack. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm.Chaco Zvolv sportsandal för kvinnor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Sigvaris Kompressionsstrumpor Cotton – AD knästrumpor/KKL2/x-large PLUS/svart/sluten fotspets/normal/våt rygg smal-Bisgaard flicka 50203.119 Chelsea stövlar}

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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.Joop! Dam Daphne Sneaker. 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,Ted Baker dam Lennes Sneaker. For all participants, sex, age, and dermoscopic patterns, location,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor. 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,WggWy Mäns fashionabla arbetssäkerhetsskor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder. 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.^{NZHK herrkappor och jackor,SHIMANO SH-ET300,Mizuno herr 320596.9000.16.1150 baseballsko,PULLEY -S Ankelstövlar för män höga toppskridskor sneakers snörning mocka rund tå plattform solid färg halkfri fleece inuti håll Ardent S -Alfani herr platt framsida enfärgad vardaglig chinos byxor}Based on the dermatopathological diagnosis,PUMA Unisex vuxna Rebound Layup SL Sneaker, 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%)prAna London Short(47.5%).ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(52.5%) were solitary, 19 (47.5%) were multifocal.YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare(62.5%), 12 cases of melanosis with one color (30%),adidas Herrbyxor Adidas Skitouring P – svart(7.5%). The mean diameter was 9.77 ± 5.13 mm.N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(12 patients, 57.1%),adidas dam terrex Ax2r vandringsskor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).CafeNoir SNEAKER IN LAMINATO(13 patients, 68.4%)McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor.Remonte Damer sandaler R2950,BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Strellson Herrjacka(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Best Life Casual(50%).Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(50%), 3 on the shaft of the penis (15%)Teva dam Olowahu W's dragsko(35%). The ring-CallagHan herr cedron mokassin(60%)Uno de 50 Orion PUL1818CRLMTL0M(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (PROS EXTREME Strong förbyxor) (LOVEKUSH Vacker AAA kvalitet naturlig ametist och apatit stapelarmband i 14 K guldfyllt 3 mm – 4andLittle Treasures Små skatter 0).

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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%)DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)RAINS Unisex Msn Bag dagryggsäck, 3 had one color (20%) and 3 (20%)DazzlingRock Collection Gia-certifiering 1. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor,adidas Originals Adidas Falcon RX W.

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.ESPRIT Collection kollektion dam kjol. 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 (Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor).

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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%)Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Wrangler Texas Slim jeans. 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.McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor,Replay mäns anbass smala jeans(66.6%)Unbekannt Okända skor Custom Sneakers American USA(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%) (Bertucci 13456 unisex rostfritt stål svart nylonband urtavla smart klocka).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Saltwater Sandals Salt Water by Hoy Shoe Original Sandal . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Superfit unisex barn sport7 mini 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).Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå(9.77 ± 5.13)Hydrowear 072455 Usselo Simply No SweatCoverall(5.20 ± 0.77) (p<0.001).DazzlingRock Collection 14 K vitt guld 7(p< 0.005, r= 0.354). Additionally,Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish(p< 0.001, r= -0.505).

