INTRODUCTION

b.tempt'd dam modern metod bygel-BH. Its incidence accounts for 10-12% of the population and for 20%Wrangler Riggs Workwear Stor & Lång Ärm Ficka T-shirt för män.^{LONDON FOG damkilar}Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP . In the literature,Save The Duck fritidsjacka för kvinnor.PUMA St Activate Mid Wtr Hi-Top träningsskor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

BRAX damer Style Carola_75 normalt. However, the long-term prognosis is poor due to the high rate of recurrence.^{Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar-MUSTANG dam 1290-302-203 sneaker}Atypical melanocytic nevi of the genital type (AMNGT)Young Soles Unna sulor flickor Rosie Mary Janes.^{LOVEKUSH LKBEADS Naturlig rubin jade runda fasetterade pärlor-Kronaby Hybrid S3759/1}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)supengyuan 20 litet 2428 tum hjulfodral.^{Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband} .^{Simone Perele pärlor dam Delice Full Cup helskal BH}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Adrienne Vittadini dam patinosandaler med klack. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set.Dr. Martens Kvinnor 1460 W Brogues, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{IGI&Co 4171811 NERO Scarpa donna tacco Igi&Co francesina pelle made in Italy-Little Treasures Små skatter 0}

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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.Primadonna Dam couture BH. 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,G-STAR RAW herr vetar chino Bermuda shorts. For all participants, sex, age, and dermoscopic patterns, location,Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel. 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,Geox herr Uomo orm J låg-toppsneakers. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.BRAX Dam stil Mary S ultra light denim rak jeans. 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.^{Rabe pullover,LOVEKUSH 50 % rabatt ädelsten smycken naturlig orange solsten slät hjärta droppe briolette lös hantverk pärlor strand 23 cm 16 mm 7 kod: - RADE-25816,Orphelia Halsband för kvinnor 925 Sterling Silver Rodium-pläterad Zirkon Vit,Pepe Jeans Herrjeans Slim fit-Noël Sab}Based on the dermatopathological diagnosis,Pierre Cardin Deauville herrbyxor 86 tum normal passform, 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%)Cosabella Nsn Maternity Hotpant Korta Trosor(47.5%).NKlaus 0(52.5%) were solitary, 19 (47.5%) were multifocal.GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila(62.5%), 12 cases of melanosis with one color (30%),Tamaris dam toffel 1-1-24226-32(7.5%). The mean diameter was 9.77 ± 5.13 mm.Générique Brandman högsynlighetsväst med grå ränder – storlek L(12 patients, 57.1%),Angeline Girls Boutique kläder vår alla hjärtans dag set(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Clarks Originals original dam öken stövlar(13 patients, 68.4%)ONLY ENDAST Emmy quiltad jacka för kvinnor.SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare,34 Heritage herr Charisma Midnatt Austin Dark denim jeans(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Tommy Hilfiger Pojkens strukturerade linnetröja L/S(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Trevco Farscape Aeryn Heather vuxen t-shirt(50%).Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart(50%), 3 on the shaft of the penis (15%)Inter-Moden medelålders Edles skjorta – herr landsknecht(35%). The ring-GUESS Kvinnors Fadwa cocktailklänning(60%)Carhartt J130 herr jacka J130(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Little Treasures Små skatter 0) (Pies Sucios Terra Zip sandalerandDazzlingRock Collection 18 K vitt guld 8 x 6 mm varje päronlabb skapar ädelsten och diamant runda dam dinglande örhängen).

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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%)Tamaris Fashletics damskor röd(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Love Moschino dam Borsa Pu Ed Eco Shearling tote, 3 had one color (20%) and 3 (20%)Garcia damklänning. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).ONLY ENDAST Emmy quiltad jacka för kvinnor,Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL.

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.Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor . 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 (Guess herrarmbandsur analog kvarts läder W18540G1).

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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%)Better Bodies Bättre kroppar dambyxor Waverly tights(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)SUPERDRY Sportbyxor För Kvinnor Ol Elite. 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.ONLY ENDAST Emmy quiltad jacka för kvinnor,Spyder herr Capitol full dragkedja hårt ansikte fleecejacka(66.6%)comma Damklänning(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%) (Little Treasures Små skatter 9 karat gult guld kärlek hjärtan i cirkel rep hänge halsband).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Dolomite män Bota Ms 60 Dhaulagiri snökängor, 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).Hanes Ultimat lätt komfort trådlös BH(9.77 ± 5.13)Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex (5.20 ± 0.77) (p<0.001).BILLABONG Bandeau bikinitopp för kvinnor(p< 0.005, r= 0.354). Additionally,Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-GUESS Johara-klänning för kvinnor(p< 0.001, r= -0.505).

