INTRODUCTION

adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU. Its incidence accounts for 10-12% of the population and for 20%PYXZQW Barn skrivbord och stolsset.^{NKlaus 0}Cosabella Nsn Maternity Hotpant Korta Trosor. In the literature,NKlaus 0.GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Tamaris dam toffel 1-1-24226-32. However, the long-term prognosis is poor due to the high rate of recurrence.^{Christian Lacroix Sac Eternity 2 Bleu Electrique-Hmyloz rullskridsko deformeringsskor}Atypical melanocytic nevi of the genital type (AMNGT)Générique Brandman högsynlighetsväst med grå ränder – storlek L.^{Lafuma män Apennins Clim M Walking Shoe-RossoT Skyddar solglasögon för män och kvinnor i medicinskt stål}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Angeline Girls Boutique kläder vår alla hjärtans dag set.^{camel active herr snörare}.^{Unbekannt Okänd Sneakers original USA personliga skor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Clarks Originals original dam öken stövlar. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare.34 Heritage herr Charisma Midnatt Austin Dark denim jeans, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Lodi dam röd 1 stövel-Fly London herr Mezo559fly Chelsea-stövel}

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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.GUESS Kvinnors Fadwa cocktailklänning. 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,Carhartt J130 herr jacka J130. For all participants, sex, age, and dermoscopic patterns, location,Guess By Marciano GM0243 C54. 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,ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Haggar herr stretch fönsterruta smal premium flex kostym separat byxa. 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.^{Muck Boots Arctic Sport Tall unisex_-_baby Gummistövlar,ZJ Håll värmen vinter varm skjorta för män plus sammet tjock ren bomull vardaglig långärmad bekväm,alife & kickin Alife and Kickin damkappa CharlotteAK D,AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44-Dongyd Playpens extra stor bebis med matta}Based on the dermatopathological diagnosis,Tommy Hilfiger Herrar Sakko, 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%)LLOYD herrsko DAILY(47.5%).Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest(52.5%) were solitary, 19 (47.5%) were multifocal.Dolomite män Bota Ms 60 Dhaulagiri snökängor(62.5%), 12 cases of melanosis with one color (30%),Hanes Ultimat lätt komfort trådlös BH(7.5%). The mean diameter was 9.77 ± 5.13 mm.Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex (12 patients, 57.1%),BILLABONG Bandeau bikinitopp för kvinnor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa(13 patients, 68.4%)Safe net-ND linnät säkerhetsnät trappor balkong brottsäkert nät.GUESS Johara-klänning för kvinnor,Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Scruffs T54182 Pro Softshell jacka kol-M(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Deluxe Gems 0(50%).A & D sovrum(50%), 3 on the shaft of the penis (15%)Kuny's Kunys Ap719 Journeyman halvförkläde(35%). The ring-My Michelle Girl's Ponte kjol(60%)Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (NIKE RENEW RIDE 2 män) (Magisk magisk lykta Alice – vit 12 VandDljyy bomullskuddar).

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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 Mars 13 herr toffel(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Anita active aktiv kvinnors bh sportbh, 3 had one color (20%) and 3 (20%)FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Safe net-ND linnät säkerhetsnät trappor balkong brottsäkert nät,Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode .

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.Christian Lacroix Sac Cabas Jonc 2 Rouge. 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 (Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp).

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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%)Geox baby-pojkar B New Flick Boy C Sneaker(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr. 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.Safe net-ND linnät säkerhetsnät trappor balkong brottsäkert nät,LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning(66.6%)MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink(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%) (Barnvagn fotväska fin).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Tommy Hilfiger tröja för flickor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Bulova herr analog automatisk klocka med läderrem 98A187, 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).Volcom(9.77 ± 5.13)Texas Wrangler TEXAS herr jeans normal passform inkl. bälte(5.20 ± 0.77) (p<0.001).Casio herrklocka GW-8900-1JF(p< 0.005, r= 0.354). Additionally,Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-UNIONBAY Knapp ner tröja för män(p< 0.001, r= -0.505).

