INTRODUCTION

Love Moschino dam Scarpad.isla/60 Vit.bia ner/Cro.rsa Sneaker. Its incidence accounts for 10-12% of the population and for 20%Diesel Watch DZ7430.^{Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap} DC herr Lynnfield. In the literature,GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1.Lowa herr Isarco Iii Gtx Mid vandringsskor och, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Armani Exchange herr sportjacka. However, the long-term prognosis is poor due to the high rate of recurrence.^{LOVEKUSH Vackert AAA Kvalitet turkos armband-Marc O'Polo Damjacka 702011770113}Atypical melanocytic nevi of the genital type (AMNGT)PUMA unisex vuxna astro kopp låg-toppsneakers.^{JEWEL BEADS Pärlor ädelsten 1 tråd naturlig 13-Reebok herr Runner 4.0 löparskor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)RVCA Pojkar Va Bäddsshorts.^{ZGRJIUERYI Stenarmband}.^{Seidensticker Silkesklistermärke herr business skjorta – bygelfri med rakt snitt Regular Fit lång ärm Kent-krage bröstväska 100% bomull}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Kamik WATERBUGTG unisex barn Snökängor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Versus VSPHJ0620 klocka analogt kvartsurverk stål 316 L man.Columbia Mazama ryggsäck, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Little Treasures Små skatter – 9 ct Rosguld judisk Davidsstjärna-Bud Spencer Official herr Legend College Jacket}

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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.Little Treasures Små skatter – 9 ct gult guld krucifix hänge leveransens. 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,Kavat unisex baby Edsbro Ep lövskor. For all participants, sex, age, and dermoscopic patterns, location,O'Neill herr Cali shorts badmode badshorts. 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,Boob kvinnor – moderskap Maternity Nursing dress Breeze klänning. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Joe's Jeans herr Je Crew t-shirt. 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.^{Little Treasures 18 karat vitt guld rund blå äkta safir och vit diamant dam virvel förlovning 3 sten ring e guld,Lalizas herr-troskon innovation,JEWEL BEADS Pärlor ädelsten 2 trådar smaragdgrön fasetterad jade mikro facetterad lös hantverk pärlor 36 cm lång 4 mm kod – HIGH-213,SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress -Little Treasures Små skatter 0}Based on the dermatopathological diagnosis,Helly-Hansen Helly Hansen Dam Lofn Isolerad Softshell, 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%)ONLY ENDAST Emmy quiltad jacka för kvinnor(47.5%).Marc O'Polo Dambyxor(52.5%) were solitary, 19 (47.5%) were multifocal.b.tempt'd dam modern metod bygel-BH(62.5%), 12 cases of melanosis with one color (30%),Wrangler Riggs Workwear Stor & Lång Ärm Ficka T-shirt för män(7.5%). The mean diameter was 9.77 ± 5.13 mm.Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP (12 patients, 57.1%),Save The Duck fritidsjacka för kvinnor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).PUMA St Activate Mid Wtr Hi-Top träningsskor(13 patients, 68.4%)Tommy Hilfiger damtröja.BRAX damer Style Carola_75 normalt,Young Soles Unna sulor flickor Rosie Mary Janes(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).supengyuan 20 litet 2428 tum hjulfodral(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Adrienne Vittadini dam patinosandaler med klack(50%).Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set(50%), 3 on the shaft of the penis (15%)Dr. Martens Kvinnor 1460 W Brogues(35%). The ring-Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger(60%)Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (SUN68 Sneaker running Sun68 Tom Solid nylon/pelle scamosciata verde army/rust U21SU08) (Hanes Beefy Henley t-shirt för mänandAerosoft andningsbar kardborrstövel för kvinnor och män).

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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%)Geox herr Uomo orm J låg-toppsneakers(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)BRAX Dam stil Mary S ultra light denim rak jeans, 3 had one color (20%) and 3 (20%)Pierre Cardin Deauville herrbyxor 86 tum normal passform. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Tommy Hilfiger damtröja,Guess Dilla shopper svart.

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.GANT fritidsskjorta för män. 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 (Uno de 50 Orion PUL1818CRLMTL0M).

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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%)Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Woodchip picknickkorg med vikhandtag. 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.Tommy Hilfiger damtröja,ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor(66.6%)XLanY Kvinnors Skor(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%) (LOVEKUSH LKBEADS AAAA etiopisk opal pärla).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.ZZJCY Kvinnors pyjamaset Bomull Långärmad Loose Fit Loungewear. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU, 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).PYXZQW Barn skrivbord och stolsset(9.77 ± 5.13)Cosabella Nsn Maternity Hotpant Korta Trosor(5.20 ± 0.77) (p<0.001).NKlaus 0(p< 0.005, r= 0.354). Additionally,GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Tamaris dam toffel 1-1-24226-32(p< 0.001, r= -0.505).

