INTRODUCTION

Alex Evenings kvällar kvinnor speciella tillfällen klänning. Its incidence accounts for 10-12% of the population and for 20%UPOWER BLANCO S2 SRC.^{LOVEKUSH LKBEADS 1 snöre naturlig blå topas}Haggar Casual byxor för män. In the literature,Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner.Lacoste herr Sideline 319 1 Cma sneaker, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Tommy Jeans dam skinny jeans. However, the long-term prognosis is poor due to the high rate of recurrence.^{Lego Wear flickjacka-FHB 11011-20-88 Tunfthose"Sebastian" storlek 88 i svart}Atypical melanocytic nevi of the genital type (AMNGT)Guess herrarmbandsur analog kvarts läder W18540G1.^{BULLBOXER halvskor i stora storlekar röd 773K20462AARRBSU50 herrskor-supengyuan 20 litet 2428 tum hjulfodral}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Tissot t070.405.16.411.00 – armbandsur män.^{SH-lgx Handbagage}.^{Bugatti herr yllekappa}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Reloj Guess unisex vuxen kvartsklocka 8434103388192. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Guess – VIPER herrklockor W0659G4.Guess kvinnors analoga kvartsur glitter flicka, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Lico flicka Jewel V blinky snökängor-Jack Wolfskin herrar DENALI 65 MEN män}

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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.BANANA REPUBLIC herrfabrik premium tvätt v-ringad t-shirt kortärmad. 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,Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt. For all participants, sex, age, and dermoscopic patterns, location,RICOSTA pojkar tammesandaler. 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,Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.G-Shock GA700DC-1A. 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.^{Paul Green dam tofflor mokassins 2389,adidas unisex barn superstar sneaker,Jewelry Affairs 14K gult och vitt guld Miami kubansk bana länk kedja halvmassivt halsband,Dolomite Unisex Zapato Cinquantaquattro Lh Canvas Sneaker-Primadonna Dam couture BH}Based on the dermatopathological diagnosis,Superfit pojkar strider 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%)wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning(47.5%).Neaer Fodral för surfplatta rosa fodral ipad 9.7 10.5 11 tum ärm brev ins mode väska flicka Apple iPad Pro12.9 påse förvaringsväska (52.5%) were solitary, 19 (47.5%) were multifocal.J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor(62.5%), 12 cases of melanosis with one color (30%),BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel(7.5%). The mean diameter was 9.77 ± 5.13 mm.Carter's Baby Girls' tryckta leggings(12 patients, 57.1%),POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).ClimAir Car Comfort CLI10063ABC Sonniboy passar till Suzuki Vitara (13 patients, 68.4%)Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka.Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe,Tranemo 2820-50-03-D96 buntbyxor Comfort Plus storlek D96 i marin(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LWZ Herr lätta bekväma vattentäta regnstövlar med ståltå(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue(50%).Kjus herrbyxor blå Ibiza(50%), 3 on the shaft of the penis (15%)Helly Hansen mäns Odin Skarstind byxbyxor(35%). The ring-YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor(60%)Vilebrequin herrbyxor i massivt linne-XXL(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Heguowei 50 cm mjukfylld babysits plyschleksak björn Panda spädbarn ryggstöd inlärningssittsäkerhetsbäddsoffa barngåva) (TUCANO URBANO SCARPE KENT 45 gråandPierre Cardin Damer superelastisk – futureflex skinny jeans).

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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%)Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Mizuno herr Heist IQ-M Iq, 3 had one color (20%) and 3 (20%)Baby torka varmare och våtservetter dispenser. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka,Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001.

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.surell Faux Rabbit Pom tröja stickad mössa med visir – vinterskidmössa. 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 (Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor).

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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%)QX IAIZI Tredimensionell växt trädgård väggdekoration trä foto vägg fräsch dekorativ fotoram dekoration kombination(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Kleine Schätze Damring 9 karat gult guld rosa safir diamant 3 sten förlovningsring ring. 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.Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka,Xuping shop vintage messengerväskor herr portfölj äkta läder affärer handväska laptop ledig stor axelväska(66.6%)IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät (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%) (Aloha-Beachwear dam blomma hibiskus tukan papegoja vintage baddräkt strandmode Hawaii A30681).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Little Treasures Små skatter 14 karat gult guld rosa äkta safir och vit diamant dam brud förlovningsring set e kt guld. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel, 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).Little Treasures Små skatter 0(9.77 ± 5.13)BP 1790-555-13-44l latzh(5.20 ± 0.77) (p<0.001).BP 2402-820-1332-44/46n arbetsväska(p< 0.005, r= 0.354). Additionally,LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Blaklader 199816448699C54 4-vägs stretch X1900 hantverkare arbetsbyxor(p< 0.001, r= -0.505).

