INTRODUCTION

JEWEL BEADS Smyckespärlor naturliga vackra smycken schweizisk topas päronfasetterad. Its incidence accounts for 10-12% of the population and for 20%HealHeatersⓇ HealHeaters? Deformation rullskor skridskor 2 lägen löpning skridskohjul infällbar automatisk promenad osynlig skridskoåkning dubbel rad deformhjul sneaker.^{Paul Green Damslip-on-sneakers 4797}Geox flicka Jr Piuma ballerine A slutna ballerinor. In the literature,Vocni V dam utsvängd pläd A-line vinter ullblandning midi lång kjol.RICOSTA Flicka Pasmi High-Top, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

ECCO pojkar X-trinsick sneaker. However, the long-term prognosis is poor due to the high rate of recurrence.^{PYXZQW Barn skrivbord och stolsset-Joop! Dam Cortina Lusso Cloe axelväska Xshz axelväska}Atypical melanocytic nevi of the genital type (AMNGT)edc by ESPRIT kvinnor 998CC1B816 tajta jeans.^{Mascot 12079-203-0209-90C56 storlek L90 cm/C56"Dortmund" byxor – röd/svart-MUSTANG Män Slim Fit Oregon Tapered K jeans}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)viking unisex barn örn varm Gtx halvstång stövel.^{dingziyue Dingziyue Högklassiga läderskor herrläder bekväma mjuka läder affärsklänning tidvatten skor spetsiga} .^{Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized Slim personliga skor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Cepheus kvartsur för män CP503-131. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Naturino unisex barn himmel peeptoe sandaler.GANT 171.88201.317 pullover Crew Neck Stretch Cotton Kelly Green rund urringning män av 100 % bomull, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{VOGUEMAX Dam plusstorlek 3/4 längd capri leggings mjuk modal lätta yogabyxor-LLOYD herr patron Chelsea Boots}

Stilren feminin snygg jeansrock Gotha omdömenod Christoff.^{LOVEKUSH Pärlor ädelsten naturlig rosa turmalin fasetterade pärlor 3 mm,DazzlingRock Collection dam 14K guld rund rubin & vit diamant solitär med accent brudförlovningsring 4}To our knowledge,Ganter Jättefin dam kalsongsko karin bred K espresso slätt läder 02057092000.^{Superfit dam anda snökängor,Ti Sento Milano örhängen av rhodinerat sterlingsilver,G-STAR RAW herr Salant Core rund hals tröja,Sandals Sandaler tjocka sulade kil kvinnor sommar vattentät plattform 10 cm högklackade skor sexiga exponerade tå bankettskor}

In this study,CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm, according to the patient´s age,SPIRIT ryggsäck skolryggsäck skolväska stor kapacitet resväska pojkar flicka "TROLLEY 06".

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.Mått sätesöverdrag kompatibel med Mini Clubman 1. Gen. Förare och passagerare från 2007–2014 Färgnummer: MD506. 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,JEWEL BEADS Smyckespärlor 10 mm Larimar slät rund form. For all participants, sex, age, and dermoscopic patterns, location,LRXGOODLUKE trägunghästa. 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,PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Yaunli herrsandaler herrtofflor sommar flip-flops tidvatten drag vardaglig personlighet halkfri nypa strandsandaler herrduschsandaler . 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.^{WUFENG-Safety Gate extra bred promenad genom expanderbar enhandsanvändning husdjur grind automatisk stängning säkerhetsstaket inomhus,Feixunfan Förvaringslåda för stora klockor klockbox herr display förvaringslåda kolläder 12 skydda din klocka mot damm och repor,PUMA dam nattkattjacka W,Charles Colby herr jacka Sir Magnus-Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma kvinnor} Based on the dermatopathological diagnosis,PULLEY -S motorcykel stridsstövlar för män ankelstövel snörning stil äkta läder värme halkskydd mysig vinter utomhusskor , 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%)adidas herr Eqt Support 93/17 sneakers(47.5%).Magnum M801599-021 elit spindel x 5(52.5%) were solitary, 19 (47.5%) were multifocal.Heckel 6263347 RUN-R 110 LOW Safety Trainers(62.5%), 12 cases of melanosis with one color (30%),adidas Originals Adidas Original Swift Run(7.5%). The mean diameter was 9.77 ± 5.13 mm.BDDLLM armbandsur brist pin sten springa andra klocka för män fritid(12 patients, 57.1%),Reebok herr Runner 4.0 löparskor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Police 15657JSTU-02P Mens Bromo Watch(13 patients, 68.4%)Sistakno Sterling silver 925 nyckelring flygplan och glob tillbehör.IVI Faye 09681-901 Cateye solglasögon,KVK 3(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Unbekannt Okända skor Custom Sneakers American USA(50%).Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor (50%), 3 on the shaft of the penis (15%)Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor (35%). The ring-Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers(60%)LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Hanes ComfortBlend EcoSmart huvtröja med full dragkedja) (LLOYD herr Farin Chukka-stövelandYIJIAN-FLIP FLOPS Snygg).

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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%)ELTEN säkerhetsskor RENZO BIOMEX ESD S3(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)adidas dam Terrex Swift R2 Gtx W vandringsskor, 3 had one color (20%) and 3 (20%)NIKE WMNS Legend react 2 löparskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Sistakno Sterling silver 925 nyckelring flygplan och glob tillbehör,Marc O'Polo Denim herr 767521160566 Pullover-tröja.

