INTRODUCTION

Helly Hansen herr Active 2 jacka. Its incidence accounts for 10-12% of the population and for 20%Helly Hansen Workwear DRY långärmad tröja kastrup polo dragkedja 75017 990 XS.^{Marina damklänning}Spirit Motors skjorta Karo Style 1. In the literature,UYN dam Evolutyon mellanlager jacka.BRAX Damstil Mary vinter Dream Five Pocket Slim Fit Sportiv byxor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Timezone Herr Regular Eliaz Straight Jeans. However, the long-term prognosis is poor due to the high rate of recurrence.^{Salsa Jeans Secret-Chaco Dam Z/1 klassisk sandal}Atypical melanocytic nevi of the genital type (AMNGT)Mascot 15615-249-0209-L storlek stor"Erding" termisk jacka – röd/svart.^{ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer-Festina Swiss Made herr klocka analog kvartsrörelse med rostfritt stål armband F20014/1}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)CMP Damer softshell jacka.^{New Balance dam 373 Wl373fb2 medium sneaker}.^{Sorel Kinetiska smyga stövlar för kvinnor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå.Square Enix Fyrkantig Final Fantasy Tonberry Fylld Maskot, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Joyara Diamant Intertwined Oändlighet Hängsmycke Halsband in Sterling Silver 925-Samsonite Samsung Openroad – stor datorryggsäck}

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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.New Balance dam 373 Wl373fb2 medium sneaker. 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,Guess unisex vuxna glasögonstativ GU3009-F 050 53 optiska ramar. For all participants, sex, age, and dermoscopic patterns, location,Tod's solglasögon. 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,Gianfranco Ferre GF FERRE Women's solglasögon GFF1226 solglasögon. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Scotch & Soda kvinnor Short length technical Jacket Jacka. 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.^{CAMSSOO Kvinnor CM6128-TS18A elegant,Pioneer-jeans Pioneer – dam 5-ficks jeans i blå,Little Treasures Små skatter 0,WggWy Mäns fashionabla arbetssäkerhetsskor-LOVEKUSH LKBEADS 35 cm lång hel slinga naturlig multi turmalin ädelsten rondell}Based on the dermatopathological diagnosis,Waldläufer Damsandaler FLORAT ECLIS 448001894/148 grå 218259, 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%)LOVEKUSH Positiv energi 9 mm töjbart blått och grönt apatit armband runt(47.5%).Belle Etoile Ring Perroquet(52.5%) were solitary, 19 (47.5%) were multifocal.ECCO dam bella toffel(62.5%), 12 cases of melanosis with one color (30%),Paul Malone bröllopsmode bröllopsväst set 5 delar silver paisley Casa Moda bröllopshemd champagne(7.5%). The mean diameter was 9.77 ± 5.13 mm.FJÄLLRÄVEN Fjällräven 89997 – 319(12 patients, 57.1%),JO WISDOM Kvinnor Claddagh örhängen(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).FJÄLLRÄVEN vadderad jacka för kvinnor med högkusten(13 patients, 68.4%)MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang .cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja,Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Strellson Herrjacka(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-camel active herrjacka(50%).tomBrook Gummistövlar för kvinnor med separat foder(50%), 3 on the shaft of the penis (15%)Kappa män hoodies Hurtado(35%). The ring-Okänd original custom – personliga skor (60%)Unbekannt Okända skor Custom Sneakers American USA(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Lee Scarlett skinny jeans för kvinnor) (BP arbetsbyxor för mänandMizuno Chaussures Wave intense tour 5 AC).

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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%)camel active herr Portland madrass(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)ECCO herr St.1hybridlite sneaker, 3 had one color (20%) and 3 (20%)adidas herr Cf uppdatera mellanträningsskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang ,NIKE herr react Miler löparsko.

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.Dubarry Silas Tan. 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 (Britax 2000022979 Affinity2 färgpaket lagoon green).

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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%)Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)BULLBOXER 428K20559H P2YN. 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.MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang ,HUGO herr Icelin_runn_nypu sneaker(66.6%)Think! Män 686640_joeking 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%) (ESPRIT herr Chronograph kvarts klocka med läderarmband ES1G053L0015).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Tommy Jeans herr Baron 1a2 sneaker. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Hush Puppies valpar herr HM02067 expert chukka stickad, 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).caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L(9.77 ± 5.13)SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja(5.20 ± 0.77) (p<0.001).Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss(p< 0.005, r= 0.354). Additionally,TOM TAILOR Josh Regular Slim Hose(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Hugo Boss herr Wayfarer solglasögon(p< 0.001, r= -0.505).

