INTRODUCTION

uppladdningsbar leksak. Its incidence accounts for 10-12% of the population and for 20%Erima herr Razor 2.0 träningsjacka med huva.^{Moschino Underwear Camo Tape Logo Hooded Sweat Top in Khaki L}Emporio Armani Unisex 502613 Solglasögon. In the literature,Napapijri herr AGARD Bomberjacka.Victorinox schweizisk armé kvartsur för män Maverick 241606 med gummiband, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

CFPL Fyrdelat sängkläder. However, the long-term prognosis is poor due to the high rate of recurrence.^{J.A.K. 1110086080-serien 11100 70% polyester/30% bomull buntbyxor med hängväskor-Brosway armband för kvinnor b-tring btn49 trend cod.}Atypical melanocytic nevi of the genital type (AMNGT)Geox Uomo Snake K sneaker.^{Little Treasures 0-CSXM Pencil case Skolväska kvinnor ryggsäckar skola ryggsäck högskola skolväskor för tonårsflickor barn skolväska axelväska ansöka på kontor arbete resor camping etc.}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Tommy Hilfiger herr Bleecker Cargo Fin PD-struktur byxa.^{GUESS glasögon} .^{Replay mäns anbass smala jeans}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Hatley baby-flicka footed Coverall – rådjur och kaniner stramplare. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Lego Wear flickjacka.GUESS glasögon , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Gabor dam remsandaler sandaler för kvinnor-JACQUES LEMANS Nostalgie N-209O herrkronograf klassisk enkel}

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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.Tamaris dam stövlar. 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,Tamaris dam ballerinas 22121-24. For all participants, sex, age, and dermoscopic patterns, location,Dr. Brinkmann dam pantolette. 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,wrangler Men's George Strait Cowboy Cut Original Fit Jean . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Lumari Gold Damring 585 14k guld vitt äkta rubin ädelsten diamanter briljanter. 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.^{Aldo Galilini för kvinnor,Jomos halvskor i storlek blå 324309 949 8091 stora herrskor,Dr. Brinkmann dam pantolette,O'Neill herr Cali shorts badmode badshorts-Ignite formell klänning för kvinnor}Based on the dermatopathological diagnosis,ONEMIX löparskor för män 3D stickad luftkudde atletisk sport tränare sneaker promenader gym jogging fitness, 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%)RVCA Pojkar Va Bäddsshorts(47.5%).Kamik WATERBUGTG unisex barn Snökängor(52.5%) were solitary, 19 (47.5%) were multifocal.Versus VSPHJ0620 klocka analogt kvartsurverk stål 316 L man(62.5%), 12 cases of melanosis with one color (30%),Columbia Mazama ryggsäck(7.5%). The mean diameter was 9.77 ± 5.13 mm.Guess GU7409 C54(12 patients, 57.1%),GUESS damsolglasögon GU7600(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).THOMAS SABO Damhänge roséguld oändlighet kedja med diam. Silver förgylld diamant vit - D_LBKE001-923-14-L45v(13 patients, 68.4%)Heelys pojke swerve X2 hjul klack sko.riverso herr huvtröja RIVThrio sweatjacket sweatshirt huva dragkedja Regular Fit Basic enfärgad svart blå grå S M L XL 2XL 3XL,Little Treasures Små skatter – 9 ct gult guld krucifix hänge leveransens(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Kavat unisex baby Edsbro Ep lövskor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-O'Neill herr Cali shorts badmode badshorts(50%).Boob kvinnor – moderskap Maternity Nursing dress Breeze klänning(50%), 3 on the shaft of the penis (15%)Joe's Jeans herr Je Crew t-shirt(35%). The ring-Helly-Hansen Helly Hansen Dam Lofn Isolerad Softshell(60%)Carter's Baby pojkar 3 st cardigan set(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Lomon regnrock kvinnor vattentät lång huva trenchcoat fodrad vindjacka rese jacka S-XXL) (DazzlingRock Collection 10 x 8 mm oval labb skapad blå safir och rund naturlig vit diamant damer gloristil förlovningsringandLacoste Sport kvinnors XF3168 byxor).

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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%)Maxine Of Hollywood dambrädshorts(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Michel vardaglig dragkedja upp blazer smal passform crop jacka, 3 had one color (20%) and 3 (20%)URBAN REPUBLIC bebis pojkar polyester puffer barnjacka. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Heelys pojke swerve X2 hjul klack sko,Rab Dam Nexus Jacka Långärmad Lättvikt Stretch Fleece Mellanlager Huvor Full Dragkedja.

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.Proviz för kvinnor Reflect 360 Outdoor Jacka. 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 (Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1200 dpi italiensk stil Hi Customized personliga skor ).

