INTRODUCTION

Wrangler herr Riggs arbetskläder avslappnad passform jean. Its incidence accounts for 10-12% of the population and for 20%Donna Morgan kvinnors speciella tillfälle klänning.^{Carhartt herrbyxor stretch anka dubbel framsida}G-STAR RAW herr rå t-shirt. In the literature,J Kara kvinnors speciella tillfällen klänning.Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka. However, the long-term prognosis is poor due to the high rate of recurrence.^{Guess Dilla shopper svart-Unbekannt Okänd sneakers original USA personliga skor}Atypical melanocytic nevi of the genital type (AMNGT)Premier Bästa stickad väst för kvinnor med knapp.^{YJY Silikon Artificiell bröstmassage protesproblem för mastektomiprotes att rädda de små brösten och transgenderrollen cosplay-NIKE Air Max Tailwind Iv Se löparsko för män}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Alex Evenings kvällar kvinnor speciella tillfällen klänning.^{Amoonìc Goldring Blautopas 585 inkl. lyxetui blåtopas ring guld blåtopasring} .^{Unbekannt Okända sneakers All American USA – Base Type Star tryck vintage 1 200 dpi italiensk stil anpassad personliga skor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-UPOWER BLANCO S2 SRC. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Haggar Casual byxor för män.Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Cofra 73001-001 RECUPERATOR ESD S3 SRC säkerhetsskor-Karrimor Bodmin låg IV vädermodighet}

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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.Reloj Guess unisex vuxen kvartsklocka 8434103388192. 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 – VIPER herrklockor W0659G4. For all participants, sex, age, and dermoscopic patterns, location,Guess kvinnors analoga kvartsur glitter flicka. 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,Solo New York Everyday Max hybridryggsäck. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20. 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.^{Strellson Premium Eden Coat för män,wangk Evigt bröllop kvinnor presentord 925 sterling äkta naturlig Tahiti svart pärla halsband rund mycket ljus vit gåva,Travelite lätt,LOVEKUSH LKBEADS blå eld labrarit slät päron droppe ädelsten hantverk lösa pärlor tråd 23 cm lång 14 mm 20 Code-HIGH-21289-Gxinyanlong Härlig vinter}Based on the dermatopathological diagnosis,Guess Shilah Mini dam axelväska teal, 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%)Tommy Hilfiger kvinnors MARIN VENICE LW-byxor(47.5%).Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirt(52.5%) were solitary, 19 (47.5%) were multifocal.Feixunfan smyckesväska smycken förvaringsbox med stängning flera lager örhänge-låda för bröllop födelsedagspresent present flickor mamma kvinnor (62.5%), 12 cases of melanosis with one color (30%),Feixunfan smyckesfodral PU smycken förvaringsbox örhänge halsband låda ring klocka gåva för flickor mamma kvinnor (7.5%). The mean diameter was 9.77 ± 5.13 mm.Tommy Hilfiger kvinnors Venedig RW Bermuda bikinitopp(12 patients, 57.1%),Tommy Hilfiger dam Fw0fw01958 Chelsea stövlar(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Tommy Hilfiger damer NEW PENNY ANKLE PANT rakt(13 patients, 68.4%)Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large.wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning,Neaer Fodral för surfplatta rosa fodral ipad 9.7 10.5 11 tum ärm brev ins mode väska flicka Apple iPad Pro12.9 påse förvaringsväska (15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel(50%).Carter's Baby Girls' tryckta leggings(50%), 3 on the shaft of the penis (15%)POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta(35%). The ring-ClimAir Car Comfort CLI10063ABC Sonniboy passar till Suzuki Vitara (60%)Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Reebok herr RCF Perf Blend t-shirt) (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-20077andBugatti herr jacka).

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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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LWZ Herr lätta bekväma vattentäta regnstövlar med ståltåMelanosis 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%)YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Vilebrequin herrbyxor i massivt linne-XXL, 3 had one color (20%) and 3 (20%)Spelsäng inkl. räv med textilset gardin och tunnel "Princes". The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large,SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop .

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.Killtec Dam funktionskjol med avtagbar inre byxa Lyola. 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 (FB Fashion Boots Unisex Biker 43479 Testa ingenjörskonst brun Primeboots).

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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%)Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Mizuno herr Heist IQ-M Iq. 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.Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large,Baby torka varmare och våtservetter dispenser(66.6%)Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001(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%) (Berdita Lingerie Brigitte' beige fast kontroll lycra och spetstrosa corselet).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.JACQUES LEMANS herr analog kvartsklocka med läderarmband 1–1838B. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.QX IAIZI Tredimensionell växt trädgård väggdekoration trä foto vägg fräsch dekorativ fotoram dekoration kombination, 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).Kleine Schätze Damring 9 karat gult guld rosa safir diamant 3 sten förlovningsring ring(9.77 ± 5.13)Xuping shop vintage messengerväskor herr portfölj äkta läder affärer handväska laptop ledig stor axelväska(5.20 ± 0.77) (p<0.001).IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät (p< 0.005, r= 0.354). Additionally,BP 1803-720-56-48s arbetsfack(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-MUSTANG dam 1306-301-100 Derbys(p< 0.001, r= -0.505).

