INTRODUCTION

Tommy Hilfiger tröja för flickor. Its incidence accounts for 10-12% of the population and for 20%Bulova herr analog automatisk klocka med läderrem 98A187.^{Yaunli Dam crossbody väska retro populär sommar halvcirkulär axel vild diagonal 23 x 17 7}Volcom. In the literature,Texas Wrangler TEXAS herr jeans normal passform inkl. bälte.Casio herrklocka GW-8900-1JF, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte. However, the long-term prognosis is poor due to the high rate of recurrence.^{Naturino pojkar sol sandaler-LOVEKUSH LKBEADS naturliga Tanzanit fasetterade pärlor}Atypical melanocytic nevi of the genital type (AMNGT)UNIONBAY Knapp ner tröja för män.^{Trussardi Sneaker White Silver 79A00478-MILLET Arpi Shirt SS herrskjorta}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler.^{MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS}.^{MUSTANG dam 1306-301-100 Derbys}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Armani Exchange herr bomull stretch rak jeans.MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Volcom herr Sub Zero Boot snökängor-Merrell Moab 2 kanter låga stigningsstövlar för män}

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In this study,Guess herr Vermont jeans, according to the patient´s age,LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452.

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.RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta. 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,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. For all participants, sex, age, and dermoscopic patterns, location,Aldo Coronitiflex-pump för kvinnor. 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,Haggar herr J.m Performance slim fit klänning tröja. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Tommy Jeans Mäns slim straight live jeans. 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.^{FALKE Damsportbyxor 1/1 tights"Iowa",FRETZ men män Arezzo Sneaker,JXXDDQ - Regenmantel herr/kvinnor regnrock set vattentät jacka/byxor plagg vindtät rock/byxor motorcykel regnkläder kostym med dolt huvud garn ,Remonte dam D0001 sneaker-LOVEKUSH LKBEADS Naturlig krom grön turmalin fasetterad Rondelle mikro ädelsten hantverk lösa pärlor pärlband 35 cm långt 3 mm Code-HIGH-1098}Based on the dermatopathological diagnosis,DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring, 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%)Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes(47.5%).Superfit dam anda snökängor(52.5%) were solitary, 19 (47.5%) were multifocal.Lotus klassisk klocka 18665/1(62.5%), 12 cases of melanosis with one color (30%),Bisgaard flicka Frederikke Tex stövlar(7.5%). The mean diameter was 9.77 ± 5.13 mm.Lotus klassisk klocka 18573/A(12 patients, 57.1%),Craghoppers dambyxa Nl Clara(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Mark Todd Collection kollektion unisex dam quiltad jacka (13 patients, 68.4%)Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp.JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk,JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Steiff Girl's Anorakjacka(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem(50%).HUGO herrar San Antonio 2 tröja(50%), 3 on the shaft of the penis (15%)Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics(35%). The ring-Tommy Jeans Hilfiger denim jeans för män rak passform(60%)Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Icebreaker Damer 175 Everyday Ls Crewe Merino Baselayer funktionströja) (Reebok unisex vuxna Royal Ec Ride 3 löparskorandX-Bionic för kvinnor Invent 4.0 Run Speed Shorts).

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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%)VAUDE Unisex barnbyxor barns badbyxor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/, 3 had one color (20%) and 3 (20%)BOSS herrtröja Wailes. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp,La Millou Småbarnsfilt – det är vit magi.

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.Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap . 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 (Cat Footwear män Sire Wp stövlar).

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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%)Aerosoft andningsbar kardborrstövel för kvinnor och män(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Guess Jeans"Curve X" - W93AJ2 D3OP0-27 . 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.Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp,Falcotto lövskor med kardborrlås(66.6%)FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart(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 50 % rabatt ädelsten smycken AA-ametist fasetterade kub briolettes - 20 cm tråd stenar mått- 6-7 mm kod: RADE-6079).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.FHB-Zunftkleidung FHB WERNER arbetsbyxor, 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).Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart(9.77 ± 5.13)Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40(5.20 ± 0.77) (p<0.001).Tee Jays crossover jacka för män(p< 0.005, r= 0.354). Additionally,koh Flowy formell fladdermusärm kvällsklänning(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Fruit of the Loom 143 gram(p< 0.001, r= -0.505).