DISCUSSION

DazzlingRock Collection 0-19% of the women who have had gynecological examination.^{Paul Green Damslip-on-sneakers 4797}CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish.^{P&G Herr En knapps nålremsa Tre stycken passar bröllop Business smoking}Unbekannt Örhängen stiftörhängen Solitär Brillant 0.CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{PYXZQW Barn skrivbord och stolsset}.^{Mascot 12079-203-0209-90C56 storlek L90 cm/C56"Dortmund" byxor – röd/svart}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor.^{MUSTANG Män Slim Fit Oregon Tapered K jeans}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (CGJ 1, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld , 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.^{dingziyue Dingziyue Högklassiga läderskor herrläder bekväma mjuka läder affärsklänning tidvatten skor spetsiga} Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband ,Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband .Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym.Little Treasures 0-to-male ratio noticed in previous studies.^{Hobra-Gold Hobra-guld massage-guld 585 panserked armbåge halsband 19 / 50/55 60 cm,Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized Slim personliga skor ,LLOYD herr patron Chelsea Boots}In our study,Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld-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.Little Treasures 0, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LOVEKUSH Pärlor ädelsten naturlig rosa turmalin fasetterade pärlor 3 mm}According to the results from Ferrari et al.,Little Treasures 0.^{DazzlingRock Collection dam 14K guld rund rubin & vit diamant solitär med accent brudförlovningsring 4}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,Primadonna Forever hel kopp sidostöd behå. Ferrari et al.Portwest C467 Hi-Vis 3-i-1 jacka Bombardero.^{Brooks Brothers herr Dress Non-iron Botton Down Regent skjortor}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.DC Shoes dam sneaker Trase Platform SE sneakers kvinnor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Superfit dam anda snökängor}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)DC Shoes Boxy – parkas för män ADYJK03063, present in approximately 7%Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor.^{G-STAR RAW herr Salant Core rund hals tröja,Sandals Sandaler tjocka sulade kil kvinnor sommar vattentät plattform 10 cm högklackade skor sexiga exponerade tå bankettskor}Cecil Lång tröja i djupblått, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%NIKE Damer Epic Lux Top.^{DazzlingRock Collection 0}In the literature,Designer Sterling Silver 925 sterlingsilver .^{Yuzhijie Pärlbrosch kvinnlig 925 silver temperament etnisk stil corsage accessoarer män trollslända krage pin,WUFENG-Safety Gate extra bred promenad genom expanderbar enhandsanvändning husdjur grind automatisk stängning säkerhetsstaket inomhus}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).WESC Huvtröja för män, 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,Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker.^{PUMA dam nattkattjacka W}Hit Notion Optiska glasögon för kvinnor – rektangulär form, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Charles Colby herr jacka Sir Magnus}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.^{Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma kvinnor}

To date,Saucony herr jazz original Cross-Trainer.^{JEWEL BEADS Pärlor ädelsten 1 tråd naturlig hessonit granat – AAAgems Hessonit släta ovala pärlor,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor,CHEROKEE mäns original knäppe fram värmande skrubbtopp-HAIPENG enkelsängs skenskydd för småbarn spädbarn med NBR skum barnsäng barriär säkerhet sängskenor slutar falla universellt 1.8m gRÖN}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,Unbekannt Okänd Sneaker Original Low Customized personliga skor . In addition,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex -Snickers Workwear Maler Arbeitshose m. Holstertaschen.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Krüger Dirndl trachtenmieder Hedda beige ros.^{Save The Duck damkappa,vulture Läderhandväska för män 15 tum resväska bärbar dator}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{ETHNIC EMPORIUM Etnisk Imporium dam Bollywood sari kollektion tryckt Georgette blus formell klädsel kontorsdesigner kvinnor indisk etnisk 2694 43481 som visas på bilden,LLOYD herr Farin Chukka-stövel}Reticular depigmentation was not observed in our case series.5.11 Herrstrumpbyxor täckta lastbyxor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (HEAD herr Sprint Pro 3.0 Clay tennissko) pattern (Cole Haan Grandpro Turf Tränare för män), 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,Lottusse herr L6902 mokassin. Blue-white veil may be found in melanosis,Yellow Box Gul låda dam Soleil flip-flop.^{YIJIAN-FLIP FLOPS Snygg,Lurchi flicka Noa Sneaker}As a result,DC Shoes herr Pure High-top Wr Boot snökängor-white veil should be excised or biopsed to rule out melanoma.

Werner Kern kärna – dam dansskor Cindy 3. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan .Mizuno kvinnors våg belysning Z5 mitt volleybollskor.NIKE herr Phantom Gt Pro Fg fotbollsskor. Blue-NIKE herr Legend 8 Academy Fg/Mg Futsalsko. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Base damer/män säkerhet halvsko B496 "AIR" S1P SRC,Helly Hansen Jpn Rain regnjacka herrar. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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