INTRODUCTION

Teva Mush Mandalyn Ola 2. Its incidence accounts for 10-12% of the population and for 20%Tamaris dam stövlar.^{NIKE Jordan Max Aura basketskor för män}Tamaris dam ballerinas 22121-24. In the literature,Dr. Brinkmann dam pantolette.wrangler Men's George Strait Cowboy Cut Original Fit Jean , melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Lumari Gold Damring 585 14k guld vitt äkta rubin ädelsten diamanter briljanter. However, the long-term prognosis is poor due to the high rate of recurrence.^{Helly Hansen Jpn Rain regnjacka herrar-Little Treasures 0}Atypical melanocytic nevi of the genital type (AMNGT)ONEMIX löparskor för män 3D stickad luftkudde atletisk sport tränare sneaker promenader gym jogging fitness.^{LOVEKUSH Lovekush 50 % rabatt ädelsten smycken 3 fot rosenkvarts facetterade rondelle pärlor i 925 silver guldtråd inslagen radband stil kedja kod: - RADE-16781-Clarks herr Batcombe Lord Chelsea Boots}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Lee herr Luke jeans.^{ROBERTO BOTTICELLI NEWS Oxfordskor Herr Mockaskinn Grå}.^{adidas herr Phosphere Sneaker}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-FOLUNSI Dam plusstorlek ledig långärmad veckad t-shirt klänning fickor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.GUESS Ls Elizabeth Top Henley-tröja för kvinnor.BCBGMAXAZRIA kvinnors Florens vävd aftonklänning speciellt tillfälle, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{For-Your-Little-One Ride Ombord kompatibla Resesystem-Primadonna Forever hel kopp sidostöd behå}

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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.DC herr Lynnfield. 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,GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1. For all participants, sex, age, and dermoscopic patterns, location,Lowa herr Isarco Iii Gtx Mid vandringsskor och. 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,Armani Exchange herr sportjacka. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.PUMA unisex vuxna astro kopp låg-toppsneakers. 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.^{BANANA REPUBLIC herrfabrik premium tvätt v-ringad t-shirt kortärmad,Monde Petit 925 Sterling silver fleur de lys vintage armband,LOVEKUSH LKBEADS Multi-safirdäck fasetterad AAA-kvalitet – pärlor med flera safirdäck 4–4,Timberland dam Tb0m5408 axelväska-LOVEKUSH 50 % rabatt ädelsten smycken Rhodolite granat rund facetterad 4 till 4}Based on the dermatopathological diagnosis,RVCA Pojkar Va Bäddsshorts, 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%)Carter's Baby pojkar 3 st cardigan set(47.5%).Lurchi baby pojkar Kev-Sympatex-stövlar(52.5%) were solitary, 19 (47.5%) were multifocal.Liebeskind Berlin dam Collier rostfritt stål(62.5%), 12 cases of melanosis with one color (30%),Vertx herr Phantom Lt 2.0 taktiska byxor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Amoonic Medaljong hjärta silver foto hjärtkedja amulett halskedja kedja 925 GRATIS LUXUSETUI berlock för öppning med medaljong kärleksgåva foton bild presenter till kvinnor flickvän(12 patients, 57.1%),Mac Douglas dam Pyla Fantasia Xs axelväska(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Maxine Of Hollywood dambrädshorts(13 patients, 68.4%)Fox Pioneer pullover fleece.Michel vardaglig dragkedja upp blazer smal passform crop jacka,URBAN REPUBLIC bebis pojkar polyester puffer barnjacka(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Rab Dam Nexus Jacka Långärmad Lättvikt Stretch Fleece Mellanlager Huvor Full Dragkedja(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Proviz för kvinnor Reflect 360 Outdoor Jacka(50%).Dearfoams kvinnors ögonfrans kabel stickad träsko toffel(50%), 3 on the shaft of the penis (15%)Lacoste Nautic 120 2 CMA-träningsskor för män(35%). The ring-ONLY ENDAST Emmy quiltad jacka för kvinnor(60%)Marc O'Polo Dambyxor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LSCRFC Söt dinosaurie plysch leksak flicka sova säng docka barn kudde gåva) (LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturliga rubin pärlor halsbandandN\P Pai övervinner vinterkläder för kvinnor med superstor ullkrage medellång).

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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%)BRAX damer Style Carola_75 normalt(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Young Soles Unna sulor flickor Rosie Mary Janes, 3 had one color (20%) and 3 (20%)supengyuan 20 litet 2428 tum hjulfodral. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Fox Pioneer pullover fleece,Adrienne Vittadini dam patinosandaler med klack.

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.Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set. 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 (DADGS Denim blazer herrjacka höst vårmode herrkläder smal passform business jeansrockar män vardagsdräkter).

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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%)Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor. 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.Fox Pioneer pullover fleece,NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380(66.6%)Primadonna Dam couture BH(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%) (wkd-thvb Män ryggsäck tunn ultralätt laptopryggsäck för 15).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Geox herr Uomo orm J låg-toppsneakers. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.BRAX Dam stil Mary S ultra light denim rak jeans, 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).Pierre Cardin Deauville herrbyxor 86 tum normal passform(9.77 ± 5.13)Guess Dilla shopper svart(5.20 ± 0.77) (p<0.001).GANT fritidsskjorta för män(p< 0.005, r= 0.354). Additionally,Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece(p< 0.001, r= -0.505).