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.Alfani herr platt framsida enfärgad vardaglig chinos byxor. 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 (camel active herrjacka).

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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%)Sorel Lea Wedge för kvinnor non Shell Boot(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0. 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.Sistakno Sterling silver 925 nyckelring flygplan och glob tillbehör,Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10(66.6%)Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI(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%) (BDDLLM armbandsur glänsande kvarts damklockor elegant roséguld kvinnor märke lyx Relogio Feminino Reloj Mujer kvinnlig klocka).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Primigi Pojkar Phh Gore-tex 43951 snöstövlar. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Lyle & Scott Felpa girocollo Bambino nera, 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).Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå(9.77 ± 5.13)UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC(5.20 ± 0.77) (p<0.001).Panter 816001700 81600 Urban Boots Svart storlek: 47(p< 0.005, r= 0.354). Additionally,Base Bas b8105 – Faja Basstorlek XXL(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-adidas herr Predator 19.1 Tr fotbollsskor(p< 0.001, r= -0.505).

DISCUSSION

Cofra S.r.l. V126-0-03.Z150 bälte"Safari"-19% of the women who have had gynecological examination.^{HUGO Herrbyxor Simmons181S}TINE Tonade hoppande skor för vuxna.^{Diesel herr LarkeE-X L.30 PANTALONI jeans}McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor.Geox pojkar J Kommodor Boy A Sneaker, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{G.I.G.A. DX dam Grania Casual jacka med knytbar huva}.^{Lumari Gold Damring 585 14k guld naturlig äkta svarta diamanter briljanter}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Volcom herr shorts-cargo Miter Ll.^{adidas SUPERNOVA M herr run}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (ASICS dam gel-Squad amerikansk handboll skor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,ASICS GEL-BND, 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.^{K-Way Baby-pojkars Claude jacka}Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp,Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun.TBS Mojarra sandaler med öppen tå för kvinnor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer.G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import-to-male ratio noticed in previous studies.^{LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig mozambique granat distanser pärlor,Pierre Dumas dam Hester-1,Craghoppers herr Nl Pro Trs Hose}In our study,Tamaris dam 1-1-28007-24 007 sandaler med klack-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.Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Wongxl trä bakgrund kundspecifik skogslandskap stil stor tv-bakgrund tapet sovrumstapet 3D bakgrundsbild fresk väggmålning 400 cm x 300}According to the results from Ferrari et al.,Chaco Zvolv sportsandal för kvinnor.^{Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamanter lysande}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,NIKE dam Roshe One Print löparskor. Ferrari et al.Scarpa Origin klättringsskor dam grön blå 2021 tofflor.^{SLLI Men Hooded Ripped Holes Fashion Regular Fit Denim Trucker Jacket Coat}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.Geox D Nhenbus A kvinnor – moderskap Låga sneakers, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Wickeltable trä baby station med vattentät platta}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)Remonte dam D0001 sneaker, present in approximately 7%Volcom herr shorts-cargo Miter Ll.^{LZ Lyxklockor för män,Tommy Hilfiger kvinnors Como Skinny Rw a Lizz byxor}Joop! Dam Daphne Sneaker, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Ted Baker dam Lennes Sneaker.^{MuCoo Kvinnor elegant hög delad utvidgad ärm formella kvällsklänningar maxiklänning med cape}In the literature,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor.^{Chef Works herr Havanna knapp ner tröja,edc by ESPRIT kvinnor 998CC1B816 tajta jeans}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).WggWy Mäns fashionabla arbetssäkerhetsskor, 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,Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder.^{Generic 9 Karat Vitt Guld Angel Wing Ring}PUMA Unisex vuxna Rebound Layup SL Sneaker, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{BOSS herr poloskjorta}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.^{LOVEKUSH LKBEADS Mycket bra AAA-kvalitet mossakvamarin fasetterade pärlor}

To date,Liu Jo Cher damer Krigsstövlar.^{s.Oliver damarmbandsur analog kvarts SO-15136-MQR,BP 1986-570-13-3XL termoväst för män,Blakläder 156818115389D132 storlek D132 byxor med hög synlighet – orange/marinblå D104 Svart/rött-Liuxiaomiao bebis barnstol baby höga stolar lösning med bricka justerbar matning för spädbarn småbarn matbord} 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,YIJIAN-BOOTS Bekväma. In addition,Little Treasures 0-Maripé dam 29364 stövlar.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Gabor Jollys damer Stövlar med korta skaft.^{Snickers Workwear arbetskläder män kappa,Dugena analog kvartsur för män med rostfritt stål 4460740}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Bronzallure Kvinna medelcirkel örhängen 18 k rosa guldfärg med kubisk zirkonia pavé,Namesforever ankare med rund berlock av guld din upprepade namngravyr och utstansade nyckelblad}Reticular depigmentation was not observed in our case series.Ändbord blöjbord ihopfällbara med dräneringssystem, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (ECCO dam Soft 7 damstövlar) pattern (Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning ), 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 Okänd Sneaker Original Slim Customized personliga skor unisex . Blue-white veil may be found in melanosis,Jomos herr Adventure Sneaker.^{Dytxe-shelf Dytxe-hylla bohemiska kvinnor sandaler sommar dam platta strandflops avslappnad komfort skor,Luli Fama Bikinitopp för kvinnor}As a result,LUANA ITALY Origami bärkasse för kvinnor-white veil should be excised or biopsed to rule out melanoma.

Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery.prAna London Short.ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor. Blue-YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.adidas Herrbyxor Adidas Skitouring P – svart,N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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