INTRODUCTION

UPOWER BLANCO S2 SRC. Its incidence accounts for 10-12% of the population and for 20%Haggar Casual byxor för män.^{Ramy Brook jasmin färg block midi-klänning för kvinnor}Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner. In the literature,Lacoste herr Sideline 319 1 Cma sneaker.Tommy Jeans dam skinny jeans, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Guess herrarmbandsur analog kvarts läder W18540G1. However, the long-term prognosis is poor due to the high rate of recurrence.^{Röd rosform bröllopsrum dekoration bordslampa-PANTOFOLA D’ORO 1886 PICENO herr Fotboll}Atypical melanocytic nevi of the genital type (AMNGT)Tissot t070.405.16.411.00 – armbandsur män.^{Vive Maria kvinnor Blueberry Klänning-Dansko dam Leyla stövlar}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Reloj Guess unisex vuxen kvartsklocka 8434103388192.^{comma damklänning}.^{DazzlingRock Collection kollektion för kvinnor 10K roséguld 7 mm kudde peridot & vit diamant halo hänge}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Guess – VIPER herrklockor W0659G4. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Guess kvinnors analoga kvartsur glitter flicka.Solo New York Everyday Max hybridryggsäck, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{LIANGXIEW Platta skor för kvinnor-Chinkyo XiQingJieBaiHuoYouXianGongSi tjock varm overall}

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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.Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt. 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,RICOSTA pojkar tammesandaler. For all participants, sex, age, and dermoscopic patterns, location,Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS. 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,G-Shock GA700DC-1A. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Superfit pojkar strider sneaker. 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.^{Bradoner Postmodern lampa lyxig kristall vägglampa enkel vardagsrum TV-vägglampa sovrum sängbord dubbel 40 x 30 cm ,ALMA DE CANDELA Alma de Zimt 290 dam snörsko med röd klack,Little Treasures 9 karat vitguld äkta rubin & vit diamant hjärtformad brud förlovningsring set,HUGO herr Lancel Jacka-Skechers herr equalizer deal maker hallskor}Based on the dermatopathological diagnosis,viking unisex barn Kjenning Jr. Combat Boots, 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%)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 (47.5%).J.A.K. 912112108 serie 9121 65% polyester/35% bomull buntbyxor(52.5%) were solitary, 19 (47.5%) were multifocal.BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel(62.5%), 12 cases of melanosis with one color (30%),Carter's Baby Girls' tryckta leggings(7.5%). The mean diameter was 9.77 ± 5.13 mm.POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta(12 patients, 57.1%),ClimAir Car Comfort CLI10063ABC Sonniboy passar till Suzuki Vitara (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe(13 patients, 68.4%)Premier Bästa stickad väst för kvinnor med knapp.Tranemo 2820-50-03-D96 buntbyxor Comfort Plus storlek D96 i marin,LWZ Herr lätta bekväma vattentäta regnstövlar med ståltå(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Kjus herrbyxor blå Ibiza(50%).Helly Hansen mäns Odin Skarstind byxbyxor(50%), 3 on the shaft of the penis (15%)YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor(35%). The ring-Vilebrequin herrbyxor i massivt linne-XXL(60%)Spelsäng inkl. räv med textilset gardin och tunnel "Princes"(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Ganter Gracia) (FOLUNSI Dam plusstorlek ledig långärmad veckad t-shirt klänning fickorandYoungDiamondFashion YDF original fantasi läderarmband ljusblå 925 sterlingsilver med äkta diamant 0).

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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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Killtec Dam funktionskjol med avtagbar inre byxa LyolaMelanosis 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%)Mizuno herr Heist IQ-M Iq(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Baby torka varmare och våtservetter dispenser, 3 had one color (20%) and 3 (20%)Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Premier Bästa stickad väst för kvinnor med knapp,surell Faux Rabbit Pom tröja stickad mössa med visir – vinterskidmössa.

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.Blaklader 149413307899C58 serviceshorts med nagelfickor. 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 (GUESS Dam Lucia Ledig klänning).

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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%)Kleine Schätze Damring 9 karat gult guld rosa safir diamant 3 sten förlovningsring ring(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Xuping shop vintage messengerväskor herr portfölj äkta läder affärer handväska laptop ledig stor axelväska. 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.Premier Bästa stickad väst för kvinnor med knapp,IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät (66.6%)BP 1803-720-56-48s arbetsfack(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%) (RICOSTA Pojkens Benni Hi-Top träningsskor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Little Treasures Små skatter 0, 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).BP 1790-555-13-44l latzh(9.77 ± 5.13)BP 2402-820-1332-44/46n arbetsväska(5.20 ± 0.77) (p<0.001).LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt(p< 0.005, r= 0.354). Additionally,Blaklader 199816448699C54 4-vägs stretch X1900 hantverkare arbetsbyxor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Art Konst dam 1232 stad kobolto/Camden stängd tå klackar(p< 0.001, r= -0.505).

