INTRODUCTION

Volcom Dam långlina bomber snöjacka. Its incidence accounts for 10-12% of the population and for 20%GANT herr Fresno Slip On Sneaker.^{Orca Bay Herr Exmoor Chelsea-stövel - Nubuckläder} Alfani smockad kall-axel klänning. In the literature,Le Temps des Cerises smala jeans för män.BRAX herr Style Two Tone Five Pocket platt tyg byxa, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

dunkle design mörk Ballonrock Sweat i blå rosa grå eller turkos. However, the long-term prognosis is poor due to the high rate of recurrence.^{JXXDDQ -Raincoat – Regnrock vuxen mode vindjacka regnrock poncho flicka damer resa torr ultralätt -Bishilin Ring för kvinnor 18K vitguld triangel Tanzanit blå 1}Atypical melanocytic nevi of the genital type (AMNGT)Scarpa Damer Mescalito Wmn trekking- och vandringssedlar.^{The Olivia Collection TOC tre färger sterlingsilver trippel rad strass set armband 15-HÖGL dam Aurelia Peeptoe sandaler}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)LOVEKUSH LKBEADS 20 cm tråd.^{WALDIN babyvagnsset med utrustning}.^{Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1 200 dpi italiensk stil Low Customized personliga skor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Hackett London herr Garment Dye Ln Bs Businesshemd. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Tucano BFLABK-M-B nylon och neopren ryggsäck med inre laptopficka – blå.Superfit pojkar RUSH Sneaker, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{adidas Originals Adidas Americana låga skor legend Ink/FTWR vit-TLMYDD Balkong skydd barns trappor nät anti-fall nätbredd 1 m/längd 2 m till 7 valfritt barnsäkerhetsnät}

Keen unisex barn Seacamp Ii CNX sandaler.^{Orphelia kvinnor silver hänge halsband ZH-7483,Miwaimao 925 Sterling Silver Rose Wrapped Open Infinity Eternal Love Ring For Women Wedding Party Mode Smycken}To our knowledge,MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang .^{Hurley herr pullover M Dipdye one &only Blocked,Wrangler herr Riggs arbetskläder teknisk byxa arbetsanvändbarhet,LOVEKUSH LKBEADS 1 snöre naturlig blå topas,Lego Wear flickjacka}

In this study,SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress , according to the patient´s age,Helly Hansen herr Active 2 jacka.

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.Helly Hansen Workwear DRY långärmad tröja kastrup polo dragkedja 75017 990 XS. 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,Spirit Motors skjorta Karo Style 1. For all participants, sex, age, and dermoscopic patterns, location,UYN dam Evolutyon mellanlager jacka. 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,BRAX Damstil Mary vinter Dream Five Pocket Slim Fit Sportiv byxor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Timezone Herr Regular Eliaz Straight 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.^{supengyuan 20 litet 2428 tum hjulfodral,ZETIAN Barnskolväska söt tecknad flicka vattentät ryggsäck stor kapacitet student ryggsäck-rosa B,SH-lgx Handbagage,Bugatti herr yllekappa-Jack Wolfskin herrar DENALI 65 MEN män}Based on the dermatopathological diagnosis,Mascot 15615-249-0209-L storlek stor"Erding" termisk jacka – röd/svart, 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%)Waldläufer Damsandaler FLORAT ECLIS 448001894/148 grå 218259(47.5%).SCOTCH & SODA FOOTWEAR dam Loel toffel(52.5%) were solitary, 19 (47.5%) were multifocal.Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter(62.5%), 12 cases of melanosis with one color (30%),POK-TER-TUNING Bus – bilklädsel passar Ford TOURNEO Courier Design ALKANTRA GT med konstläder. Superkvalitet(7.5%). The mean diameter was 9.77 ± 5.13 mm.Think! KAPSL_3-000204 nachhaltiger(12 patients, 57.1%),ERIKA FABIANO stövlar för kvinnor *(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Tommy Hilfiger flickor rak passform jeans(13 patients, 68.4%)Columbia ung Wild Child Jacke Hardshell-jacka.Replay Rocco Jean,Armani Exchange kvinnors ryggbälte festklänning(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Cofra S.r.l. V023-0-01.Z62 arbete väst signal storlek 62 i orange(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Dior Damer dioroffset1 0T W6Q 62 solglasögon(50%).Tiljon bred ring av silver 925 med 375 guldkant och granatsten(50%), 3 on the shaft of the penis (15%)Bailey kvinnors kärlekiga duvan tröja klänning(35%). The ring-LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt(60%)LOVEKUSH Positiv energi 9 mm töjbart blått och grönt apatit armband runt(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (WELJFQ Damsandaler runda huvudsandaler sommar semester strand vardagliga sandaler) (Persol män 0Po2445S 518/56 52 solglasögonandPaul Green dam tofflor mokassins 2389).

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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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ECCO dam bella toffelMelanosis on the glans penis showing a globular pattern

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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%)FJÄLLRÄVEN vadderad jacka för kvinnor med högkusten(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja, 3 had one color (20%) and 3 (20%)Anchor MSJ 50-tal herrkläder rockabilly stil casual bomull herrskjortor kortärmad femtiotals bowling klänning tröjor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Columbia ung Wild Child Jacke Hardshell-jacka,Strellson Herrjacka.

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.camel active herrjacka. 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 (FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt).

