INTRODUCTION

TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda . Its incidence accounts for 10-12% of the population and for 20%PUMA dam nattkattjacka W.^{Viennagold Dur hänge äkta 585 guld 14 karat diameter 10 mm} Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack. In the literature,Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack.Dearfoams dam velour träsko med minnesskum toffel, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink. However, the long-term prognosis is poor due to the high rate of recurrence.^{Aventura Dharma damtröja med kort ärm-Helly Hansen Herrglas 3 l skalbyxor}Atypical melanocytic nevi of the genital type (AMNGT)adidas damer PULSEBOOST HD W löparskor grå.^{Orphelia Fashion dam analog klocka Descent med rostfritt stål-LOVEKUSH 925 steling silver ångest ädelsten 3–4 mm strackande grön tanzanisk opal armband rondell}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Sorel Emelie Foldover' stövlar för kvinnor.^{PUMA Unisex vuxna Rebound Layup SL Sneaker}.^{sarcia Grå t-shirt Harry Potter figur}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Clarks Ashridge promenad läderskor.Gabor 23.643 damtrosor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Lee Herrjeans Jeanshose Denver Bootcut denim stretch byxor bomull blå w30-w44-s.Oliver Time dam analog kvartsur med rostfritt stål armband SO-4188-MQ}

PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S.^{LOVEKUSH PÄRLOR ÄDELSTEN 3 Snöre Naturlig Färska Vatten Pärla Rondelles mm – 4 16 tum Kod-RR-14879,Shag vävd matta för barn lekrum varm mjuk lyxig plysch prydnadsmattor handgjord stickad barnkammare krypmatta bekväm} To our knowledge,Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes.^{Plaggar spjälsäng skyddsräcke baby krossbart staket stor säng 1,SWEETQT Brud bröllopsklänning balklänningar vit klänning anpassad prinsessklänning spetsklänning aftonklänning tåglängd golvlängd 50 cm,Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamant lysande,Sendra Stiefelette 1692 brun}

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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.Bisgaard flicka Frederikke Tex stövlar. 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,Lotus klassisk klocka 18573/A. For all participants, sex, age, and dermoscopic patterns, location,Craghoppers dambyxa Nl Clara. 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,Mark Todd Collection kollektion unisex dam quiltad jacka . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk. 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.^{Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning,Rajasthan Gems Thewa Work 24 karat guld ark arbete med 925 sterling silver halsband örhänge pärla,Sunbobo barnkläder långärmad pullover baby flickor flerfärgad liten stickad cardigan rund krage knapp rosett tröja väst för 12 m – 6T kläder ,Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots-CGJ 1}Based on the dermatopathological diagnosis,JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D, 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

Valentino dam 0VA4022 50018G 54 solglasögon

Dermoscopic Patterns and Clinical Characteristics of Melanosis

The mean age for melanosis was 47.07 ± 15.33 years. 21 patients (52.5%)BOSS herrtröja Wailes(47.5%).La Millou Småbarnsfilt – det är vit magi(52.5%) were solitary, 19 (47.5%) were multifocal.Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap (62.5%), 12 cases of melanosis with one color (30%),Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10(7.5%). The mean diameter was 9.77 ± 5.13 mm.Campingbjörn hushåll örngott (12 patients, 57.1%),Aerosoft andningsbar kardborrstövel för kvinnor och män(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Guess Jeans"Curve X" - W93AJ2 D3OP0-27 (13 patients, 68.4%)DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring.Falcotto lövskor med kardborrlås,FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Mascot 00773-430-888-82C58 storlek L 82 cm/C58"Orlando" servicebyxor - antracit-P Large/90cm/Size C45 Antracit(50%).Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart(50%), 3 on the shaft of the penis (15%)FHB-Zunftkleidung FHB WERNER arbetsbyxor(35%). The ring-Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart(60%)Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Timezone herr Gerrittz jeans) (WGKUMMQN dam ryggsäck dragkedja hjärtform enkel mode tygväska linger axel college vind resväskaandStorm London STORM soren klocka ).

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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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koh Flowy formell fladdermusärm kvällsklänningMelanosis 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%)HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)New Balance 500 Core träningsskor för män, 3 had one color (20%) and 3 (20%)Versus VSP561518 roséguld stål 316 L kvinna klocka. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring,Love Moschino dam Jc4019pp1a ryggsäck handväska.

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.Victorinox Spectra 2.0. 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 (Raf Simons Solglasögon sköld blå och grå linser kategori 3-8RAF4ADARKBLUE).

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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%)EVIDNT Dam tvåfärgad färgblock långärmad stickad topp tröja(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Carissima Gold guld 9 karat gult hjärta tagg Belcher armband på 18 cm/7 tum. 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.DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring,PAUL HEWITT armbandsur Sailor Line av rostfritt stål i silver med ljus eller mörk urtavla(66.6%)LAOLUCKY Annie damhuvtröja jacka hoodie pullover sweatshirt med fickor(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%) (Guess dam Karol klänning).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Freebily sexiga underkläder ihåliga öppen skrev tights stretchiga strumpbyxor långa strumpor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Cecil damer 201480 Vadderad jacka, 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).Sängtak gardin hängande kupol myggnät öppen dörr prinsessa landning insekt skydd säng tak (9.77 ± 5.13)Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992(5.20 ± 0.77) (p<0.001).Skechers mäns efterbränna minnesskum snörning sneaker(p< 0.005, r= 0.354). Additionally,Bulova herr analog kvartsklocka med rostfritt stålrem 96B258(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-ARA Richmond plattform(p< 0.001, r= -0.505).