DISCUSSION

adidas män X 19.1 TF fotbollsskor silver-19% of the women who have had gynecological examination.^{WENQU Driving Loafer for Men sommar stövlar Slip On äkta läder kollisionsundvikande tå eventuellt sydd perforerat gummiband}Little Treasures Små skatter 14 karat vitt guld rund rosa äkta safir och vit diamant dam brud förlovningsring set e guld.^{UXZDX Vår hög midja vintage kvinnor A-linje lång kjol mode ren färg snörning design}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, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Tommy Hilfiger tjejer shorts}.^{HUGO herrar San Antonio 2 tröja}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%GUESS Damklocka W0073L2 .^{Davis 2005S - Fingerring för kvinnor gul guld välvd safirglas svart urtavla index fladdermus storlek 52}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (CafeNoir TRONCHETTO CON MULTISTRASS IN MICROFIBRA, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Little Treasures Små skatter 1, 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.^{JIAMIN Klänningar alfabet graffiti lappverk axelsvart Bodycon maxiklänning} Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning,Mustang kvinnors 1278-801-2 öppen tå sandaler.wkd-thvb Vinterrock i ull för män(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Amaryllis Hängsmycke Sugilith Freeform.Hydrowear 042851K Rhodos konstruktorbyxa-to-male ratio noticed in previous studies.^{Geox herr U Renan B sneaker,Save The Duck fritidsjacka för kvinnor,BRAX damer Style Carola_75 normalt}In our study,Hydrowear 041035 Piemont bild linje-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.Hydrowear 046456 Aspen vinterpark, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{LIXIYU cykling skor män cykelskor mountainbike halkfri ej låsbara med fast sula gata mountainbike}According to the results from Ferrari et al.,Hydrowear 04025997 Twello Termo Line-jacka.^{ASSD Pullover med huva Toronto Raptors Leonard basketträning ungdom mikro-fleece sweatshirt ledig tröja}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,Hydrowear 042854K Rhodos konstruktorbyxor. Ferrari et al.Napapijri herr NOLANOS Shorts.^{Napapijri Herrshorts}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.Barntoalett multifunktionell bärbar potta 1-6 år gammal män och kvinnor babyväska stil urinal gUL, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Hi-Tec Kvinnor Riva Mid Wp Höga Vandringskängor för kvinnor}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)Randiga gardiner, present in approximately 7%GUESS Damklocka W0073L2 .^{Pinolino 111602 barnsäng"Skadi",Gabor dam stövlar}Brütting Kansas kvinnor bana, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%NIKE Phantom 3 Academy Df Fg fotbal skor.^{Altamont vuxna skjorta Salman}In the literature,J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta.^{MONARI tröja,NIKE herr Phantom Gt Pro Fg fotbollsskor}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).Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor, 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,Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka.^{Jouailla – berlock i guld 375/1000e form stjärna med zirkon besatta} Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Magnum M801599-021 elit spindel x 5}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.^{YZHEN Herr 2-delad formell kostym med smal passform Passa bröllopsmoking}

To date,Sänggaller sängskyddslångare.^{Wrangler Jeans för män,Little Treasures 0,NCHEOI Dansskor dam kvällsskor för kvinnor dansskor balrum-wkd-thvb Vinterrock i ull för män}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,Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange. In addition,SPORT-TEK herr 1/2-dragkedja färgblock vindskjorta. JST75-Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Naturino pojkar sol sandaler.^{adidas herrar ZNE Full-Zip Hoodie huvtröja med dragkedja,Barntoalett stabil halkfri bas säkerhetsdesign med armstöd potta träning tecknad spargris form rosa}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex ,GANT pojkar pullover}Reticular depigmentation was not observed in our case series.Portwest - Bizflame Plus flambeständig lätt anti-statisk coverall panna 280 g orange 2XL/lång, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Spanx dam 10178R-VERY M formande kropp) pattern (Sorel kvinnors Lolla utskurna bootie ankelstövlar), 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,TYR Dam Glisade Diamondfit baddräkt. Blue-white veil may be found in melanosis,Brooks mäns lansering 5 löparskor.^{ARA herr Markus 1127108 tegelstövel,Teva dam Anaya Tall Wp}As a result,LLOYD FREEMAN herrar derby-white veil should be excised or biopsed to rule out melanoma.

HVTKL Klassisk retro vertikal sektion plånbok läder herr casual kort första lagret av dragkedja . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Hanes Youth ComfortBlend EcoSmart träningsbyxor.Spyder Badbyxor för män.Hurley herr boardshort M Phantom Doom 16'. Blue-Hudson Jeans för kvinnor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.GORE WEAR C5 korta tights för kvinnor,Vans herr Ua autentiska träningsskor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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