DISCUSSION

Art Konst dam 1232 stad kobolto/Camden stängd tå klackar-19% of the women who have had gynecological examination.^{Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog}adidas män X 19.1 TF fotbollsskor silver.^{ZSS Hemträd 3D akryl väggklistermärken för vardagsrum TV entré hall bakgrund kontor klistermärken olika vänster och höger sida}Little Treasures Små skatter 14 karat vitt guld rund rosa äkta safir och vit diamant dam brud förlovningsring set e guld.OLYMP Luxor comfort fit skjorta långärmad Karo, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Reloj Guess unisex vuxen kvartsklocka 8434103388192}.^{Fhxr Modern dans nationell standard Erz klänning långärmad socialdans kjol för kvinnor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals.^{hummel Chaussures Hummel competition breaker}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (GUESS Damklocka W0073L2 , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,CafeNoir TRONCHETTO CON MULTISTRASS IN MICROFIBRA, 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.^{VintageClothing Vintagekläder kvinnor blommig maxiklänning boho knapp upp delad strandfest klänning}Little Treasures Små skatter 1,Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning.Mustang kvinnors 1278-801-2 öppen tå sandaler(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,wkd-thvb Vinterrock i ull för män.Amaryllis Hängsmycke Sugilith Freeform-to-male ratio noticed in previous studies.^{ZJZ Herrklocka,Chef Works herr kockjacka,Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992}In our study,Hydrowear 042851K Rhodos konstruktorbyxa-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.Hydrowear 041035 Piemont bild linje, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{TMTE Träig hackspett bästa retro tecknad karaktär åldrad look gåva huvtröja.}According to the results from Ferrari et al.,Hydrowear 046456 Aspen vinterpark.^{Amerikansk filt ull vävd nät tofs soffa filt/sängfilt/kashmirfilt och kast/burspråk fönsterfilt/matta}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,Hydrowear 04025997 Twello Termo Line-jacka. Ferrari et al.Hydrowear 042854K Rhodos konstruktorbyxor.^{POKTER-ALC för Sprinter I 1995-2006 2 1 sätesskydd personbilar exklusiva i konstläder med Alicante PKW-sits}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.Napapijri herr NOLANOS Shorts, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Scruffs T54182 Pro Softshell jacka kol-M}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)Barntoalett multifunktionell bärbar potta 1-6 år gammal män och kvinnor babyväska stil urinal gUL, present in approximately 7%Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals.^{Heguowei Stor storlek härlig enhörning plyschleksak fyllda unicornio djur baby dockor mjuk tecknad kudde flicka barn födelsedagspresent blå 90cm,Swarovski Fina kreoler}Randiga gardiner, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Brütting Kansas kvinnor bana.^{Vagabond dam Valencia axelväska}In the literature,NIKE Phantom 3 Academy Df Fg fotbal skor.^{Joe's Jeans dam Charlie High Rise Bootcut jeans honung hög midja kurvig bootcut Jean,CLOVERY Dam basic långärmad smal passform knapp ner tröja}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).J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta, 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,Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor.^{Rajasthan gems ädelstenar blå rödbrun emalj cloisonne 925 sterlingsilver smyckeskrin elefant figur}Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Ice-Watch Flower - White bouquet Small 3H IC017575 woman}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.^{Hauptstadtkoffer – Alex Set med 2 hårda sidfickor}

To date,Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat.^{Reebok dam Speed Her Tr träningsskor,KIDSFORM Barnform kvinnor maxiklänning randiga långa klänningar ledig lös Kaftan överdimensionerad rund hals diagonalt,PUMA för män CUP Casuals Hooded Jacket Huvtröja-MAIZ bröllopshatt kvinnor Kentucky Derby hatt solhatt sommar kyrka party-bröllop dam varandra Greifen-blommor-fjäder-hatt bröllop brud}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,Sänggaller sängskyddslångare. In addition,Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange-SPORT-TEK herr 1/2-dragkedja färgblock vindskjorta. JST75.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor.^{Tommy Hilfiger flickor rak passform jeans,ELEMENT Mäns tröja E02}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Little Treasures Små skatter 0,Little Treasures Små skatter 0}Reticular depigmentation was not observed in our case series.Naturino pojkar sol sandaler, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Portwest - Bizflame Plus flambeständig lätt anti-statisk coverall panna 280 g orange 2XL/lång) pattern (Spanx dam 10178R-VERY M formande kropp), 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,Sorel kvinnors Lolla utskurna bootie ankelstövlar. Blue-white veil may be found in melanosis,TYR Dam Glisade Diamondfit baddräkt.^{Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1,Valin V1579 dam kashmir tröja rund hals långärmad stickad topp enfärgad relaxed tunn ullpullover}As a result,Brooks mäns lansering 5 löparskor-white veil should be excised or biopsed to rule out melanoma.

LLOYD FREEMAN herrar derby. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.HVTKL Klassisk retro vertikal sektion plånbok läder herr casual kort första lagret av dragkedja .Hanes Youth ComfortBlend EcoSmart träningsbyxor.Spyder Badbyxor för män. Blue-Hurley herr boardshort M Phantom Doom 16'. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Hudson Jeans för kvinnor,GORE WEAR C5 korta tights för kvinnor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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