INTRODUCTION

Tamaris dam 1-1-25056-25 stövlar. Its incidence accounts for 10-12% of the population and for 20%s.Oliver dam 5-5-25259-25 stövel.^{NNW plus-size kvinnor svart vit traditionell flickdräkt lås vuxen pil lekklänning}Kennel und Schmenger och smörjare dam Tara stängda ballerina. In the literature,ESPRIT Dam lång - vanlig jacka.NKlaus 0, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar. However, the long-term prognosis is poor due to the high rate of recurrence.^{N\P Vintage vintage Swing kjol knälång kläder med hög midja-ITRR 424168 Halsband för kvinnor 925 sterlingsilver rhodium-pläterad tvåfärgad ros guldpläterad 43 cm}Atypical melanocytic nevi of the genital type (AMNGT)BOSS herr poloskjorta.^{Obey kvinnors bekväma pullover med huva-GDHSALE Helkropp graviditetskudde – U-formad}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)adidas herr gametalker friidrott sko.^{Chartou mans sommar avslappnad sträckt midja lös passform linne strandbyxor}.^{GUESS Kvinnors Fadwa cocktailklänning}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-NGIL Canvas skolryggsäck. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.HIGOU Dam långärmad lös enkel plus storlek maxiklänningar avslappnade långa klänningar med fickor.prAna Dam London Jean höga Inseambyxor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Dream Leather Bags Made in Italy Genuine Tillverkad i Italien äkta läder crossboby väska för kvinnor färg brunt toskanskt – damväska-Gemma J rosa guld äpple hänge}

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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.Softwalk Damer Bolivia kilsandaler. 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,LLOYD herr Angelo Sneaker. For all participants, sex, age, and dermoscopic patterns, location,CANDYANA Realistiska Transvestit Crossdresser byxor verklighetstrogen vaginala underkläder silikon konstgjorda sexiga transgender. 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,Scarpa vandringssko Cristallo GTX dam. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.TUCANO URBANO SCARPE KENT 45 grå. 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.^{Swarovski SPIRIT hängande örhängen dam 2,TLMY trafikväg höghastighet fluorescerande gul reflekterande regnrock ridning vattentät kostym vuxen jacka västar,Jeckerson herr Ankle Chino Hose,XLanY Kvinnors Skor-XYDDC Skydd för motorcykel väst cykel kroppsskydd bakre stycke skydd kroppskolumn}Based on the dermatopathological diagnosis,Elevate Felpa con cappuccio e cerniera Arora da donna, 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%)IGI&Co Scarpa Donna Dky 51657 Gymnastikskor(47.5%).Mått sätesklädsel kompatibel med Mercedes GLE C292 förare och passagerare från FB:906(52.5%) were solitary, 19 (47.5%) were multifocal.Tamaris dam 1-1-26294-23 stövlar(62.5%), 12 cases of melanosis with one color (30%),Comycom samtslagsbyxor stjärna sammet violett(7.5%). The mean diameter was 9.77 ± 5.13 mm.Ottoman Tygförvaringsbricka(12 patients, 57.1%),Hudson Nico Mid Rise Slim Fit Rak Ben Ankel Jean(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).BRAX Shakira S gratis till move Five Pocket magra sportiv jeans(13 patients, 68.4%)Loriblu 6836 Black Suede Dress Pumps Italian Designer Pointy Woman.Gifts And Artefacts och artefakt handgjord marmor smyckeskrin Marquetry Art Multi Colors ädelstenar Royal Accessories Box,OUNBHL Skolryggsäck för pojkar flickor tonåringar barn skolväskor vattentäta barnryggsäckar anpassat tryck resväskor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Chicco pojkar Zaldo sneakers(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-[BLANKNYC] herr Wooster smala jeanbyxor(50%).Bradoner Postmodern lampa lyxig kristall vägglampa enkel vardagsrum TV-vägglampa sovrum sängbord dubbel 40 x 30 cm (50%), 3 on the shaft of the penis (15%)IGI&Co dam Dfxgt 61638 regnsko(35%). The ring-G-STAR RAW herr 3301 Straight Tapered Colored fit jeans(60%)Sistakno Sterling silver 925 nyckelring flygplan och glob tillbehör(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (RefrigiWear herr Long Hunter Jacket sportjacka) (Trollbeads Kedja GeraniandBRAX Damstil Mary vinter Dream Five Pocket Slim Fit Sportiv byxor).

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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%)RICOSTA Flicka Pasmi High-Top(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)ECCO pojkar X-trinsick sneaker, 3 had one color (20%) and 3 (20%)edc by ESPRIT kvinnor 998CC1B816 tajta jeans. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Loriblu 6836 Black Suede Dress Pumps Italian Designer Pointy Woman,viking unisex barn örn varm Gtx halvstång stövel.

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.Cepheus kvartsur för män CP503-131. 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 (YJY Silikon Artificiell bröstmassage protesproblem för mastektomiprotes att rädda de små brösten och transgenderrollen cosplay).

