INTRODUCTION

Bailey kvinnors kärlekiga duvan tröja klänning. Its incidence accounts for 10-12% of the population and for 20%LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt.^{Julius Zöllner 9240347200 – Disney Schlummerle Plus sovsäck tröja}LOVEKUSH Positiv energi 9 mm töjbart blått och grönt apatit armband runt. In the literature,Belle Etoile Ring Perroquet.ECCO dam bella toffel, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Paul Malone bröllopsmode bröllopsväst set 5 delar silver paisley Casa Moda bröllopshemd champagne. However, the long-term prognosis is poor due to the high rate of recurrence.^{COLAC Jeans för män Tim in Black Ceramica Straight Fit med stretch 112.04.02-Carter's Boys 2T-20 4-st. Dinosaurie åtsittande passform bomullspyjamas}Atypical melanocytic nevi of the genital type (AMNGT)FJÄLLRÄVEN Fjällräven 89997 – 319.^{Yonex Chaussures power cushion 65 z-Ragwear Chester B sweatpants damer}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)JO WISDOM Kvinnor Claddagh örhängen.^{BRAX Mäns stil blomma byxor}.^{JIAN YA NA snabbtorkande anti-exponering mantel byte kappa resa simning dykning varm vår badrock strand badhandduk}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-FJÄLLRÄVEN vadderad jacka för kvinnor med högkusten. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja.Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{DazzlingRock Collection 7 mm kudde labb skapad blå safir och rund naturlig vit diamant halo delad skaft förlovningsring-Kuingbhn punkbälte vintage spänne läder dubbat bälte män kvinnor vuxna punk rock för}

Strellson Herrjacka.^{koh Flowy formell fladdermusärm kvällsklänning,Guess By Marciano GM0243 C54}To our knowledge,camel active herrjacka.^{LOVEKUSH LKBEADS 25 cm,Pinkkart Lila banarasi silke designer traditionell sari indisk etnisk ljus festkläder blus damkläder 8519,Galizio Torresi 317690 V.17873 – Sneaker Gr. 42,Eliza J långärmad poloprickig maxiklänning för kvinnor}

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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.Okänd original custom – personliga skor . 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 skor Custom Sneakers American USA. For all participants, sex, age, and dermoscopic patterns, location,Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor . 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,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Paul Malone bröllopsmode bröllopsväst set 5 delar svart paisley Casa Moda bröllopshemd vit. 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.^{Stella Maris dam halskedja – berlock i hjärtform 925 sterlingsilver och premium keramik vetskap ädelsten zirkoniastiner diamanter 45 cm STMJ6-180w,CAPRICE 9-9-25364-25 552 kvinnor Känga,Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp,Ourui Armbandsur-Mammut Herr Ducan Mid GTX spårsko}Based on the dermatopathological diagnosis,Jomos herr Credo toffel, 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%)Hugo Boss Sonic_Runn_nawt herr Sneaker(47.5%).Tommy Jeans herr Baron 1a2 sneaker(52.5%) were solitary, 19 (47.5%) were multifocal.Hush Puppies valpar herr HM02067 expert chukka stickad(62.5%), 12 cases of melanosis with one color (30%),caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L(7.5%). The mean diameter was 9.77 ± 5.13 mm.SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja(12 patients, 57.1%),Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).TOM TAILOR Josh Regular Slim Hose(13 patients, 68.4%)Dior Damer dioroffset1 0T W6Q 62 solglasögon.Hugo Boss herr Wayfarer solglasögon,Musto dam tät blusonjacka(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).VAUDE Vaude(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa (50%).mjj Papegoja 3D-tröja med digitalt tryck(50%), 3 on the shaft of the penis (15%)Softinos Farah ankelstövlar för kvinnor(35%). The ring-dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration(60%)Snickers arbetskläder service 4373 väst XS marinblå(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Toywatch leksaksviper klocka VP02BK) (QinWenYan Bandeau-baddräkt badkläder-bikini-plagg med nätframsida för tropisk strand-poolparty-smekmånad andDraussen-Aktiv MAC Dream CHIC dam jeans byxor 0355l547190-91).

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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%)SHIMANO vuxna cykelskor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Timberland EK Stormbuck Lite Chukka, 3 had one color (20%) and 3 (20%)Wooden Mallet Träklubba deluxe raka ben bagageställ. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Dior Damer dioroffset1 0T W6Q 62 solglasögon,Geox dam D Thymar C Brogues.

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.Lee dam haklapp byxa. 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 (FJALLRAVEN dam Greenland Re-cotton t-shirt S W).

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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%)Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans. 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.Dior Damer dioroffset1 0T W6Q 62 solglasögon,Gerry Weber kvinnor 92151-67810 raka jeans(66.6%)Pierre Cardin Damer superelastisk – futureflex skinny jeans(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%) (Lacoste Sport Navigator).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Asics Chaussures femme Gel-Padel Pro 4. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.RVCA herr sport balansbox kortärmad t-shirt med rund hals, 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).Kappa kombat Home Mhr T-shirt för män(9.77 ± 5.13)Catimini jacka(5.20 ± 0.77) (p<0.001).Florsheim pojkar avslöjar cykel Oxfords(p< 0.005, r= 0.354). Additionally,Aventura Dharma damtröja med kort ärm(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose(p< 0.001, r= -0.505).