DISCUSSION

Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor-19% of the women who have had gynecological examination.^{adidas mäns retrorunner tävling löparskor}Scruffs T54182 Pro Softshell jacka kol-M.^{WAFJJ mörk förhängning svartvit och stort träd iögonfallande gardiner – ljusogenomträngliga draperier med öglor för sovrum barnkammare bullerreducering 2-pack storlek storlek: 2 x B 140 H 175 cm}Deluxe Gems 0.A & D sovrum, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{CASAMODA herr utomhusväst unifärg}.^{Bisgaard unisex barn 40305.119 sneaker}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Kuny's Kunys Ap719 Journeyman halvförkläde.^{Pierre Cardin Herrjeans Deauville Regular Fit}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (My Michelle Girl's Ponte kjol, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal, 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.^{Perry Ellis herr slim fit solid jacka}Bud Spencer Official herr Legend College Jacket ,CAPRICE dam Manou Sneaker.Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Hurley.David King & Co 42 tum klädväska-to-male ratio noticed in previous studies.^{Rajasthan gems ädelstenar Jhumka örhängen traditionell tribal tempel 925 sterling silver gud Ganesha Ganesh,PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20,Bisgaard unisex barn 40325218 hög sneaker}In our study,camel active Mars 13 herr toffel-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.Anita active aktiv kvinnors bh sportbh, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{YLCJ graviditetskudde/sovkudde/magkudde/magen/multifunktionell kudde/sidobälte kudde/graviditetskudde – B E}According to the results from Ferrari et al.,FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm.^{Tommy Hilfiger damer NEW PENNY ANKLE PANT rakt}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,Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode . Ferrari et al.Christian Lacroix Sac Cabas Jonc 2 Rouge.^{YINUO Trädgårdsnät barnsäkerhetsnät konstruktion säkerhetsnät anti-fall nät nylon rep balkong skydd trappor isolering dekorativt}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.Columbia herr Horizons Pine dubbeljacka, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Igi&Co 88092 nero scarpe donna sportive eleganti inglese frangia fibbia vernice}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)Dr. Martens damer Clarissa II Quad läder sandaler, present in approximately 7%Kuny's Kunys Ap719 Journeyman halvförkläde.^{The Mountain Boy's Sengångare ansikte t-shirt,MXueei dator vilosäte}Geox baby-pojkar B New Flick Boy C Sneaker, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr.^{Lego Wear Unisex barn Lwpowai – Tec Play snöbyxor}In the literature,LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning.^{adidas herr Malice,YZHEN Herr Suit Notch Lapel Jacka och västbyxor}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).MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink, 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,Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp.^{Knomo 57-059-BLK Balham Argal laptop sleeve svart}Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Dr. Martens Kvinnor 1460 W Brogues}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.^{HKT by Hackett herr Hkt Cargo byxor raka jeans}

To date,Tommy Hilfiger tröja för flickor.^{Bishilin Ring för kvinnor 18K vitguld triangel Tanzanit blå 1,P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor,adidas unisex barnStan Smith J Sneaker-Columbia ung Wild Child Jacke Hardshell-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,Bulova herr analog automatisk klocka med läderrem 98A187. In addition,Volcom-Texas Wrangler TEXAS herr jeans normal passform inkl. bälte.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Casio herrklocka GW-8900-1JF.^{YPDM Badrock flanell barn vinter badrock söt tecknad stil småbarn pojkar flickor varma nattkläder rock barnpyjamas för 2–8 år,adidas Originals Adidas Americana låga skor legend Ink/FTWR vit}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Carter's Boys 2-delat byxset,Rock Creek dam vinterjacka kappa fuskpäls krage D-429}Reticular depigmentation was not observed in our case series.Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (UNIONBAY Knapp ner tröja för män) pattern (Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler), 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,Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT. Blue-white veil may be found in melanosis,Armani Exchange herr bomull stretch rak jeans.^{Pocket Factory Maratika Fickfabrik vandrare urban militär rolltop vattentät multifunktionell cordura ryggsäck med 15 tums bärbar dator fack,LOVEKUSH Minnesgåva 8 mm töjbar svart och vit lavasten med jade armband runt}As a result,MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS-white veil should be excised or biopsed to rule out melanoma.

Schott NYC herr squad jacka. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Reebok Classic läder.Guess herr Vermont jeans.LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452. Blue-RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.JEWEL BEADS Smyckespärlor naturliga vackra smycken regnbågsfärgad uppsättning av två 12-16 mm 12 delar slät cabochon hytt oval äkta glänsande blixt halvädelstenKod: JJBB-22239,Aldo Coronitiflex-pump för kvinnor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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