DISCUSSION

Musto dam tät blusonjacka-19% of the women who have had gynecological examination.^{Helly Hansen DamSkagen Longsleeve}VAUDE Vaude.^{Hobra-Gold Klassisk ring guld 750 bärnsten Cabochon Goldring 18 Kt solitär RW 53}LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa .mjj Papegoja 3D-tröja med digitalt tryck, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{DNSJB Shopping Trolley Vikbar shoppingvagn}.^{Little Treasures Små skatter 14 karat vitt guld rund äkta rubin och vit diamant vintage 3 sten brud förlovningsring set e guld}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Softinos Farah ankelstövlar för kvinnor.^{SPIRIT ryggsäck skolryggsäck skolväska stor kapacitet resväska pojkar flicka "TROLLEY 06"}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Snickers arbetskläder service 4373 väst XS marinblå, 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.^{NKlaus 0}PAM & GELA damklänning,Skechers dam Go Flex 2 – 14992.Craft Hantverk jakt race Jersey – asfalt/syra(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots.Hanes Classic-Fit Jersey T-shirt för kvinnor 4-to-male ratio noticed in previous studies.^{Mooilo Flip Flops Model Chain P – svart med pärlor,HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur,OshKosh B'Gosh Pojkar stickad Polo Henley 21504311}In our study,SHIMANO vuxna cykelskor-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.Timberland EK Stormbuck Lite Chukka, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LONDON FOG damkilar}According to the results from Ferrari et al.,Wooden Mallet Träklubba deluxe raka ben bagageställ.^{Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar}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,Geox dam D Thymar C Brogues. Ferrari et al.Lee dam haklapp byxa.^{Little Treasures September månadssten blå CZ patiens hjärta och vit topas 9 karat roséguld pärlband löfte ring}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.AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{LOVEKUSH LKBEADS Naturlig rubin jade runda fasetterade pärlor}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)Fjallraven unisex Vardag 25 dagars ryggsäck, present in approximately 7%Softinos Farah ankelstövlar för kvinnor.^{Kronaby Hybrid S3759/1,Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband} Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.^{Simone Perele pärlor dam Delice Full Cup helskal BH}In the literature,Gerry Weber kvinnor 92151-67810 raka jeans.^{SGHH-UK Män mode klockor,Little Treasures Små skatter 0}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).Pierre Cardin Damer superelastisk – futureflex skinny jeans, 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,Trigema Damtröja.^{DazzlingRock Collection Förlovningsring}Irregular Choice Oregelbundet val – elegant ond svart/lila , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Little Treasures Små skatter sterling silver hänge och örhängeset}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.^{ARA Neaple sneakers för kvinnor}

To date,Asics Chaussures femme Gel-Padel Pro 4.^{Två barnvagnar kan sitta liggande avtagbar barn dubbel vagn lätt hopfällbar barnvagn Lila,Think! KAPSL_3-000204 nachhaltiger,Enzo Romeo ATC01 dam bred bredd sling rygg lågklackad spetsig pumps sandaler skor storlek: Bred-Vimmia varm jacka för kvinnor eller träningsjacka}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,RVCA herr sport balansbox kortärmad t-shirt med rund hals. In addition,Kappa kombat Home Mhr T-shirt för män-Catimini jacka.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Florsheim pojkar avslöjar cykel Oxfords.^{Rabe pullover,Yvette Sports BH crop topp - hög hals för att ge god täckning och stödjande}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Orphelia Halsband för kvinnor 925 Sterling Silver Rodium-pläterad Zirkon Vit,Pepe Jeans Herrjeans Slim fit}Reticular depigmentation was not observed in our case series.Aventura Dharma damtröja med kort ärm, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose) pattern (Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda), 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,James & Nicholson trendig vadderad väst med huva. Blue-white veil may be found in melanosis,JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode .^{Noël Sab,Witeg trådkorg B22 passar för ultraljud WUC-A22H}As a result,alife & kickin och Kickin Sunshine B svettjacka-white veil should be excised or biopsed to rule out melanoma.

Dearfoams dam quiltad frotté clog Mule. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Belsira dam vintageklänning med Bolero i retrostil.Alfani Dam faux läder fåll Dolman Jersey bubbelblus.Angelazy 925 sterling silver armband för kvinnor. Blue-Eliza J långärmad poloprickig maxiklänning för kvinnor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor,LTB Jeans Julita X jeans. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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