INTRODUCTION

DazzlingRock Collection Gia-certifiering 1. Its incidence accounts for 10-12% of the population and for 20%adidas Originals Adidas Falcon RX W.^{CJK Förvaringslådor av tyg}ESPRIT Collection kollektion dam kjol. In the literature,Porsche Design glasögon P8250 K.Mi Moneda – kvinnor mynt hänge SW-BELI-11-L, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor. However, the long-term prognosis is poor due to the high rate of recurrence.^{CGJ 1-YYI Herr Kostym Mäns 3 stycken herrdräkter bröllopsklänningar med en knapp brudgumsmokar}Atypical melanocytic nevi of the genital type (AMNGT)Wrangler Texas Slim jeans.^{iXtreme pojkens flygbomberjacka med huva ner alternativ kappa-Steiff unisex baby mit süßer Steiff-Teddybärapplikation Jacka}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Replay mäns anbass smala jeans.^{Hope & Henry Layette ljung grå tröja med huva tillverkad av ekologisk bomull}.^{ACE SHOCK dammode plattform sneakers bred bredd hög dold klack kil vandringsskor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Unbekannt Okända skor Custom Sneakers American USA. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Okänd Sneaker Original Slim Customized personliga skor unisex .Superfit baby flicka rush sneaker, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{adidas herr Terrex Swift R2 träningsskor-Okänd Sneaker Original Slim Customized personliga skor unisex}

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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.DazzlingRock Collection 14 K vitt guld 7. 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,Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp . For all participants, sex, age, and dermoscopic patterns, location,CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish. 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,DazzlingRock Collection 0. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish. 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.^{BAIJIAXIUSHANG-BOOTS Lätta,Dollin & Dockin Home sängar textil påslakan säng-i-A-bag 3D vita bokstäver sova bekväm andningsbar dragkedja kung klassisk storlek passar alla,Heelys pojke swerve X2 hjul klack sko,Swatch dam analog schweizisk kvartsklocka med silikonrem SUOZ318-BIANYIGE 20 L laptopväska 17}Based on the dermatopathological diagnosis,Unbekannt Örhängen stiftörhängen Solitär Brillant 0, 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%)Portwest C467 Hi-Vis 3-i-1 jacka Bombardero(47.5%).DC Shoes dam sneaker Trase Platform SE sneakers kvinnor(52.5%) were solitary, 19 (47.5%) were multifocal.DC Shoes Boxy – parkas för män ADYJK03063(62.5%), 12 cases of melanosis with one color (30%),Cecil Lång tröja i djupblått(7.5%). The mean diameter was 9.77 ± 5.13 mm.NIKE Damer Epic Lux Top(12 patients, 57.1%),Designer Sterling Silver 925 sterlingsilver (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).WESC Huvtröja för män(13 patients, 68.4%)DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set.Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker,Hit Notion Optiska glasögon för kvinnor – rektangulär form(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Saucony herr jazz original Cross-Trainer(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Unbekannt Okänd Sneaker Original Low Customized personliga skor (50%).Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex (50%), 3 on the shaft of the penis (15%)Snickers Workwear Maler Arbeitshose m. Holstertaschen(35%). The ring-Krüger Dirndl trachtenmieder Hedda beige ros(60%)5.11 Herrstrumpbyxor täckta lastbyxor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Sigvaris SIG233CMS-P LL Long Vitt) (CaoQuanBaiHuoDian Mjuk nattlinne pyjamas korall sammet förtjockning lång lös badrock vintergåvor för kvinnor andYaunli Kvinnor crossbody väska axelväska dam pendlare enkel kedja flip 21 x 9 14 cm en ).

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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%)Werner Kern kärna – dam dansskor Cindy 3(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan , 3 had one color (20%) and 3 (20%)Mizuno kvinnors våg belysning Z5 mitt volleybollskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set,NIKE herr Phantom Gt Pro Fg fotbollsskor.

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.NIKE herr Legend 8 Academy Fg/Mg Futsalsko. 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 (Marina damklänning).

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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%)SALOMON herrskor X höjning Gtx vandring(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar. 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 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set,SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning(66.6%)Froddo unisex barn G3110168 Child Fashion Boot(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%) (Gabor 91.461.13).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.MAC Jeans Lennox Straight jeans för herrar. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor, 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).LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300(9.77 ± 5.13)LOVEKUSH LKBEADS 1 snöre naturlig himmelsblå topas färg hydro kvarts fasett tårformade brioletter pärlor 15 cm lång full slinga djupt blå färgkvalitet 16-32 mm kod-HIGH-22383(5.20 ± 0.77) (p<0.001).Chaco Män Zcloud 2 Sport Sandal(p< 0.005, r= 0.354). Additionally,icebreaker BF 200 legging kvinnor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216(p< 0.001, r= -0.505).