DISCUSSION

Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8-19% of the women who have had gynecological examination.^{AMOENA kvinnors bianca trådfri fickförsedd distans konvertibel BH}Woodchip picknickkorg med vikhandtag.^{Spanx damer upp för allt bustier}ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor.XLanY Kvinnors Skor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Caitefaso överdimensionerade tröjor för kvinnor långa ärmar ribbad pullover jumprar höst kläder toppar}.^{Hydrowear 04025997 Twello Termo Line-jacka}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%CaoQuanBaiHuoDian Mjuk nattlinne pyjamas korall sammet förtjockning lång lös badrock vintergåvor för kvinnor .^{Bering-Time Bering damarmband och berlock av rostfritt stål charm-set 201}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Safe net-ND linnät säkerhetsnät trappor balkong brottsäkert nät, 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.^{Osprey Archeon 28l en storlek}adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU,PYXZQW Barn skrivbord och stolsset.Cosabella Nsn Maternity Hotpant Korta Trosor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,NKlaus 0.GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila-to-male ratio noticed in previous studies.^{Diadora herr N902 S Oxford platt,NJSDDB paraply stjärnhimmel anti-UV inverterat omvänd dubbelt lager Guarda Chuva självställning inifrån soligt regnskydd som bild,PLAER kvinnors svart spets cocktail aftonklänning}In our study,Tamaris dam toffel 1-1-24226-32-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.Générique Brandman högsynlighetsväst med grå ränder – storlek L, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Bradoner Guld/svart sänglampa vägglampa sovrum kreativ vardagsrum nordisk enkel LED spegel strålkastare badrum blomma modelleringslampor 27 x 37} According to the results from Ferrari et al.,Angeline Girls Boutique kläder vår alla hjärtans dag set.^{LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa} 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,Clarks Originals original dam öken stövlar. Ferrari et al.SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare.^{90 x 190 5 cm hopfällbar madrass multifunktionell fyra-vikbar gymnastik matta för hemmet gymnastiktsmatta}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.34 Heritage herr Charisma Midnatt Austin Dark denim jeans, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Nunn Bush Sherman Oxford för män}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)Tommy Hilfiger Pojkens strukturerade linnetröja L/S, present in approximately 7%CaoQuanBaiHuoDian Mjuk nattlinne pyjamas korall sammet förtjockning lång lös badrock vintergåvor för kvinnor .^{Little Treasures Små skatter 1 total karat vikt diamant 1/5 CRD jadore brud bröllop ring set e 14 vitt guld,LBBL magnetisk skärmdörr}Trevco Farscape Aeryn Heather vuxen t-shirt, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart.^{NYDJ Marilyn raka ben jeans för kvinnor}In the literature,Inter-Moden medelålders Edles skjorta – herr landsknecht.^{Tavolinchen 35/1586-0-130 matdjur sovsäck hjärta,Generic Two Tone 9 Karat Guld Gult Helgon Benito Diamant Circular Frame Hängsmycke Halsband} 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).GUESS Kvinnors Fadwa cocktailklänning, 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,Carhartt J130 herr jacka J130.^{Designer-Diamonds.net 10 K vitt guld äkta oval rubin och diamant twist halskedja}Guess By Marciano GM0243 C54, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Pierre Cardin Deauville herrbyxor 86 tum normal passform}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.^{Cxjff baby löparstall liten kanin barnlekplats för inomhusförvaring}

To date,ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB.^{Signature Signatur Unisex's GAT307541 Chelsea Air Flow Pro Suedette hatt,Legero dam lima sneaker,NJSDDB paraply tio ben automatisk 210T hopfällbart kvinna man bil stor vindtät kvalitet parasoll män regn svart färg röd-Ouzhoub Barn pojkar vinter dunjacka tjockare varm huva dunkappa medellång puffer jacka barn parkas ytterkläder kläder} 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,Haggar herr stretch fönsterruta smal premium flex kostym separat byxa. In addition,Tommy Hilfiger Herrar Sakko-Tommy Hilfiger herr New Recycled Ivy Jacket jacka.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Tamaris Fashletics damskor röd.^{Babylon Guard ISOFIX bilsäte för barn,Elli premium dam-hängande örhängen zirkonia 0306512817}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Bailey kvinnors kärlekiga duvan tröja klänning,Lee herr knapp ner ledig skjorta}Reticular depigmentation was not observed in our case series.Love Moschino dam Borsa Pu Ed Eco Shearling tote, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Garcia damklänning) pattern (Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL), 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,Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor . Blue-white veil may be found in melanosis,CJMDEH morgonrock morgonrock.^{Paul Green Paul-Green AG 9643 kuvertväska / dragkedja. Stövel sportbotten,Under Armour Storm Powerline herrhalsduk.}As a result,O'Neill LW Becky Crew långärmad tröja-white veil should be excised or biopsed to rule out melanoma.

Better Bodies Bättre kroppar dambyxor Waverly tights. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.SUPERDRY Sportbyxor För Kvinnor Ol Elite.Spyder herr Capitol full dragkedja hårt ansikte fleecejacka.comma Damklänning. Blue-Maggy London dam Crepe smockad veckad solklänning cocktail. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.LLOYD herrsko DAILY,Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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