INTRODUCTION

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Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Scarpa Origin klättringsskor dam grön blå 2021 tofflor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Geox D Nhenbus A kvinnor – moderskap Låga sneakers.Remonte dam D0001 sneaker, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{ARA Nancy pumps för kvinnor-Salsa Jeans Secret}

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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.Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder. 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,PUMA Unisex vuxna Rebound Layup SL Sneaker. For all participants, sex, age, and dermoscopic patterns, location,Liu Jo Cher damer Krigsstövlar. 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,YIJIAN-BOOTS Bekväma. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Little Treasures 0. 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.^{SDFASD Lyxiga män automatisk mekanisk roséguld snidad antik svart blå gummi safir glas baksida begränsad sportklocka vit,Hanowa unisex vuxna analog kvartsklocka med rostfritt stål armband 16–9079.04.007,Trigema sportbyxor för män,Väggtatuering väggdekal bild klistermärke barnkammare 3D XXL mint berg S – 150 x 75 cm dekor natur väggklistermärke baby flicka pojke-MyGold örhängen Creolen ROMEO för kvinnor och flickor 8 karat} Based on the dermatopathological diagnosis,Maripé dam 29364 stövlar, 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%)N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(47.5%).adidas dam terrex Ax2r vandringsskor(52.5%) were solitary, 19 (47.5%) were multifocal.CafeNoir SNEAKER IN LAMINATO(62.5%), 12 cases of melanosis with one color (30%),Remonte Damer sandaler R2950(7.5%). The mean diameter was 9.77 ± 5.13 mm.BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(12 patients, 57.1%),Strellson Herrjacka(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Best Life Casual(13 patients, 68.4%)ASICS GEL-BND.Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112,Teva dam Olowahu W's dragsko(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).CallagHan herr cedron mokassin(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Uno de 50 Orion PUL1818CRLMTL0M(50%).Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(50%), 3 on the shaft of the penis (15%)Naturino pojkar bekväma sandaler(35%). The ring-Lodi dam Habi-x sandaler med klack(60%)Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (GEOX Sneakers Dam Läder Svart) (Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirtandDiadora S8000 Italia vit vintergrön alpin vandring).

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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%)ESPRIT Collection kollektion dam kjol(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Porsche Design glasögon P8250 K, 3 had one color (20%) and 3 (20%)Mi Moneda – kvinnor mynt hänge SW-BELI-11-L. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).ASICS GEL-BND,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor.

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.Wrangler Texas Slim jeans. 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 (BP arbetsbyxor för män).

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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%)Okänd Sneaker Original Slim Customized personliga skor unisex (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Superfit baby flicka rush sneaker. 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.ASICS GEL-BND,Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (66.6%)Superfit unisex barn sport7 mini sneaker(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%) (JAKO unisex Präsentationshose Striker Presentationsbyxor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.DazzlingRock Collection 14 K vitt guld 7. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp , 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).CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish(9.77 ± 5.13)DazzlingRock Collection 0(5.20 ± 0.77) (p<0.001).CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish(p< 0.005, r= 0.354). Additionally,Unbekannt Örhängen stiftörhängen Solitär Brillant 0(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage(p< 0.001, r= -0.505).

DISCUSSION

Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor-19% of the women who have had gynecological examination.^{WeWOOD solglasögon The Crater – Black av bomullsfiber typ 3}CGJ 1.^{LOVEKUSH LKBEADS 1 naturligt snöre 16 tum AAA blå blixt regnbåge månsten slät däckformade pärlor halsband 4 mm kod-HIGH-21800}Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld .Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Fergie dam enigma stövel}.^{Think! dam Drawi_585234 stövlar}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband .^{Sänggaller sängskyddslångare}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld , 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.^{Gabor dammode loafers}Little Treasures 0,Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld.Little Treasures 0(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Little Treasures 0.Primadonna Forever hel kopp sidostöd behå-to-male ratio noticed in previous studies.^{CJCJ Stiletto höga stövlar,Helly Hansen DamSkagen Longsleeve,DNSJB Shopping Trolley Vikbar shoppingvagn}In our study,Portwest C467 Hi-Vis 3-i-1 jacka Bombardero-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.DC Shoes dam sneaker Trase Platform SE sneakers kvinnor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Little Treasures Små skatter 14 karat vitt guld rund äkta rubin och vit diamant vintage 3 sten brud förlovningsring set e guld}According to the results from Ferrari et al.,DC Shoes Boxy – parkas för män ADYJK03063.^{SPIRIT ryggsäck skolryggsäck skolväska stor kapacitet resväska pojkar flicka "TROLLEY 06"}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,Cecil Lång tröja i djupblått. Ferrari et al.NIKE Damer Epic Lux Top.^{Clarks herr Vargo Plain Derbys}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.Designer Sterling Silver 925 sterlingsilver , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{NKlaus 0}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)WESC Huvtröja för män, present in approximately 7%Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband .^{HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur,OshKosh B'Gosh Pojkar stickad Polo Henley 21504311}Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Hit Notion Optiska glasögon för kvinnor – rektangulär form.^{LONDON FOG damkilar}In the literature,Saucony herr jazz original Cross-Trainer.^{Trä korn vikstol,Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar}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).Unbekannt Okänd Sneaker Original Low Customized personliga skor , 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,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .^{LOVEKUSH LKBEADS Naturlig rubin jade runda fasetterade pärlor}Snickers Workwear Maler Arbeitshose m. Holstertaschen, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Kronaby Hybrid S3759/1}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.^{Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband}

To date,Krüger Dirndl trachtenmieder Hedda beige ros.^{Vanis damyogajacka 1/2 dragkedja pullover termisk fleece atletisk långärmad löpning topp med tumhål,Simone Perele pärlor dam Delice Full Cup helskal BH,Little Treasures Små skatter 0-DazzlingRock Collection Förlovningsring}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,5.11 Herrstrumpbyxor täckta lastbyxor. In addition,HEAD herr Sprint Pro 3.0 Clay tennissko-Cole Haan Grandpro Turf Tränare för män.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Lottusse herr L6902 mokassin.^{Little Treasures Små skatter sterling silver hänge och örhängeset,DZTIZI Kvinnor Gwen Spindelmannen kostym cosplay halloween julscenkläder filmspel rollspel bodysuit för barn}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{ARA Neaple sneakers för kvinnor,Think! KAPSL_3-000204 nachhaltiger}Reticular depigmentation was not observed in our case series.Yellow Box Gul låda dam Soleil flip-flop, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (DC Shoes herr Pure High-top Wr Boot snökängor) pattern (Werner Kern kärna – dam dansskor Cindy 3), 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 Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan . Blue-white veil may be found in melanosis,Mizuno kvinnors våg belysning Z5 mitt volleybollskor.^{Enzo Romeo ATC01 dam bred bredd sling rygg lågklackad spetsig pumps sandaler skor storlek: Bred,Vimmia varm jacka för kvinnor eller träningsjacka}As a result,NIKE herr Phantom Gt Pro Fg fotbollsskor-white veil should be excised or biopsed to rule out melanoma.

NIKE herr Legend 8 Academy Fg/Mg Futsalsko. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Base damer/män säkerhet halvsko B496 "AIR" S1P SRC.Helly Hansen Jpn Rain regnjacka herrar.SALOMON herrskor X höjning Gtx vandring. Blue-Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning,Froddo unisex barn G3110168 Child Fashion Boot. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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