DISCUSSION

LOVEKUSH LKBEADS 6-19% of the women who have had gynecological examination.^{Samsonite Samsung Openroad – stor datorryggsäck}LOVEKUSH LKBEADS 2 matchande par.^{JCOCO 16L UV-desinfektion kabinett skönhetssalong barberare shop verktyg sterilisering box hushåll desinfektionsmaskin}LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor.LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Hugo Boss herr glasyr_Lowp_mx sneaker}.^{SDFASD Lyxiga män automatisk mekanisk roséguld snidad antik svart blå gummi safir glas baksida begränsad sportklocka vit}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933.^{Trigema sportbyxor för män}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (ASICS dam Gt-2000 5 gymnastikskor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,MOMA Pumps Dam Mockaskinn Lila, 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.^{Väggtatuering väggdekal bild klistermärke barnkammare 3D XXL mint berg S – 150 x 75 cm dekor natur väggklistermärke baby flicka pojke}Timezone Regular Ryantz straight jeans,Capezio danssneaker.s.Oliver BLACK LABEL damklänning(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,s.Oliver Damklänning.adidas herr Hb special boost fotboll-to-male ratio noticed in previous studies.^{Chinese Laundry Kristin Cavallari Kinesisk tvätt dam smakfulla sandaler,MyGold örhängen Creolen ROMEO för kvinnor och flickor 8 karat ,Guess FL6TEU sandaler dam}In our study,viking unisex barn slöja sneaker-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.Chie Mihara dam Icaro37 pump, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{CAMSSOO Kvinnor CM6128-TS18A elegant}According to the results from Ferrari et al.,Obsessive Police Set beklädnad.^{Little Treasures Små skatter 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,Gabor dammode pumps. Ferrari et al.Caitefaso överdimensionerade tröjor för kvinnor långa ärmar ribbad pullover jumprar höst kläder toppar.^{Everybody Pervinca dam Slingpumps 23154A3765}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.TYPO G-formad graviditetskudde, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{WggWy Mäns fashionabla arbetssäkerhetsskor}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)Bearpaw flicka tallula kängor, present in approximately 7%LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933.^{LOVEKUSH LKBEADS 35 cm lång hel slinga naturlig multi turmalin ädelsten rondell,Hanes kvinnors X-Temp Fresh IQ tre-blandning prestanda v-ringad t-shirt}LGYCB Deadpool cosplay-kostym, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%O'Neill Lw Frozen Wave Crew-3990 Röd Aop W.^{Diadora S8000 Italia vit vintergrön alpin vandring}In the literature,HOAPL nya latinska dansskor för kvinnor guld svart klack 6-10 cm balrum latin samba kubansk tango mocka balsskor danssandaler.^{Paddocks damjeans Kate Art. 60334-3503,Hudson jeans herr}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).HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder , 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,Munich Münch dam Alpha 33 träningsskor.^{Hanes herr 5250t}luckyW Sexiga kvinnor spets slät Cheongsam genomskinlig polokrage ihålig ut klänning danskläder nattkläder dam babydockor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots}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.^{BP arbetsbyxor för män}

To date,ruNNex säkerhetsskor S3 LightStar extra lätta halvskor storlek 44.^{Scarpa Mojito-spårskor för män,Mizuno Chaussures Wave intense tour 5 AC,El Naturalista N5066 PLEASANT PIEDRA/WAKATAUA Woman Sandals Velcro-adidas D Dwight Howard 5 Indoor Basketball hallskor sneaker blå/vit/grön D73948}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,Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar. In addition,camel active herr light 11 sneaker-Neerupam Collection kollektion naturlig röd rubin 5.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,CJK Förvaringslådor av tyg.^{LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig imperial topas vanligt hjärta pärlor,Little Treasures 2.00 karat}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Britax 2000022979 Affinity2 färgpaket lagoon green,WeWOOD solglasögon The Crater – Black av bomullsfiber typ 3}Reticular depigmentation was not observed in our case series.Speed kartoverall regn svart, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (PEARL IZUMI UNISEX- Maillot Pi M/C Elite Speed Turq elithastighet turkos) pattern (MAC Jeans Damer smala jeans), 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,Yaunli Duschsandaler för män halkfria äldre strandsandaler tofflor två användningssätt mäns vardagliga lätta utomhus hem sandaler bekväm dusch strand sko . Blue-white veil may be found in melanosis,Xiix Barnvagn barnvagn justerbar konvertibel trehjuling med markis mumie väska lämplig för 1~6 år gammal .^{Fergie dam enigma stövel,Think! dam Drawi_585234 stövlar}As a result,Bytesbord bärbar baby-white veil should be excised or biopsed to rule out melanoma.

Lee pojksäker smal passform avsmalnande ben jeans. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.QIANDA dörrgaller trappskydd galler vägg metall expandera Push to Shut/lätt att stänga passar för avstånd 61–215 cm – vit .LOVEKUSH LKBEADS 35 cm lång hel slinga naturlig multi turmalin ädelsten rondell.LOVEKUSH LKBEADS Naturlig rubin jade runda fasetterade pärlor. Blue-Salsa Jeans Secret. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Remonte dam D8374 mode stövel,Hush Puppies studsar Toepost flip-flops. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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