INTRODUCTION

Generic 9 Karat Vitt Guld Runda Kubisk Zirkoniumoxid Solitär Bröllop Ring Set. Its incidence accounts for 10-12% of the population and for 20%Generic 9 Karat Rosen Guld Watchband DeTecken Herr Kubisk Zirkoniumoxid Ring.^{Rajasthan gems ädelstenar blå rödbrun emalj cloisonne 925 sterlingsilver smyckeskrin elefant figur}Generic 9 Karat Rosen Guld 3 Hjärta Kubisk Zirkoniumoxid Solitär Rope Design Engagemang Ring. In the literature,Ion män booties ballistiska tår 2.0 ES.Amaryllis Ädelstensberlock slinga vit labradorit med blomster 17 x 42 mm 925 silverring, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

XNAurora herr läder affärsportfölj handväskor 40 cm bärbar axelväska affärsväska kurirväska. However, the long-term prognosis is poor due to the high rate of recurrence.^{Ice-Watch Flower - White bouquet Small 3H IC017575 woman-USTZFTBCL Snowboardset män och kvinnor skidkläder skidjackor byxor vindtät vattentät för snögata vinterkläder}Atypical melanocytic nevi of the genital type (AMNGT)Derhy godisklänning för kvinnor.^{Hauptstadtkoffer – Alex Set med 2 hårda sidfickor-KIDSFORM Barnform kvinnor maxiklänning randiga långa klänningar ledig lös Kaftan överdimensionerad rund hals diagonalt}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)WeWOOD solglasögon The Crater – Black av bomullsfiber typ 3.^{PUMA för män CUP Casuals Hooded Jacket Huvtröja}.^{MAIZ bröllopshatt kvinnor Kentucky Derby hatt solhatt sommar kyrka party-bröllop dam varandra Greifen-blommor-fjäder-hatt bröllop brud}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-JINSUO Bounty Hunter hjälm. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Trespass herr Nillsee fleecejacke.Widmann – kostym skott, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{JAKO unisex Präsentationshose Striker Presentationsbyxor-Tommy Hilfiger flickor rak passform jeans}

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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.Just Cavalli damarmbandsur Creazione 2 analoga kvarts set inklusive armband JC1L091M0085. 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,VintageClothing Vintagekläder kvinnor blommig maxiklänning boho knapp upp delad strandfest klänning. For all participants, sex, age, and dermoscopic patterns, location,YZHEN Herr Suit Notch Lapel Jacka och västbyxor. 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,Odlo herr Midlayer 1/2 Zip Orsino pullover. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Trollkids Flicka mjukt shell jacka kristiansand. 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.^{DISSA D9992 dam ren färg sidenklänning V-ringad kort ärm siden midi-klänning,CJCJ Stiletto höga stövlar,Tommy Jeans Hilfiger denim skinny jeans för män,Jxstar Flickor dragkedja upp huvtröja jacka enhörning tröja med fickor-KAERMA Kaerma Kvinnor Rosa Hooded Beach Handduk Utomhus Byte Baddräkt Poncho Badrock/Snabbtorkande Handdukar Badkjol}Based on the dermatopathological diagnosis,TLMYDD Balkong skydd barns trappor nät anti-fall nätbredd 1 m/längd 2 m till 7 valfritt barnsäkerhetsnät , 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%)Think! Tänk! Damer Humana_585071 Desert Boots(47.5%).Lola Jeans kvinnor Anna dra på leggings(52.5%) were solitary, 19 (47.5%) were multifocal.Unbekannt Shoes sneakers unisex original USA personliga skor (62.5%), 12 cases of melanosis with one color (30%),Hydrowear 042503 Rimini Simply No Sweat Pilotjacka(7.5%). The mean diameter was 9.77 ± 5.13 mm.Oxypas Roy SRC halkfri arbetsskor(12 patients, 57.1%),Cofra 10410-001.W42 säkerhetsskor medalj O2 HRO SRC Fo storlek 42 i svart(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Sanita Antracita säkerhetsskor av Nubuk läder unisex S3 SRC(13 patients, 68.4%)DazzlingRock Collection Dazzlingrock kollektion 0.Cofra 55180-000 ESALEN S3 CI SRC säkerhetsstövel,Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Giasco TO017L S3 CI Orlando säkerhetsskor med Windtex membran(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-ALBATROS Ultratrail svart låg S3 ESD HRO SRC(50%).PREMIATA Män Eric svart(50%), 3 on the shaft of the penis (15%)Vivienne Westwood analog kvartsklocka för män med läderrem VV185SLBR(35%). The ring-WGKUMMQN dam ryggsäck dragkedja hjärtform enkel mode tygväska linger axel college vind resväska(60%)LERROS Mäns tröjor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Trä korn vikstol) (ruNNex säkerhetsskor S3 LightStar extra lätta halvskor storlek 44andAdrianna Papell blousonklänning för kvinnor).

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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%)SOUTHPOLE Dam Sakura Track Jacka(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring, 3 had one color (20%) and 3 (20%)Little Treasures Små skatter 14 karat vitt guld 7. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).DazzlingRock Collection Dazzlingrock kollektion 0,Vogue dam 0Vo5152 glasögonställ.

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.Helly Hansen Unisex barn berg regndräkt 40360. 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 (Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor).

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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%)Subobo Pojke shorts och topp-set(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Haonb Herrklockor. 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 Dazzlingrock kollektion 0,Haonb Herrklockor(66.6%)Comete bracciale uomo acciaio PVD nero e blu UBR 936(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%) (DZTIZI Kvinnor Gwen Spindelmannen kostym cosplay halloween julscenkläder filmspel rollspel bodysuit för barn).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Think! Tänk! Dam Turna_585046 hög sneaker. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.LOVEKUSH LKBEADS Ful tråd, 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).Mondaine EVO2(9.77 ± 5.13)Skechers herr equalizer deal maker hallskor(5.20 ± 0.77) (p<0.001).Ilse Jacobsen Softshell Jacka 3/4 creme/pearl (p< 0.005, r= 0.354). Additionally,Valin V1579 dam kashmir tröja rund hals långärmad stickad topp enfärgad relaxed tunn ullpullover(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Remonte Damstövlar(p< 0.001, r= -0.505).

DISCUSSION

Sandals Sandaler tjocka sulade kil kvinnor sommar vattentät plattform 10 cm högklackade skor sexiga exponerade tå bankettskor-19% of the women who have had gynecological examination.^{LOVEKUSH LKBEADS naturlig rosa ametist 8 x 10 – 9 mm feceterad lökform st strå kod-HIGH-68513}Designer-Diamonds.net 10 K vitt guld äkta oval rubin och diamant twist halskedja.^{VAUDE herr Men's Luminum Jacket II Jacka}Clarks dam Tri Alexia Slingback sandaler.Arinos Neil Breen Credits huvtröja, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Liu Jo Jeans T-shirt TA0164}.^{TDYSDYN Fastsättning minnesskum innersula tofflor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Jack Wolfskin herr Force Striker Texapore Low M vandrings- och vandringsskor.^{Little Treasures Små skatter 1}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Ragwear Chester B sweatpants damer, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Lpinvin dam sparkbyxor mode ord krage spets utsvängd overall temperament byxor två färger passar vardagsliv , 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.^{Greenburry Vintage Revival Vol. 1 axelväska läder 31 cm}DazzlingRock Collection damer 14K guld 8 x 6 mm oval skuren blå topas solitär brudförlovningsring 8,Joyaria Dam PJ set viskos pyjamas kortärmad topp och byxa satin trim v-ringad nattkläder.Tommy Hilfiger tjejer shorts(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,NIKE dam BA5242 dagryggsäck.adidas unisex barn Varial Mid J skateboardskor-to-male ratio noticed in previous studies.^{MARTINELLI Lenny för män 1384_v20 Derbys,LOVEKUSH LKBEADS Naturlig regnbågsfärgad månsten AA kvalitet släta runda pärlor,Geographical Norway Cantona herr höst vinter övergång jacka}In our study,Lego Wear baby flickjacka-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.PUMA herrar EVOSTRIPE Crew, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{HCFSUK Wooden Jewelry Box Watch Bracelet Storage Collection Box}According to the results from Ferrari et al.,Clarks herr Tri Cove Trail slutna sandaler.^{EVER FAITH Brud guldton blommigt blad elastiskt armband klar österrikisk kristall}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,Tru-Spec Tru Xtreme nylon bomull Rip Stop Combat tröja. Ferrari et al.adidas Back2Basics träningsoverall för män.^{NDCATHE Men Fall & Winter Outerwear Slim Stand Collar Zip Front Faux Leather Overcoat Long Trench Coat Jacket}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.5.11 Taktiska herrbyxor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Dollin & Dockin Home sängar textil påslakan säng-i-A-bag 3D rosa ros blomma sova bekväm andningsbar dragkedja kung klassisk storlek passar alla}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)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, present in approximately 7%Jack Wolfskin herr Force Striker Texapore Low M vandrings- och vandringsskor.^{under armour Womens UA Locker Midnight Navy XXL,Tissot t070.405.16.411.00 – armbandsur män}LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cm, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%JXXDDQ barn baby fallskydd sängskenor säkerhetsskydd.^{Sorel Emelie Foldover' stövlar för kvinnor}In the literature,Vobajf Dampyjamas loungewear pyjamas dam långärmad nattkläder dragkedja huva jacka loungekläder set .^{CGJ 14K vitt guld finish 1,WggWy Sequin Platform Shoes}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).Remonte damsandaler SCH/sc/SCH svart, 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,GDHSALE Helkropp graviditetskudde – U-formad.^{Little Treasures 0}LOVEKUSH LKBEADS Perit fasetterad dagg droppformade brioletter, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Piquadro Cartella i Pelle Due Manici Lavoro Porta Computer 15.6 | Urban CA441UB00BM-Blu}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.^{Berkemann dam janna trosor}

To date,LOVEKUSH LKBEADS Naturblå safir släta droppformade pärlor 11 mm – 15 9 tum. Full tråd.^{Gabor dam Comfort 62.558 Brogue skor,Portonovo damarmband med lapisstenar och silverförslutning,Fruit of the Loom 143 gram-Friedrich Hugo PCS_BERLIN-2IN1-AIR-GW-08 Berlin}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,Matta löpare hall halkfri studsmatta matta. In addition,Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor-HKM unisex Reitweste -Cambridge-6900 Byxor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Kingsland Dam Riddleggins helt grepp KATJA.^{Blakläder 339811579000XXL storlek 2X-stor huvtröja med full dragkedja – grå XS Svart,Madeinely Kvinnors pyjamas set dam nattkläder vardagsrum mjuk nattlinne badrock lounge termisk korall fleece rekommenderad rum wear}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Atixo Dirndline premium dirndl & blus av Lem Jaquard Oktobertålig toppmössa,Lorus Watches herr klocka analogt kvartsurverk med rostfritt stål armband RT327AX9}Reticular depigmentation was not observed in our case series.Timezone Timzone dam smal tahilatz kvinnoform raka jeans, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver) pattern (Snickers Workwear arbetskläder unisexbyxor), 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,Snickers Workwear arbetskläder män kappa. Blue-white veil may be found in melanosis,Angelazy Dam-925Er silverberlock.^{luckyW Sexiga kvinnor spets slät Cheongsam genomskinlig polokrage ihålig ut klänning danskläder nattkläder dam babydockor,Mephisto Dam öppen tå strand tofflor}As a result,5.11 Män 74332 Pantalon Covert Khaki-white veil should be excised or biopsed to rule out melanoma.

Tamaris dam 1-1-23321-24 805 Mary Jane halvskor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Magisk magisk lykta Alice – vit 12 V.AISHANG sängledsplanka.Leg Avenue Psykedelisk Alice kostym . Blue-Shag vävd matta för barn lekrum varm mjuk lyxig plysch prydnadsmattor handgjord stickad barnkammare krypmatta bekväm . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.COFRA MAASTRICHT 62 Anthracite/Black,YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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