DISCUSSION

Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor-19% of the women who have had gynecological examination.^{Remonte dam D3054 remsandaler}Muck Boots Arctic Sport Tall unisex_-_baby Gummistövlar.^{NIKE unisex barn Jr. Mercurial Vapor XII Academy träningsskor}PUMA herrtröja Ess Fz Hoody Fl.GILBIN 12 par, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{SXWBL Intelligent ryggsäck enkel trolley resväska}.^{Young Soles Unna sulor flickor Rosie Mary Janes}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%NIKE Air Zoom Pegasus 35 löparskor för män.^{Sandals Sandaler sommar komfort kil söt rosett öppen tå mode vattentät plattform spänne gräs vävning högklackad}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (adidas D Dwight Howard 5 Indoor Basketball hallskor sneaker blå/vit/grön D73948, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Swarovski Fina kreoler, 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.^{Me Too dam 4384122437721 Norina}Hanes Beefy Henley t-shirt för män,WggWy Sequin Platform Shoes.W-xiao stool Datorspelstol av PU-läder(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Sänggitter HUO Vache sidoskydd för äldre personer.WMOFC Herr vintage skotskrutig skjorta jacka-to-male ratio noticed in previous studies.^{Replay Zeumar Slim jeans,WYUKN Vandringsskor – flugvävda andningsbara säkerhetsskor,Saucony sneakers Donna Jazz S1044 Celeste Perla}In our study,LBBL insektsskyddsdörr-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.LBBL magnetisk skärmdörr, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{5.11 Män 74332 Pantalon Covert Khaki}According to the results from Ferrari et al.,Tommy extra unisex baby U Light Down Jacket jacka.^{DazzlingRock Collection 0}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,LOVEKUSH PÄRLOR ÄDELSTEN 1 Snöre Naturlig Lapis Lazuli - Hjärtformade enkla brioletter 8 x mm till 11 vardera 5 tum Code-RR-19111. Ferrari et al.MEK Girl's Superlight Reversibile C.t. kappa.^{Tuscany Silver Toscana silver dam sterlingsilver rodiumpläterad 5 mm ädelsten klo set stjärnring}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.Ali@ vit U-formad blöjkudde, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Geox baby flickor Gisli 15 Sneaker}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)Amblers Safety Höstjakter säkerhet unisex Fs46 mocka tå slip on sliten sko, present in approximately 7%NIKE Air Zoom Pegasus 35 löparskor för män.^{Art Konst dam 1600 gräs brun/polo,Seafolly kvinnors gudinna mjuk kopp halterneck-posterlot baddräkt i ett stycke}Reebok Chaussures Astroride Trail 2.0, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Merrell Banshee Trail löparskor för kvinnor.^{THE FOX TAN Rovdjur – troféer t-shirt}In the literature,Ziiiro Herrklocka ZIIIRO ref: Z0010WBK.^{Timberland herr Sneaker Low Killington Navy 9.5,LOVEKUSH Superrea 8 mm töjbart rött granat armband runt}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).TEPPICH-CY-ZK mattor mjuka att röra vid inomhus babyrum gul blå kräm färg graffiti linje design barnrum matta lätt rengöra, 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,WUFENG-Safety Gate extra bred promenad genom expanderbar enhandsanvändning husdjur grind automatisk stängning säkerhetsstaket inomhus.^{viking unisex barn Kjenning Jr. Combat Boots}ZGP Interiör matta supermjuk – hemmatta lätt att rengöra anti-blekning flerfärgad valfri filt , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Petit Bateau pojkars crewneck färgblock tröja}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.^{ZGP Interiör matta supermjuk – hemmatta lätt att rengöra anti-blekning flerfärgad valfri filt}

To date,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.^{unkonw Kinesisk stil vår och sommar lång spetsklänning,DEVIL SHACKLES Punk mode nyhet sexig läder het kjol kvinnor,N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder-Infinity herr brun fårskinn läder avtagbar huva duffelrock}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,Liiyzy Klockor läder analog kvartsur lyxigt märke mode affärsklocka män sport vattentät lysande. In addition,YYXJLG pyjamas-Carhartt herrbyxor stretch anka dubbel framsida.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Generic Diamant And July Födelsesten .^{Kleine Schätze Damring 0,bugatti herr 311609331200 klassiska stövlar kort stövel}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Hatley baby-flicka footed Coverall – rådjur och kaniner stramplare,Little Treasures 18 karat vitt guld rund rosa äkta safir & vit diamant dam 3 sten förlovning brudring e guld}Reticular depigmentation was not observed in our case series.Mascot Maskot, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (TDYSDYN Fastsättning minnesskum innersula tofflor) pattern (SWEETQT Brud bröllopsklänning riktiga bilder vit balklänning brudklänning vintage plus storlek spets prinsessa ärm klänning tåg längd 50 cm), 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,Gabor dam 51.650.20 stövel. Blue-white veil may be found in melanosis,Goldenla sängkant triangel stor rygg soffa läsning dubbel enkel bomull säng kudde tredimensionell .^{DANWJDP Läderjacka för kvinnor,Xmiral Denim kort mantel vinter höst dragkedja jeansjacka plyschärmar smal jacka avtagbar plyschkrage}As a result,ZLMI babybadmatta med babykläder-white veil should be excised or biopsed to rule out melanoma.

Bishilin runda diamantband ringar förlovning bröllop. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Silver Jeans dam suki kurviga passform mitt stiga bootcut jeans.Little Treasures Små skatter 14 karat vitt guld rund äkta rubin och vit diamant dam brud 3 sten förlovningsring e guld.GCX– babypåsar. Blue-WYSTLDR Färgglada peacock dockor plysch leksaker. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Barntrappor baby staket dörr bar husdjur fri stansning dubbel lås självstängning ,YZHEN Herr Två delar passar två knappar Notch revers Party Smoking. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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