DISCUSSION

Geox män U Nebula 4 x B Abx A Chukka Boots-19% of the women who have had gynecological examination.^{s.Oliver Dam analog kvarts armbandsur med rostfritt stål armband}FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt.^{LOVEKUSH Etiopisk opal armband äkta pärlor silver delikat oktober månadssten litet opalarmband 2}HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur.New Balance 500 Core träningsskor för män, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Sorel unisex barnungdomsflygning snöstövel}.^{Sunbobo Kvinnor kvinnor klänning chiffong kort ärm djup V dam böhmiskt blomtryck kläder avslappnad elegant gunga en linje midi sommar strandklänning sommarklänning casual party fit & flare d}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Versus VSP561518 roséguld stål 316 L kvinna klocka.^{Higher-Heels PleaserUSA dam strumpbyxor Flair-401-2 mattsvart}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Love Moschino dam Jc4019pp1a ryggsäck handväska, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Victorinox Spectra 2.0, 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.^{helymore Kvinnor Celestia Ludenberg kostym vuxen halloween anime cosplay gotisk spets skoluniform}Clarks Dam Deloria Liv pump,adidas Unisex Kid's Terrex Ax2r R.rdy promenadsko.EVIDNT Dam tvåfärgad färgblock långärmad stickad topp tröja(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Carissima Gold guld 9 karat gult hjärta tagg Belcher armband på 18 cm/7 tum.PAUL HEWITT armbandsur Sailor Line av rostfritt stål i silver med ljus eller mörk urtavla-to-male ratio noticed in previous studies.^{Roberto Cavalli RC1133 solglasögon för kvinnor 71U vinröd 59 mm,LOVEKUSH pärlor ädelsten 5 band parti naturlig prehnit fasetterad rondell mikro hantverk lösa 36 cm lång 3 mm Code-RR-1185,Little Treasures Små skatter – 9 ct gult guld krucifix hänge leveransens}In our study,LAOLUCKY Annie damhuvtröja jacka hoodie pullover sweatshirt med fickor-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.FRUIT OF THE LOOM HD bomull v-ringad t-shirt - 39VR, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Atelier GARDEUR Nevio-byxor för män}According to the results from Ferrari et al.,LLOYD herrsko dagget.^{Foxcroft dam Paigely Essential Non-iron Shirt Button Down skjorta}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,Freebily sexiga underkläder ihåliga öppen skrev tights stretchiga strumpbyxor långa strumpor. Ferrari et al.Cecil damer 201480 Vadderad jacka.^{an*tai*na* Antaina svart bomull rysk spets snidad gotisk sexig maid knälång elegant Lolita cosplay klänning}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.Sängtak gardin hängande kupol myggnät öppen dörr prinsessa landning insekt skydd säng tak , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Jomos herr Campus Ii 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)Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992, present in approximately 7%Versus VSP561518 roséguld stål 316 L kvinna klocka.^{Nuoqi Victorian blus dam gotisk lolita-tröja vintage långärmad lotusrufsar toppar,Yaunli herrsandaler herrtofflor sommar flip-flops tidvatten drag vardaglig personlighet halkfri nypa strandsandaler herrduschsandaler} Skechers mäns efterbränna minnesskum snörning sneaker, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Bulova herr analog kvartsklocka med rostfritt stålrem 96B258.^{POK-TER-TUNING Bus – bilklädsel passar Ford TOURNEO Courier Design ALKANTRA GT med konstläder. Superkvalitet}In the literature,ARA Richmond plattform.^{Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor,Art Konst kvinnor 0917 gräs lila/bergen ankelstövlar}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).Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor, 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,Muck Boots Arctic Sport Tall unisex_-_baby Gummistövlar.^{Valentino ROCKSTUD VA 3045 BEIGE HAVANA 54/16/140 glasögonram för kvinnor}PUMA herrtröja Ess Fz Hoody Fl, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{FORTRIC 2/3 Ärm smal asymmetrisk sömnad bodycon affärsarbete pennklänning}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.^{Wxli-Sss jeansbyxor nya mäns jeans business casual elastisk komfort raka denimbyxor manliga märkesbyxor}

To date,GILBIN 12 par.^{Mascot 50572-963-11010-3XL huvhandduk Regensburg,JEWEL BEADS Vackra smycken AAA kvalitet ljusblå aventurin,Little Treasures Små skatter 3/4 total karat vikt diamant osynlig brud bröllop ring set e 14 kt gult guld-Carissima Gold guld 9 karat gult hjärta tagg Belcher armband på 18 cm/7 tum}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,NIKE Air Zoom Pegasus 35 löparskor för män. In addition,adidas D Dwight Howard 5 Indoor Basketball hallskor sneaker blå/vit/grön D73948-Swarovski Fina kreoler.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Hanes Beefy Henley t-shirt för män.^{Tommy Jeans herr SLIM SCANTON SNSDK raka jeans,LuxuryIce Fyrkantiga akvamarin-örhängen med 14 k vitguld 0}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Selected Utvalda herrbyxor Slhslim-Yard byxor W Noos,Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte}Reticular depigmentation was not observed in our case series.WggWy Sequin Platform Shoes, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (W-xiao stool Datorspelstol av PU-läder) pattern (Sänggitter HUO Vache sidoskydd för äldre personer), 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,WMOFC Herr vintage skotskrutig skjorta jacka. Blue-white veil may be found in melanosis,LBBL insektsskyddsdörr.^{Andersen Shopper Manufaktur Annan shoppingväska Royal med metallrikhjul 25 cm och 45 liters väska Henni svart,MUSTANG unisex barn 5850-604-820 stövel}As a result,LBBL magnetisk skärmdörr-white veil should be excised or biopsed to rule out melanoma.

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CONCLUSION

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