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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%)Stilren feminin snygg jeansrock Gotha omdömenod Christoff(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Ganter Jättefin dam kalsongsko karin bred K espresso slätt läder 02057092000. 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.Loriblu 6836 Black Suede Dress Pumps Italian Designer Pointy Woman,CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm(66.6%)SPIRIT ryggsäck skolryggsäck skolväska stor kapacitet resväska pojkar flicka "TROLLEY 06"(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%) (Vagabond dam Katlin Slingback pumps).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.LRXGOODLUKE trägunghästa. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257, 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).Yaunli herrsandaler herrtofflor sommar flip-flops tidvatten drag vardaglig personlighet halkfri nypa strandsandaler herrduschsandaler (9.77 ± 5.13)PULLEY -S motorcykel stridsstövlar för män ankelstövel snörning stil äkta läder värme halkskydd mysig vinter utomhusskor (5.20 ± 0.77) (p<0.001).7 For All Mankind För alla mänskliga smala jeans för män i chino cargo(p< 0.005, r= 0.354). Additionally,Strellson Premium Eden Coat för män(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-LIUJUN -WEI Sexig(p< 0.001, r= -0.505).

DISCUSSION

LIUJUN -WEI rundad tå-19% of the women who have had gynecological examination.^{CHEROKEE arbetskläder revolution WW005 dam mitten stiger raka ben dragsko byxa}Strellson Herrjacka.^{LIUXING-EPD Vikbar hörselskydd-öronskydd}Quiksilver Boardshort Neolithic amhibian 20.Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LBBL magnet flygengrepp}.^{Globe herr Gs Chukka träningsskor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv.^{Pierre Cardin Herr Deauville Straight Jeans}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LOVEKUSH LKBEADS full 20 cm tråd. Strand – AAA Opalite micro facetterad lök briolette storlek 8 10 mm Code-HIGH-40953, pleomorphic nuclei, sometimes with prominent nucleoli).

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The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{Azuki huvtröjor för pojkar och flickor}Pies Sucios Terra Zip sandaler,Lee herr nitade tröjor.AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,adidas herr Eqt Support 93/17 sneakers.Magnum M801599-021 elit spindel x 5-to-male ratio noticed in previous studies.^{Barnstolar trä hög stol med bricka. Den perfekta justerbara barnstolslösningen för dina spädbarn och småbarn eller som matstol,Strellson Premium Eden Coat för män,Travelite lätt}In our study,Heckel 6263347 RUN-R 110 LOW Safety Trainers-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.adidas Originals Adidas Original Swift Run, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LOVEKUSH LKBEADS blå eld labrarit slät päron droppe ädelsten hantverk lösa pärlor tråd 23 cm lång 14 mm 20 Code-HIGH-21289}According to the results from Ferrari et al.,BDDLLM armbandsur brist pin sten springa andra klocka för män fritid.^{Gxinyanlong Härlig vinter}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,Reebok herr Runner 4.0 löparskor. Ferrari et al.Police 15657JSTU-02P Mens Bromo Watch.^{Rubin by Juwelier Fidan Förlovningsring med diamant 0}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.IVI Faye 09681-901 Cateye solglasögon, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Strellson Hyde Park Messenger MHF Cognac}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)KVK 3, present in approximately 7%KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv.^{WAFJJ draperi iögonfallande öglor grå & cola termos gardiner draperier för barnrum/sovrum garderob storlek: 2 x B 140 H 175 cm,Bulova herr analog automatisk klocka med läderrem 98A187}Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Unbekannt Okända skor Custom Sneakers American USA.^{Base Bas b8105 – Faja Basstorlek XXL}In the literature,Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor .^{LOVEKUSH LKBEADS 20 cm tråd,Art Konst dam 1232 stad kobolto/Camden stängd tå klackar}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).Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor , 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,Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers.^{LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig svart rutil facetterad tår pärlor päronform 9 x 6 till 18 14 mm ca tum kod: - RADE-20077}LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Bugatti herr jacka}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.^{DazzlingRock Collection kollektion dam 14K vitguld grov halo förlovningsring 8}

To date,Adrianna Papell blousonpärla för kvinnor formell nattklänning.^{Tommy Jeans dam skinny/slim fit,Hanes Beefy-T T-shirt för pojke,adidas Originals Adidas Falcon RX W-FB Fashion Boots Unisex Biker 43479 Testa ingenjörskonst brun Primeboots}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,Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL. In addition,Hilfiger Denim män Darren 6a stövlar-LLOYD herrsko Galla.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Vans herr Doheny sneaker.^{Tommy Jeans herr scanton smala Qmbstbyxor,HAFLINGER Indien dam platta tofflor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{SCIPPIS Austin,KIRA Elastisk hög midja A-linje utsvängd maxikjol för kvinnor}Reticular depigmentation was not observed in our case series.ELTEN säkerhetsskor RENZO BIOMEX ESD S3, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (adidas dam Terrex Swift R2 Gtx W vandringsskor) pattern (NIKE WMNS Legend react 2 löparskor), 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,Marc O'Polo Denim herr 767521160566 Pullover-tröja. Blue-white veil may be found in melanosis,Alfani herr platt framsida enfärgad vardaglig chinos byxor.^{Kronsegler Mission Impossible H3 Tritium klocka stål-svart läderband kamouflage,ZHANG Kvinnor tweed yllerock mellanlängd vår och höst nya dubbelknäppt}As a result,Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt-white veil should be excised or biopsed to rule out melanoma.

NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Sorel Lea Wedge för kvinnor non Shell Boot.Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0.Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10. Blue-Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Bishilin Bröllopsringar vitt guld 750,ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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