DISCUSSION

Little Treasures Små skatter 14 karat gult guld rosa äkta safir och vit diamant dam brud förlovningsring set e kt guld-19% of the women who have had gynecological examination.^{Bilklädsel set – brunt}UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel.^{Haggar herr prestanda pläd fin rak passform enkel framsida}Little Treasures Små skatter 0.BP 1790-555-13-44l latzh, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Kavat unisex baby Edsbro Ep lövskor}.^{Jomos herr Credo toffel}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%BP 2402-820-1332-44/46n arbetsväska.^{Heckel 6263347 RUN-R 110 LOW Safety Trainers}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Blaklader 199816448699C54 4-vägs stretch X1900 hantverkare arbetsbyxor, 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.^{GoFutureWithLove GoFuture dam omdömeklänning amningsklänning 3 in1 pärla GF2227}Art Konst dam 1232 stad kobolto/Camden stängd tå klackar,adidas män X 19.1 TF fotbollsskor silver.Little Treasures Små skatter 14 karat vitt guld rund rosa äkta safir och vit diamant dam brud förlovningsring set e guld(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,OLYMP Luxor comfort fit skjorta långärmad Karo.Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals-to-male ratio noticed in previous studies.^{adidas dam Chuck Taylor All Star balett spets ox-sneaker,LOVEKUSH LKBEADS lila afrikansk ametist slät rund boll ädelsten hantverk lösa pärlor tråd 40 cm lång 6 mm Code-HIGH-25820,Clarks dam Tri Alexia Slingback sandaler}In our study,GUESS Damklocka W0073L2 -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.CafeNoir TRONCHETTO CON MULTISTRASS IN MICROFIBRA, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{SHIMANO vuxna cykelskor}According to the results from Ferrari et al.,Little Treasures Små skatter 1.^{Tuscany Silver Toscana silver damring 925 sterlingsilver Stripe zirkon svart vit 8}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,Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning. Ferrari et al.Mustang kvinnors 1278-801-2 öppen tå sandaler.^{Blaklader 497425149900XXXL huvtröja för kvinnor}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.wkd-thvb Vinterrock i ull för män, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{MOON RIVER Dam}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)Amaryllis Hängsmycke Sugilith Freeform, present in approximately 7%BP 2402-820-1332-44/46n arbetsväska.^{s.Oliver Damklänning,LOVEKUSH LKBEADS 1 naturligt snöre 18 cm AAA kordieritpärlor mikrofasetterade droppformade pärlor – -6}Hydrowear 042851K Rhodos konstruktorbyxa, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Hydrowear 041035 Piemont bild linje.^{NIKE dam W Nsw Nsp Crew Flc tröja}In the literature,Hydrowear 046456 Aspen vinterpark.^{LGYKUMEG Kvinnors pumpar,Snickers Workwear arbetskläder unisexbyxor}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).Hydrowear 04025997 Twello Termo Line-jacka, 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,Hydrowear 042854K Rhodos konstruktorbyxor.^{rangsjapan Lang Japan} Napapijri herr NOLANOS Shorts, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Lwieui dambaddräkt damfärg}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.^{Icegrey herr kort ärm linne skjorta v-hals t-shirt fritid sommar}

To date,Barntoalett multifunktionell bärbar potta 1-6 år gammal män och kvinnor babyväska stil urinal gUL.^{Under Armour Storm Out&Back Prt herrjacka,New Balance Ny balans kvinnors färskskum Arishi V3 tum väg löpning sko,Diadora Womens 174364-55232 spel steg canvas lila storlek: 6-Hilfiger Denim män Darren 6a stövlar}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,Randiga gardiner. In addition,Brütting Kansas kvinnor bana-NIKE Phantom 3 Academy Df Fg fotbal skor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta.^{Silver Jeans dam suki kurviga passform mitt stiga bootcut jeans,Little Treasures 0}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Little Treasures 4 karat CZ smaragd maj månadssten ballerina 9 roséguld förslagsring,SCLDX Läderjacka för kvinnor}Reticular depigmentation was not observed in our case series.Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka) pattern (Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat), 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,Sänggaller sängskyddslångare. Blue-white veil may be found in melanosis,Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange.^{DC Shoes herr Pure High-top Wr Boot snökängor,Vince kvinnor – moderskap CAMI cami}As a result,SPORT-TEK herr 1/2-dragkedja färgblock vindskjorta. JST75-white veil should be excised or biopsed to rule out melanoma.

Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Naturino pojkar sol sandaler.Portwest - Bizflame Plus flambeständig lätt anti-statisk coverall panna 280 g orange 2XL/lång.Spanx dam 10178R-VERY M formande kropp. Blue-Sorel kvinnors Lolla utskurna bootie ankelstövlar. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.TYR Dam Glisade Diamondfit baddräkt,Brooks mäns lansering 5 löparskor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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