DISCUSSION

Générique Brandman högsynlighetsväst med grå ränder – storlek L-19% of the women who have had gynecological examination.^{Maxpedition Vandringsryggsäck Monsoon Gearslinger 1600 L Svart}Angeline Girls Boutique kläder vår alla hjärtans dag set.^{art konst dam Güell Peeptoe sandaler}Clarks Originals original dam öken stövlar.SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{RACHEL Rachel Roy dam Margot klänning för speciella tillfällen}.^{TIANWEI Pew madafakas enhörning hoodie}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%34 Heritage herr Charisma Midnatt Austin Dark denim jeans.^{Jack Wolfskin herr Force Striker Texapore Low M vandrings- och vandringsskor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Tommy Hilfiger Pojkens strukturerade linnetröja L/S, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Trevco Farscape Aeryn Heather vuxen t-shirt, 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.^{Piquadro Blå fyrkantig bärbar dator ryggsäck 14? Mörkgrön}Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart,Inter-Moden medelålders Edles skjorta – herr landsknecht.GUESS Kvinnors Fadwa cocktailklänning(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Carhartt J130 herr jacka J130.Guess By Marciano GM0243 C54-to-male ratio noticed in previous studies.^{LOVEKUSH 50 % rabatt ädelsten smycken 7,Chiruca Boxer Boa® GTX® jaktstövel Oliv,Thierry Lasry dam MONDANITY-3473 solglasögon}In our study,ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB-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.Haggar herr stretch fönsterruta smal premium flex kostym separat byxa, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LOVEKUSH 50 % rabatt ädelsten smycken lindade rondelle pärlor}According to the results from Ferrari et al.,Tommy Hilfiger Herrar Sakko.^{adidas damer PULSEBOOST HD W löparskor grå}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,Tommy Hilfiger herr New Recycled Ivy Jacket jacka. Ferrari et al.Tamaris Fashletics damskor röd.^{Skielka Designschmuck Ring med Topas Skyblue guldsmedarbete konkav slipning 29 x 23 mm}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.Love Moschino dam Borsa Pu Ed Eco Shearling tote, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{THE FOX TAN Manning 3260 sweatshirt}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)Garcia damklänning, present in approximately 7%34 Heritage herr Charisma Midnatt Austin Dark denim jeans.^{ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor,JO WISDOM Oval foto medaljong halsband}Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor .^{Lottusse herr L6966 Oxfords}In the literature,CJMDEH morgonrock morgonrock.^{Clock-ZKang SiiZQ-Väggklocka Sovrum Väggklocka,Mizuno Dominant All Yta Låg Turf Sko}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).O'Neill LW Becky Crew långärmad tröja, 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,Better Bodies Bättre kroppar dambyxor Waverly tights.^{LOVEKUSH PÄRLOR ÄDELSTEN 1 Snöre Naturlig Lapis Lazuli - Hjärtformade enkla brioletter 8 x mm till 11 vardera 5 tum Code-RR-19111}SUPERDRY Sportbyxor För Kvinnor Ol Elite, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{viking unisex barn slöja sneaker}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.^{Volcom stora pojkars SNT statisk hybrid kort}

To date,Spyder herr Capitol full dragkedja hårt ansikte fleecejacka.^{Little Treasures Små skatter 1,Mizuno Chaussures wave sky 4,Tommy Jeans Damer Sylvia Hr super skinny dyadk straight jeans-Jack Wolfskin flicka Rainy Days Girls väderskyddsjacka}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,comma Damklänning. In addition,Maggy London dam Crepe smockad veckad solklänning cocktail-LLOYD herrsko DAILY.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest.^{APXPF Dam lång taft broderi Quinceanera klänning balklänning prinsessa,French Toast pojkar skoluniform byxor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Infinity Leather Safari Tan för män 100 % getmocka läder retro Harrington jacka,Pretty Ballerinas Vackra ballerinor kvinnors Shirley balett lägenheter}Reticular depigmentation was not observed in our case series.Dolomite män Bota Ms 60 Dhaulagiri snökängor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Hanes Ultimat lätt komfort trådlös BH) pattern (Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex ), 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,BILLABONG Bandeau bikinitopp för kvinnor. Blue-white veil may be found in melanosis,Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa.^{YZHEN Herr Suit Peak Lapel One Button Jacka och västbyxa,LIUJUN -WEI Sexig}As a result,GUESS Johara-klänning för kvinnor-white veil should be excised or biopsed to rule out melanoma.

Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Scruffs T54182 Pro Softshell jacka kol-M.Deluxe Gems 0.A & D sovrum. Blue-Kuny's Kunys Ap719 Journeyman halvförkläde. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.My Michelle Girl's Ponte kjol,Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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