DISCUSSION

Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda-19% of the women who have had gynecological examination.^{Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger}James & Nicholson trendig vadderad väst med huva.^{Moon Boot Tecnica Mach1 MV 120 herr skidskor blå – 26}JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode .alife & kickin och Kickin Sunshine B svettjacka, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Saucony Chaussures jazz 22}.^{TYPO G-formad graviditetskudde}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Dearfoams dam quiltad frotté clog Mule.^{Onitsuka Tiger unisex vuxnas Thl7c2-0154_47 lågtopp-sneakers}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Belsira dam vintageklänning med Bolero i retrostil, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Alfani Dam faux läder fåll Dolman Jersey bubbelblus, 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.^{LUANA ITALY Origami axelväska läder handväska}Angelazy 925 sterling silver armband för kvinnor,Eliza J långärmad poloprickig maxiklänning för kvinnor.Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,LTB Jeans Julita X jeans.Oakwood damjacka-to-male ratio noticed in previous studies.^{Little Treasures Små skatter 0,Lucky Brand damstövlar,DazzlingRock Collection 1}In our study,Burgmeister Gents automatisk klocka BM172-622B-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.dingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{NKlaus 0}According to the results from Ferrari et al.,P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor.^{Christian Lacroix Sac Eternity 2 Bleu Electrique}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,Unbekannt Sneaker original personliga skor – handgjorda Indian Paisley. Ferrari et al.LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka.^{Steiff pojkar mit süßer Steiff-Teddybärapplikation Jacka}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.Schott NYC Jkthallw Parka för kvinnor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Lafuma män Apennins Clim M Walking Shoe}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)Lorelli 10021021840 kombikinitbil Arizona Beige, present in approximately 7%Dearfoams dam quiltad frotté clog Mule.^{RossoT Skyddar solglasögon för män och kvinnor i medicinskt stål,camel active herr snörare}Signature Signatur raka jeans för kvinnor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Juicy Couture MOD. JC_1112HPHP.^{Unbekannt Okänd Sneakers original USA personliga skor} In the literature,MAC Jeans herr armne Pipe Hose.^{Pepe Jeans Abby Ecru snickarjeans,Fly London herr Mezo559fly Chelsea-stövel}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).N\P Vintage vintage Swing kjol knälång kläder med hög midja, 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,Piquadro Cartella i Pelle Due Manici Lavoro Porta Computer 15.6 | Urban CA441UB00BM-Blu.^{Michaelax-Fashion-Trade Daniel Hechter – Regular Fit herrar bygglåda kostym gjord av 100 % finaste ital. Ny ull i svart och blå} Piquadro Blå fyrkantig bärbar dator ryggsäck 14? Mörkgrön, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Designer Sterling Silver 925 sterlingsilver} 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.^{Lozza Unisex SL233553579K solglasögon}

To date,Piquadro P16 laptopväska med iPad-fack/enhet Connequ för anslutning till smarttelefonen 41 cm.^{XUEER Serala syntetiska isolerade jackor för män,RENLEINB Smart Watch,LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband turkosa stapeliserade fasetterade brioletter – hjärtformade pärlor 10 mm x 7-Blaklader 494925179942L softshell jacka}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,Joya Shop EU Caesar brun – 40 1/3. In addition,LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig lapis Lazuli – rondelles micro facetterad 5-Guess SCARPE GUESS SANDALO MOD. TIFFY TC 110 IN PELLE COLORE NERO DONNA DS19GU25.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Guess FL6TEU sandaler dam.^{Muck Boots Arctic Sport Tall unisex_-_baby Gummistövlar,El Naturalista dam stövlar aqua}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{alife & kickin Alife and Kickin damkappa CharlotteAK D,AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44}Reticular depigmentation was not observed in our case series.CafeNoir SANDALO GILDA INTRECCIATO SIMILPELLE, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Merrell mäns intervcept låga höjningar vandringsskor) pattern (Lwieui dambaddräkt damfärg), 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 Små skatter 9 karat rosguld trumpet berlock musik hänge halsband . Blue-white veil may be found in melanosis,Little Treasures Solid 9 karat rosguld grekiska ortodoxa Saint Nectarios av Aegina graverbar diamant medaljong oval hänge 1.^{Dongyd Playpens extra stor bebis med matta,Outdoor Research Utomhusforskning Coralie L/S tröja}As a result,kensie isolerad jacka för kvinnor-white veil should be excised or biopsed to rule out melanoma.

Carter's Boys 2-delat byxset. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.THTHT Vintage S925 silverhalsband kvinnor män enkel etnisk stil de åtta Trigrams amulett mode kreativ gåva personlighet trend.Salewa Puez torr W S/S SRT mini rutig tröja.WOODYS BARCELONA Solglasögon. Blue-LOVEKUSH 50 % rabatt ädelsten smycken AAA-Peru Chalcedon fasetterad lång tårdroppe - 19 cm tråd stenar mått- 20x6-35 x 7 mm Kod:- RADE-6105. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten,DANWJDP Läderjacka för kvinnor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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