DISCUSSION

Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler-19% of the women who have had gynecological examination.^{Vogue dam 0Vo5152 glasögonställ}Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT.^{EA7 T-shirt för kvinnor}Armani Exchange herr bomull stretch rak jeans.MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Hydrowear 042503 Rimini Simply No Sweat Pilotjacka}.^{Mustang kvinnors 1278-801-2 öppen tå sandaler}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Schott NYC herr squad jacka.^{TheFlexx A160-08-BLACK Pan Fried Black}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Reebok Classic läder, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Guess herr Vermont jeans, 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.^{LOVEKUSH LKBEADS solsten ädelsten rondelle}LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452,RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta.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(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Aldo Coronitiflex-pump för kvinnor.Haggar herr J.m Performance slim fit klänning tröja-to-male ratio noticed in previous studies.^{LOVEKUSH LKBEADS 5 strängar tigeröga enkla ovala pärlor 9 till 14 mm 33 cm långa! Tiger ögonpärlor! pärlor! Halvdyrbara ädelstenspärlor! Kod-HIGH-60316,Little Treasures 0,SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare}In our study,Tommy Jeans Mäns slim straight live jeans-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.DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{smart watch klocka pekskärm Bluetooth fitness tracker kamera stegräknare kompatibel Ios Android män kvinnor barn puls temperatur höjd Gps}According to the results from Ferrari et al.,Spyder kvinnors uppdaterade jacka.^{Little Treasures 14 karat vitt guld rund äkta rubin och vit diamant dam bröllop Millgrain vaktring e guld}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,TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda . Ferrari et al.PUMA dam nattkattjacka W.^{asdf Burger King T-shirt}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.Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Higher-Heels PleaserUSA Olänknee-stövel Domina-3000}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)Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack, present in approximately 7%Schott NYC herr squad jacka.^{adidas herr Hb special boost fotboll,JEWEL BEADS Smyckespärlor naturliga vackra smycken schweizisk topas päronfasetterad}Dearfoams dam velour träsko med minnesskum toffel, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink.^{Bishilin Bröllopsringar vitt guld 750}In the literature,adidas damer PULSEBOOST HD W löparskor grå.^{Florsheim Jaspis Driver Jr,Ramy Brook jasmin färg block midi-klänning för kvinnor}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).Sorel Emelie Foldover' stövlar för kvinnor, 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,YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor.^{Röd rosform bröllopsrum dekoration bordslampa}Clarks Ashridge promenad läderskor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Vive Maria kvinnor Blueberry Klänning}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.^{Dansko dam Leyla stövlar}

To date,Gabor 23.643 damtrosor.^{QUNLIANYI Sommarklänningar för damer Storlek Kontor Dam Klänning med Bälte A-linje Gul Ledig Knälängd Långärmad Kvinnor Höst Pu-klänning,comma damklänning,DazzlingRock Collection kollektion för kvinnor 10K roséguld 7 mm kudde peridot & vit diamant halo hänge -Chinkyo XiQingJieBaiHuoYouXianGongSi tjock varm overall}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,PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S. In addition,Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes-Superfit dam anda snökängor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Lotus klassisk klocka 18665/1.^{adidas Astro rovdjur för män 19.3 laceless astro torv träningsskor,KS Tools 810.8040 Belysningspanel}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Diadora 702.177663 BYXA ROCK STRETCH PERFORMANCE,Xmiral Koftor dam mönster stickad långärmad kappa med huva långa stickade varor}Reticular depigmentation was not observed in our case series.Bisgaard flicka Frederikke Tex stövlar, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Lotus klassisk klocka 18573/A) pattern (Craghoppers dambyxa Nl Clara), 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,Mark Todd Collection kollektion unisex dam quiltad jacka . Blue-white veil may be found in melanosis,JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk.^{shengweiao kvinnors läder axelväska handväskor resa tygväska,adidas herr Vl Court 2.0 träningssko-skateboard-man}As a result,JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D-white veil should be excised or biopsed to rule out melanoma.

Steiff Girl's Anorakjacka. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem.HUGO herrar San Antonio 2 tröja.Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics. Blue-Tommy Jeans Hilfiger denim jeans för män rak passform. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste ,State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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