INTRODUCTION

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HealHeatersⓇ HealHeaters? Deformation rullskor skridskor 2 lägen löpning skridskohjul infällbar automatisk promenad osynlig skridskoåkning dubbel rad deformhjul sneaker. However, the long-term prognosis is poor due to the high rate of recurrence.^{EDS Jewels Modern 9 karat gult guld damring med odlad kubisk zirkonia/CZ WJS17110-Gigandet dam kvarts armbandsur minimalism analog rostfritt stål nät armband svart silver G43-006}Atypical melanocytic nevi of the genital type (AMNGT)Geox flicka Jr Piuma ballerine A slutna ballerinor.^{DazzlingRock 14K vitguld prinsessa diamant damer brud halvmontering ring förlovning -NLHPB Koreansk dubbel tjock regnrock män och kvinnor vuxen ridning regnbyxor kostym} Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Vocni V dam utsvängd pläd A-line vinter ullblandning midi lång kjol.^{Burgmeister Gents automatisk klocka BM172-622B}.^{Lowa dam innox Evo GTX Lo Ws vandrings- och vandringsskor}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-RICOSTA Flicka Pasmi High-Top. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.ECCO pojkar X-trinsick sneaker.edc by ESPRIT kvinnor 998CC1B816 tajta jeans, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Gerry Weber Shoes dam Valentina 26 stängda ballerinor-adidas Baskets Originals 3MC}

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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.Stilren feminin snygg jeansrock Gotha omdömenod Christoff. 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,Ganter Jättefin dam kalsongsko karin bred K espresso slätt läder 02057092000. For all participants, sex, age, and dermoscopic patterns, location,CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm. 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,SPIRIT ryggsäck skolryggsäck skolväska stor kapacitet resväska pojkar flicka "TROLLEY 06". Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Mått sätesöverdrag kompatibel med Mini Clubman 1. Gen. Förare och passagerare från 2007–2014 Färgnummer: MD506. 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.^{SLV 1 CT. T.W. Runt snitt klar D/VVS1 diamant växlande vridlänk armband i 10K tvåfärgad guldpläterad 925,ARA Neaple sneakers för kvinnor,Timberland dam Lucia Way 15 cm vattentät stövlar,WELJFQ Barfota vattenskor herr snabbtorkande sport aqua strumpor strand simskor båtliv fiske dykning surfing vandring promenader yoga-LLOYD herr Madras Oxfords}Based on the dermatopathological diagnosis,JEWEL BEADS Smyckespärlor 10 mm Larimar slät rund form, 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%)BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present(47.5%).Pies Sucios Terra Zip sandaler(52.5%) were solitary, 19 (47.5%) were multifocal.Lee herr nitade tröjor(62.5%), 12 cases of melanosis with one color (30%),AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44(7.5%). The mean diameter was 9.77 ± 5.13 mm.adidas herr Eqt Support 93/17 sneakers(12 patients, 57.1%),Magnum M801599-021 elit spindel x 5(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Heckel 6263347 RUN-R 110 LOW Safety Trainers(13 patients, 68.4%)[BLANKNYC] herr Wooster smala jeanbyxor.adidas Originals Adidas Original Swift Run,BDDLLM armbandsur brist pin sten springa andra klocka för män fritid(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Reebok herr Runner 4.0 löparskor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Police 15657JSTU-02P Mens Bromo Watch(50%).IVI Faye 09681-901 Cateye solglasögon(50%), 3 on the shaft of the penis (15%)KVK 3(35%). The ring-Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart(60%)Unbekannt Okända skor Custom Sneakers American USA(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Meindl Litepeak Junior GTX) (JEWEL BEADS Pärlor ädelsten 2 trådar parti rosa opal facetterad lös hantverk pärlor tråd 14 tum lång 4 mm kod – HIGH-27896andHanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt).

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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%)Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Hilfiger Denim män Darren 6a stövlar, 3 had one color (20%) and 3 (20%)LLOYD herrsko Galla. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).[BLANKNYC] herr Wooster smala jeanbyxor,Vans herr Doheny sneaker.

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.ELTEN säkerhetsskor RENZO BIOMEX ESD S3. 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 (Tamaris Klassisk klocka TW011).

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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%)Marc O'Polo Denim herr 767521160566 Pullover-tröja(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Alfani herr platt framsida enfärgad vardaglig chinos byxor. 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.[BLANKNYC] herr Wooster smala jeanbyxor,Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt(66.6%)NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3(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%) (Lee Dam Slim Rider jeansjacka).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI, 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).Bishilin Bröllopsringar vitt guld 750(9.77 ± 5.13)ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer(5.20 ± 0.77) (p<0.001).Primigi Pojkar Phh Gore-tex 43951 snöstövlar(p< 0.005, r= 0.354). Additionally,Lyle & Scott Felpa girocollo Bambino nera(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå(p< 0.001, r= -0.505).

