INTRODUCTION

LLOYD herrsko DAILY. Its incidence accounts for 10-12% of the population and for 20%Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest.^{Giasco TO017L S3 CI Orlando säkerhetsskor med Windtex membran}Dolomite män Bota Ms 60 Dhaulagiri snökängor. In the literature,Hanes Ultimat lätt komfort trådlös BH.Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex , melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

BILLABONG Bandeau bikinitopp för kvinnor. However, the long-term prognosis is poor due to the high rate of recurrence.^{Comycom 70-talet Boho Hippie Look höftsits slagslang vit-Pierre Cardin dam-armbandsur schweiziskt gjort}Atypical melanocytic nevi of the genital type (AMNGT)Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa.^{LOVEKUSH LKBEADS multimånstenspärlor-Boob kvinnor – moderskap Maternity Nursing dress Breeze klänning}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)GUESS Johara-klänning för kvinnor.^{QX IAIZI Tredimensionell växt trädgård väggdekoration trä foto vägg fräsch dekorativ fotoram dekoration kombination}.^{SXWBL Lätt aluminiumram Business Travel Trolley på hjul rullväska bagage}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Scruffs T54182 Pro Softshell jacka kol-M.Deluxe Gems 0, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{TTW Barn LED lysande rullskridskor USB-laddning dubbla hjul skateboardskor utomhussport gymnastik sneakers med indragbara för pojkar flickor-Thomas Sabo damhänge sjöstjärna glam & Soul 925 sterlingsilver PE806-667-18}

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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.Bud Spencer Official herr Legend College Jacket . 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,CAPRICE dam Manou Sneaker. For all participants, sex, age, and dermoscopic patterns, location,Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm. 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,Hurley. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.David King & Co 42 tum klädväska. 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.^{CHLOLY Dam topphandtag väska svart,FB Fashion Boots Sendra 15423 Camello läderstövlar för män Urban Boot,BP 1826-033-7332-35/36n tygblandning med stretch arbetsbyxor för män,Tommy Hilfiger herr New Recycled Ivy Jacket jacka-Theory herrar Button-Down-skjorta}Based on the dermatopathological diagnosis,camel active Mars 13 herr toffel, 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%)Bulova herr analog automatisk klocka med läderrem 98A187(47.5%).Volcom(52.5%) were solitary, 19 (47.5%) were multifocal.Texas Wrangler TEXAS herr jeans normal passform inkl. bälte(62.5%), 12 cases of melanosis with one color (30%),Casio herrklocka GW-8900-1JF(7.5%). The mean diameter was 9.77 ± 5.13 mm.Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte(12 patients, 57.1%),UNIONBAY Knapp ner tröja för män(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler(13 patients, 68.4%)comma Damklänning.Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT,Armani Exchange herr bomull stretch rak jeans(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Schott NYC herr squad jacka(50%).Reebok Classic läder(50%), 3 on the shaft of the penis (15%)Guess herr Vermont jeans(35%). The ring-LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452(60%)RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LOVEKUSH LKBEADS multi safir päronformad slät briolette) (MY iMenso MUTTER MED KIND Cover Insignie silver 33 mm 33-0946andYES Arlette kommunionklänning).

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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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Aldo Coronitiflex-pump för kvinnorMelanosis 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%)Spyder kvinnors uppdaterade jacka(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda , 3 had one color (20%) and 3 (20%)PUMA dam nattkattjacka W. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).comma Damklänning,Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack.

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.Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack. 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 (Alpacaandmore unisex tröja alpackawolle pullover stickad ullpullover Peru design vit).

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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%)adidas damer PULSEBOOST HD W löparskor grå(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Sorel Emelie Foldover' stövlar för kvinnor. 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.comma Damklänning,YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor(66.6%)Clarks Ashridge promenad läderskor(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%) (Ganter Fin dam känslig Klara-k sko för hälso- och sjukvården).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Superfit dam anda snökängor, 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).Lotus klassisk klocka 18665/1(9.77 ± 5.13)Bisgaard flicka Frederikke Tex stövlar(5.20 ± 0.77) (p<0.001).Lotus klassisk klocka 18573/A(p< 0.005, r= 0.354). Additionally,Craghoppers dambyxa Nl Clara(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Mark Todd Collection kollektion unisex dam quiltad jacka (p< 0.001, r= -0.505).