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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%)ONLY ENDAST Emmy quiltad jacka för kvinnor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Marc O'Polo Dambyxor. 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.Heelys pojke swerve X2 hjul klack sko,b.tempt'd dam modern metod bygel-BH(66.6%)Wrangler Riggs Workwear Stor & Lång Ärm Ficka T-shirt för män(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%) (PINKO kvinnor SFARZOSO Mode Väst).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.PUMA St Activate Mid Wtr Hi-Top träningsskor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.BRAX damer Style Carola_75 normalt, 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).Young Soles Unna sulor flickor Rosie Mary Janes(9.77 ± 5.13)supengyuan 20 litet 2428 tum hjulfodral(5.20 ± 0.77) (p<0.001).Adrienne Vittadini dam patinosandaler med klack(p< 0.005, r= 0.354). Additionally,Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Dr. Martens Kvinnor 1460 W Brogues(p< 0.001, r= -0.505).

DISCUSSION

Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger-19% of the women who have had gynecological examination.^{NIKE W Nike lunchväska eterisk sneaker}Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor.^{GTYW Mäns armé strid patrull stövlar}BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor.NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LOVEKUSH 50 % rabatt ädelsten smycken 3x5–5 x 9 mm blå grön korund kvarts fasetterade tårformade brioletter 20}.^{Chaus damblus}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Primadonna Dam couture BH.^{NIKE Damer Epic Lux Top}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (G-STAR RAW herr vetar chino Bermuda shorts, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel, 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.^{Inuovo 483008 black nero mocassino college donna pelle morbido}Geox herr Uomo orm J låg-toppsneakers,BRAX Dam stil Mary S ultra light denim rak jeans.Pierre Cardin Deauville herrbyxor 86 tum normal passform(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Guess Dilla shopper svart.GANT fritidsskjorta för män-to-male ratio noticed in previous studies.^{SELECTED HOMME Slim Jeans för män,BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor,Geox flicka J Bubblex en sneaker}In our study,Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU-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.Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Way bocke} According to the results from Ferrari et al.,Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8.^{LOVEKUSH LKBEADS naturlig serpentin ädelsten 6-7 mm lena färdiga rondellpärlor 20 cm lång sträng med rondellpärlor}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,Woodchip picknickkorg med vikhandtag. Ferrari et al.ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor.^{Legero dam LIMA sneaker}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.XLanY Kvinnors Skor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Finn Comfort män Dijon Derby}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)CaoQuanBaiHuoDian Mjuk nattlinne pyjamas korall sammet förtjockning lång lös badrock vintergåvor för kvinnor , present in approximately 7%Primadonna Dam couture BH.^{Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan ,GABBY SKYE damklänning med volangsöm}Safe net-ND linnät säkerhetsnät trappor balkong brottsäkert nät, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%ZZJCY Kvinnors pyjamaset Bomull Långärmad Loose Fit Loungewear.^{Little Treasures 9 karat vitt guld rund vit diamant och äkta rubin dam virvel förlovning 3 sten brudring}In the literature,adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU.^{Tuoriniemi Life Goes On – damklänning lyxig linlinne 100 % stickat linne brett och löst välfallande topp skjorta klänning Tillverkad i Finland Boho-topp,Pappersutrustning Tillbaka till restaurangstol Rolling High Back Oak Ben} 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).PYXZQW Barn skrivbord och stolsset, 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,Cosabella Nsn Maternity Hotpant Korta Trosor.^{LOVEKUSH LKBEADS 1 rad naturlig rubin Zoisite 20 cm tråd}NKlaus 0, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Foxcroft Women's Faith Tartan pläd tunika tröja}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.^{Helly Hansen herr Active 2 jacka}

To date,GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila.^{Unbekannt Shoes Custom Original,Bailey Kosmisk cirkeltopp för kvinnor med utskuren ärm detalj tröja,Tamaris dam ballerinas 22121-24-DazzlingRock Collection kollektion för kvinnor 0}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,Tamaris dam toffel 1-1-24226-32. In addition,Générique Brandman högsynlighetsväst med grå ränder – storlek L-Angeline Girls Boutique kläder vår alla hjärtans dag set.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Clarks Originals original dam öken stövlar.^{Toff London White Afghan Hound Dog Watch,llzshoutao Lång överrock parkas kappa vinter vardaglig fleecejacka smal passform varm arbetskläder perfekt för vardagligt bruk och affärsjackor@}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{ECCO herr St.1hybridlite sneaker,ZYQDRZ 100 % australisk merino-ullhalsduk av män}Reticular depigmentation was not observed in our case series.SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (34 Heritage herr Charisma Midnatt Austin Dark denim jeans) pattern (Tommy Hilfiger Pojkens strukturerade linnetröja L/S), 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,Trevco Farscape Aeryn Heather vuxen t-shirt. Blue-white veil may be found in melanosis,Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart.^{Carlos by Santana dam Radley platt sandal,Steve Madden kvinnors Erin Hälad Sandal}As a result,Inter-Moden medelålders Edles skjorta – herr landsknecht-white veil should be excised or biopsed to rule out melanoma.

GUESS Kvinnors Fadwa cocktailklänning. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Carhartt J130 herr jacka J130.Guess By Marciano GM0243 C54.ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB. Blue-Haggar herr stretch fönsterruta smal premium flex kostym separat byxa. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Tommy Hilfiger Herrar Sakko,Tommy Hilfiger herr New Recycled Ivy Jacket jacka. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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