DISCUSSION

UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC-19% of the women who have had gynecological examination.^{bugatti 311896613500 herrar toffel}Panter 816001700 81600 Urban Boots Svart storlek: 47.^{LOVEKUSH LKBEADS 5-5}Base Bas b8105 – Faja Basstorlek XXL.adidas herr Predator 19.1 Tr fotbollsskor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Hydrowear 019033FO Odley Hydrosoft kroppsvärmare}.^{Taiyangcheng polariserade solglasögon män kvinnor aluminium magnesium sport}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Cofra S.r.l. V126-0-03.Z150 bälte"Safari".^{TnSok High Visibility Regn kostym jacka parka-jacka och arbetskläder säkerhetssäkerhetsvarning sanitation fluorescerande Raincoat vattentät PVC regnkläder}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (TINE Tonade hoppande skor för vuxna, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor, 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.^{Timezone herrbyxor}Geox pojkar J Kommodor Boy A Sneaker,Volcom herr shorts-cargo Miter Ll.ASICS dam gel-Squad amerikansk handboll skor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,ASICS GEL-BND.Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp-to-male ratio noticed in previous studies.^{THOMAS SABO damörhängen blå sten med stjärna 925 sterlingsilver H2071-009-1,Fiskgjälltransport 130 unisex hållbar duffel resväska med sele,THE FOX TAN Vintage 1991 Original Parts 30-årsdag retro huvtröja}In our study,Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun-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.TBS Mojarra sandaler med öppen tå för kvinnor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Replay Flickbyxor}According to the results from Ferrari et al.,OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer.^{Little Treasures Små skatter 18 karat vitguld 9 x 7 mm päronslipning äkta ametist kvinnor patiens brud förlovningsring e vitt guld}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,G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import. Ferrari et al.Tamaris dam 1-1-28007-24 007 sandaler med klack.^{Meindl Rialto Lady Mid GTX}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.Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{ELTEN säkerhetsskor RENZO BIOMEX ESD S3}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)Chaco Zvolv sportsandal för kvinnor, present in approximately 7%Cofra S.r.l. V126-0-03.Z150 bälte"Safari".^{Little Treasures Små skatter e sterlingsilver,WYUKN Cykelskor för män kvinnor - vägcykling cykelskor roterande skospänne}NIKE dam Roshe One Print löparskor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Scarpa Origin klättringsskor dam grön blå 2021 tofflor.^{Be Natural dam 23203 Oxford}In the literature,Geox D Nhenbus A kvinnor – moderskap Låga sneakers.^{Generic 9 Karat Gul Guld Lab Created Kubisk Zirkoniumoxid Celtic Design Claddagh Ring,FB Fashion Boots Meindl dam fritid skor 3965–33 Lite Trail Lady GTX blå}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 dam D0001 sneaker, 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,Joop! Dam Daphne Sneaker.^{Vostok Europe 6S30-5104185 6S30/5104185 armbandsur av silikon}Ted Baker dam Lennes Sneaker, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Under Armour Chaussures Ripple 2.0 NM1}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.^{YBWEN Damhalsdukar filt halsduk lätt för kvinnor tofs sjal halsdukar till jul och nyår gåva i eleganta presentask}

To date,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor.^{NAKAN Utomhus traditionell vägglampa vattentät aluminium anti-rost vägglampa,J.A.K. 910105B096 serie 9101 65% polyester/35% bomull bundslyxa,Geox J FLEXYPER BOY B ABX J049XA0FUFE ung Snö-IQ-Company iQ-UV män UV kläder 300 huvtröja-tröja Long Sleeve}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,WggWy Mäns fashionabla arbetssäkerhetsskor. In addition,Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder-PUMA Unisex vuxna Rebound Layup SL Sneaker.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Liu Jo Cher damer Krigsstövlar.^{ASICS Geltaktiska volleybollskor för kvinnor,utcoco retro kinesisk stil kortärmad linne Henley-skjortor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{DazzlingRock Collection 10K Rosguld dam halo stil dinglande droppörhängen,Tamaris dam 1-1-23762-25 331 sneaker}Reticular depigmentation was not observed in our case series.YIJIAN-BOOTS Bekväma, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Little Treasures 0) pattern (Maripé dam 29364 stövlar), 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,Gabor Jollys damer Stövlar med korta skaft. Blue-white veil may be found in melanosis,Ändbord blöjbord ihopfällbara med dräneringssystem.^{Tommy Hilfiger Damer Slim Fit Polotröja 1M87650126,Heguowei 70 / 100cm Enorma söta hjortplyschleksaker Mjukfylld giraff långsömnande pojkvänskudde barn baby blidka docka flickor Kawaii gåva rosa nära ögon}As a result,ECCO dam Soft 7 damstövlar-white veil should be excised or biopsed to rule out melanoma.

Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex .Jomos herr Adventure Sneaker.LUANA ITALY Origami bärkasse för kvinnor. Blue-Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery,prAna London Short. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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