DISCUSSION

JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk-19% of the women who have had gynecological examination.^{Little Treasures 9 karat vitt guld rund blå äkta safir & vit diamant crossover virvel dam brud löfte ring}JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D.^{Tommy Hilfiger herr MODERN REV LEATHER BELT 3.5 Bälte}Steiff Girl's Anorakjacka.Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Lpinvin WE brudklänning bröllopsklänning för väg från axeln EN-axel brud chiffong spets plus size}.^{PUMA dam plattform Trace L Wn's Sneaker}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%HUGO herrar San Antonio 2 tröja.^{Tommy Hilfiger kvinnors Venedig RW Bermuda bikinitopp}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Tommy Jeans Hilfiger denim jeans för män rak passform, 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.^{MxZas Kamouflage höst strid stövlar kanvas andningsbara höga toppstridsstövlar militära herr stormer utomhusarbetskängor} Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste ,State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja.Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,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.Guess Fortune-to-male ratio noticed in previous studies.^{Tuqia möbel massivt trä fritid pall matsalsstol kafé Kantine Tea Shop reception stol med pedal storlek 55/65/75 cm vardagsrumsmöbler stolar,NIKE Air Zoom Pegasus 37 löparsko för män,Steiff Girl's Anorakjacka}In our study,Nordbron rap scarf halsduk pojkar barn varm-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.VAUDE Unisex barnbyxor barns badbyxor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Penny Scallan Satchel Ryggsäck Marinblå Stjärna Barnkammare Marinstjärna}According to the results from Ferrari et al.,NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/.^{Geox män U Nebula 4 x B Abx A Chukka Boots}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,BOSS herrtröja Wailes. Ferrari et al.La Millou Småbarnsfilt – det är vit magi.^{LRZ 18 tum ansiktsigenkänning termografisk kamera kikare termiskt bildsystem}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.Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Comma jumper 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)Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10, present in approximately 7%HUGO herrar San Antonio 2 tröja.^{YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor,SUPERDRY Herr Sd Explorer Parka}Campingbjörn hushåll örngott , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Aerosoft andningsbar kardborrstövel för kvinnor och män.^{ALBATROS Ultratrail svart låg S3 ESD HRO SRC}In the literature,Guess Jeans"Curve X" - W93AJ2 D3OP0-27 .^{Wrangler herr avancerad komfort cowboy slipad passform Jean,Schmalz Werbeservice 100 stycken nyckelring flasköppnare bas av aluminium inkl. gravyr graverad med gravyr/graverade många färger} 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).Falcotto lövskor med kardborrlås, 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,FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart.^{Kipling dam Firefly Up ryggsäck}KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{NKlaus enkel lastbil 585 guld 14 karat stiftörhängen bicolor 10 x 7 mm örhänge män 4850}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.^{Generic 9 Karat Vit Guld Ballerina Dancer Hängsmycke Halsband}

To date,Mascot 00773-430-888-82C58 storlek L 82 cm/C58"Orlando" servicebyxor - antracit-P Large/90cm/Size C45 Antracit.^{LBBL insektsskyddsdörr,Les Tropéziennes par M. Belarbi dam rena mode stövlar,Gaastra herr Tiller Tmb M Oxfords-Little Treasures Infinity rep januari månadssten granat 9 karat vitt guld hänge}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,Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart. In addition,FHB-Zunftkleidung FHB WERNER arbetsbyxor-Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40.^{HKT by Hackett av herr Hkt nylon puffa jacka,Joya Shop EU Cancun Grey – 45 2/3}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Little Treasures 0,Gabor Jollys damer Stövlar med korta skaft}Reticular depigmentation was not observed in our case series.Tee Jays crossover jacka för män, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (koh Flowy formell fladdermusärm kvällsklänning) pattern (Fruit of the Loom 143 gram), 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,Geox män U Nebula 4 x B Abx A Chukka Boots. Blue-white veil may be found in melanosis,FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt.^{SUPERDRY kvinnor CROYDE CABLE CREW Tröja,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}As a result,HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur-white veil should be excised or biopsed to rule out melanoma.

New Balance 500 Core träningsskor för män. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Versus VSP561518 roséguld stål 316 L kvinna klocka.Love Moschino dam Jc4019pp1a ryggsäck handväska.Victorinox Spectra 2.0. Blue-Clarks Dam Deloria Liv pump. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.adidas Unisex Kid's Terrex Ax2r R.rdy promenadsko,EVIDNT Dam tvåfärgad färgblock långärmad stickad topp tröja. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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