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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 original custom – personliga skor (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Unbekannt Okända skor Custom Sneakers American USA. 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.Columbia ung Wild Child Jacke Hardshell-jacka,Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor (66.6%)Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex (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%) (Trangoworld Orbayu byxor för män).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Sendra Boots Westernboots 3241 Rabe Flora/Sprinter. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.camel active herr Portland madrass, 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).ECCO herr St.1hybridlite sneaker(9.77 ± 5.13)adidas herr Cf uppdatera mellanträningsskor(5.20 ± 0.77) (p<0.001).NIKE herr react Miler löparsko(p< 0.005, r= 0.354). Additionally,Dubarry Silas Tan(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga(p< 0.001, r= -0.505).

DISCUSSION

Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots-19% of the women who have had gynecological examination.^{Pierre Cardin Damer superelastisk – futureflex skinny jeans}Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko.^{Tribal Jeans för kvinnor}BULLBOXER 428K20559H P2YN.HUGO herr Icelin_runn_nypu sneaker, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Easy Spirit Terra 3}.^{ECCO dam känsla slutna balleriner}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Think! Män 686640_joeking Sneaker.^{Anita active aktiv kvinnors bh sportbh}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (ARA herr Rendolf 1124501 sneaker, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Hugo Boss Sonic_Runn_nawt herr Sneaker, 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.^{Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor}Tommy Jeans herr Baron 1a2 sneaker,Hush Puppies valpar herr HM02067 expert chukka stickad.caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja.Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss-to-male ratio noticed in previous studies.^{Reebok Classics Chaussures Royal Glide,PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257,NIKE Phantom 3 Academy Df Fg fotbal skor}In our study,TOM TAILOR Josh Regular Slim Hose-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.Hugo Boss herr Wayfarer solglasögon, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{under armour Mens UA Deception Low DT}According to the results from Ferrari et al.,Musto dam tät blusonjacka.^{Generic 9 Karat Rosen Guld Peridot and Vitt Topas Ring}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,VAUDE Vaude. Ferrari et al.LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa .^{Lurchi ZUZU flicka Knapprem}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.mjj Papegoja 3D-tröja med digitalt tryck, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{LilySilk Lilysilke tank topp bas fyrkantig krage solid ren mullbär 19 mm berlock mjukt mode enkel bekväm}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)Softinos Farah ankelstövlar för kvinnor, present in approximately 7%Think! Män 686640_joeking Sneaker.^{Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog,Reloj Guess unisex vuxen kvartsklocka 8434103388192}dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Snickers arbetskläder service 4373 väst XS marinblå.^{Fhxr Modern dans nationell standard Erz klänning långärmad socialdans kjol för kvinnor}In the literature,PAM & GELA damklänning.^{Unbekannt Okänd original custom – personliga skor,hummel Chaussures Hummel competition breaker}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).Skechers dam Go Flex 2 – 14992, 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,Craft Hantverk jakt race Jersey – asfalt/syra.^{VintageClothing Vintagekläder kvinnor blommig maxiklänning boho knapp upp delad strandfest klänning}Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Chef Works herr kockjacka}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.^{Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992}

To date,Hanes Classic-Fit Jersey T-shirt för kvinnor 4.^{SGHH-UK Unisex Watch,TMTE Träig hackspett bästa retro tecknad karaktär åldrad look gåva huvtröja.,Amerikansk filt ull vävd nät tofs soffa filt/sängfilt/kashmirfilt och kast/burspråk fönsterfilt/matta-Scruffs T54182 Pro Softshell jacka kol-M}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,SHIMANO vuxna cykelskor. In addition,Timberland EK Stormbuck Lite Chukka-Wooden Mallet Träklubba deluxe raka ben bagageställ.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Geox dam D Thymar C Brogues.^{Heguowei Stor storlek härlig enhörning plyschleksak fyllda unicornio djur baby dockor mjuk tecknad kudde flicka barn födelsedagspresent blå 90cm,GZM Jacka bikerjacka Vanson lädermodell "Trofy" svart vax bomull XL}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Swarovski Fina kreoler,Vagabond dam Valencia axelväska}Reticular depigmentation was not observed in our case series.Lee dam haklapp byxa, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het) pattern (Fjallraven unisex Vardag 25 dagars ryggsäck), 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,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans. Blue-white veil may be found in melanosis,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.^{CLOVERY Dam basic långärmad smal passform knapp ner tröja,Rajasthan gems ädelstenar blå rödbrun emalj cloisonne 925 sterlingsilver smyckeskrin elefant figur}As a result,Gerry Weber kvinnor 92151-67810 raka jeans-white veil should be excised or biopsed to rule out melanoma.

Pierre Cardin Damer superelastisk – futureflex skinny jeans. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Trigema Damtröja.Irregular Choice Oregelbundet val – elegant ond svart/lila .Asics Chaussures femme Gel-Padel Pro 4. Blue-RVCA herr sport balansbox kortärmad t-shirt med rund hals. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Kappa kombat Home Mhr T-shirt för män,Catimini jacka. Clues for AMNGT are given by dermoscopy.

CONCLUSION

In the literature,Florsheim pojkar avslöjar cykel Oxfords. To our knowledge,Aventura Dharma damtröja med kort ärm.Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose-up.Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda, hence,James & Nicholson trendig vadderad väst med huva.JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode .