INTRODUCTION

O'Neill LW Becky Crew långärmad tröja. Its incidence accounts for 10-12% of the population and for 20%Better Bodies Bättre kroppar dambyxor Waverly tights.^{Just Cavalli dam Jc Main Coll stövlar}SUPERDRY Sportbyxor För Kvinnor Ol Elite. In the literature,Spyder herr Capitol full dragkedja hårt ansikte fleecejacka.comma Damklänning, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Maggy London dam Crepe smockad veckad solklänning cocktail. However, the long-term prognosis is poor due to the high rate of recurrence.^{NIKE Air Max Tavas för män -Under Armour dam Ua Wspeedform halsduk bleka träningsskor}Atypical melanocytic nevi of the genital type (AMNGT)LLOYD herrsko DAILY.^{Little Treasures 0-Geox herr M Winfred kappa}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest.^{Stor U-formad graviditetskudde}.^{BILLABONG ? 1/1 havsben byxa N41G03BIP9}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Dolomite män Bota Ms 60 Dhaulagiri snökängor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Hanes Ultimat lätt komfort trådlös BH.Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Swatch kvartsur unisex röd flush 34 mm-Denco NHL färgad trimning premium bärbar ryggsäck}

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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.Scruffs T54182 Pro Softshell jacka kol-M. 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,Deluxe Gems 0. For all participants, sex, age, and dermoscopic patterns, location,A & D sovrum. 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,Kuny's Kunys Ap719 Journeyman halvförkläde. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.My Michelle Girl's Ponte kjol. 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.^{Comfort Sport dam 52.894.41 mode stövel,Zaun LHY– inomhussäkerhet baby-löparstol baby-krypande småbarn plast,Salewa Dam Lagazuoi 3 Dwn W Jkt jacka,Marvel Spiderman Action barnbagage-Frank Lyman Stil 203174U svart topp}Based on the dermatopathological diagnosis,Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal, 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%)G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr(47.5%).LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning(52.5%) were solitary, 19 (47.5%) were multifocal.MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink(62.5%), 12 cases of melanosis with one color (30%),Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp(7.5%). The mean diameter was 9.77 ± 5.13 mm.Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt(12 patients, 57.1%),Tommy Hilfiger tröja för flickor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Bulova herr analog automatisk klocka med läderrem 98A187(13 patients, 68.4%)Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor .Volcom,Texas Wrangler TEXAS herr jeans normal passform inkl. bälte(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Casio herrklocka GW-8900-1JF(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte(50%).UNIONBAY Knapp ner tröja för män(50%), 3 on the shaft of the penis (15%)Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler(35%). The ring-Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT(60%)Armani Exchange herr bomull stretch rak jeans(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Carinthia HIG 4.0 jacka Black/Black 2021 funktionell) (XJJ88 12 delar Shutterstock_1218283948 1 förvaringsväska – mönster tryckt tvättbar leksak påse väskor för Thanksgiving party presentförpackningandMoncoeur Enkel och elegant ring ching av 925 silver med zirkoniumsten i marquise sliff – premium moncoeur för kvinnor Swarovski-sten som föredragande eller förlovningsring lyxfodral).

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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%)RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)JEWEL BEADS Smyckespärlor naturliga vackra smycken regnbågsfärgad uppsättning av två 12-16 mm 12 delar slät cabochon hytt oval äkta glänsande blixt halvädelstenKod: JJBB-22239, 3 had one color (20%) and 3 (20%)Aldo Coronitiflex-pump för kvinnor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor ,Haggar herr J.m Performance slim fit klänning tröja.

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.Tommy Jeans Mäns slim straight live jeans. 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 (My Michelle Girl's Ponte kjol).

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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%)TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)PUMA dam nattkattjacka W. 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.Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor ,Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack(66.6%)Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack(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%) (FHB-Zunftkleidung FHB 11011 Zunfthose Sebastian Canvas och Cordura).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.adidas damer PULSEBOOST HD W löparskor grå. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Sorel Emelie Foldover' stövlar för kvinnor, 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).YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor(9.77 ± 5.13)Clarks Ashridge promenad läderskor(5.20 ± 0.77) (p<0.001).Gabor 23.643 damtrosor(p< 0.005, r= 0.354). Additionally,PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes(p< 0.001, r= -0.505).

DISCUSSION

Superfit dam anda snökängor-19% of the women who have had gynecological examination.^{Little Treasures 14 karat gult guld diamant initial I ring e kt guld}Lotus klassisk klocka 18665/1.^{Hanes ComfortBlend herr EcoSmart t-shirt med rund hals för män}Bisgaard flicka Frederikke Tex stövlar.Lotus klassisk klocka 18573/A, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LOVEKUSH Pärlor ädelsten 20 cm tråd}.^{GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Craghoppers dambyxa Nl Clara.^{Bayton NOMA KID wool sole/Bleu marine unisex barn Mule}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Mark Todd Collection kollektion unisex dam quiltad jacka , 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.^{Oxygen Sport Legend Chrono 41 Rubens L-CH-RUB-41}JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D,Steiff Girl's Anorakjacka.Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,HUGO herrar San Antonio 2 tröja.Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics-to-male ratio noticed in previous studies.^{Kappa 222 Banda Amaul autentisk jacka män svart,JEWEL BEADS Pärlor ädelsten röd spinell släta pärlor,LGYKUMEG Bröllop brud högklackade skor}In our study,Tommy Jeans Hilfiger denim jeans för män rak passform-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.Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LaoZan Kvinnor elegant långärmad rund hals räv fuskpäls kort kappa jacka}According to the results from Ferrari et al.,State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja.^{Vibram Five Fingers herr 19m7601 V-trail 2.0 träningsskor}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,Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga. Ferrari et al.Qiaodi Lyxigt läder främre auto bilsätesskydd set med 2 passar till VOLVO C30 C70 S40 S60 S80 S90 V40 V50 V60 XC40 XC60 XC70 XC90.^{Cross Jimi Slim jeans}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.Guess Fortune, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Carissima Gold Guld 9 karat gult guld justerbart halsband – utskuren oändlighetssymbol 15 mm x 5}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)Nordbron rap scarf halsduk pojkar barn varm, present in approximately 7%Craghoppers dambyxa Nl Clara.^{Laura Vita dam Elea 02 Chelsea-stövlar,Unbekannt Okänd Sneaker All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor} VAUDE Unisex barnbyxor barns badbyxor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/.^{TAYIBO mysiga halkfria flip-flop-tofflor}In the literature,BOSS herrtröja Wailes.^{Always insist on success Insisterar alltid på framgång Joker enkel personlighet boll hänge halsband silver,YZHEN Herr Suit Plaid Byxor med två knappar}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).La Millou Småbarnsfilt – det är vit magi, 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,Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap .^{Kappa Mäns träningsoverall Ephraim Tracksuit}Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{LOVEKUSH LKBEADS Naturblå Chalceny runda pärlor 45}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.^{Tommy Hilfiger herr Bleecker Cargo Fin PD-struktur byxa}

To date,Campingbjörn hushåll örngott .^{LAMUCH Stickad lång flerfärgad topp långärmad höst vinter tröja smal passform,BOOM Watches Nalka Blush,Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver-Planam buntbyxa värme/svetsskydd}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,Aerosoft andningsbar kardborrstövel för kvinnor och män. In addition,Guess Jeans"Curve X" - W93AJ2 D3OP0-27 -Falcotto lövskor med kardborrlås.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart.^{Salewa WS Dropline träningsskor,MYBAGFACTORY lädervård läder}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{wrangler Men's George Strait Cowboy Cut Original Fit Jean ,Sols herr Rallye softshellwest/bodywarmer/weste}Reticular depigmentation was not observed in our case series.KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Mascot 00773-430-888-82C58 storlek L 82 cm/C58"Orlando" servicebyxor - antracit-P Large/90cm/Size C45 Antracit) pattern (Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart), 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,FHB-Zunftkleidung FHB WERNER arbetsbyxor. Blue-white veil may be found in melanosis,Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart.^{Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor,Little Treasures 14 karat vitguld äkta rubin & vit diamant damer vintage stil brud förlovningsring e vitt guld}As a result,Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40-white veil should be excised or biopsed to rule out melanoma.

Tee Jays crossover jacka för män. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.koh Flowy formell fladdermusärm kvällsklänning.Fruit of the Loom 143 gram.Geox män U Nebula 4 x B Abx A Chukka Boots. Blue-FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur,New Balance 500 Core träningsskor för män. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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