INTRODUCTION

GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila. Its incidence accounts for 10-12% of the population and for 20%Tamaris dam toffel 1-1-24226-32.^{Storm London Alana CURVEX rosa 47421/PK armbandsur för kvinnor}Générique Brandman högsynlighetsväst med grå ränder – storlek L. In the literature,Angeline Girls Boutique kläder vår alla hjärtans dag set.Clarks Originals original dam öken stövlar, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare. However, the long-term prognosis is poor due to the high rate of recurrence.^{NJSDDB paraply solskydd vindtätt dam parasoll solparaply regn sol vattentät liten super mini 5 fack-YXB Vinterhatt}Atypical melanocytic nevi of the genital type (AMNGT)34 Heritage herr Charisma Midnatt Austin Dark denim jeans.^{Softwalk Rock Creek Boot för kvinnor-Noppies dambyxor Otb Denver byxa}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Tommy Hilfiger Pojkens strukturerade linnetröja L/S.^{Columbia Mazama ryggsäck}.^{adidas herr Eqt Support 93/17 sneakers}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Trevco Farscape Aeryn Heather vuxen t-shirt. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart.Inter-Moden medelålders Edles skjorta – herr landsknecht, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Generic Vitt Freemason Fyrkant and Compass Two Tone 9 Karat Guld Herr Ring-Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner}

GUESS Kvinnors Fadwa cocktailklänning.^{Skechers kvinnors cyklister freeway minnesskum slip-on loafer,IGI&Co dam Scarpa Donna DPN 51668 gymnastikskor}To our knowledge,Carhartt J130 herr jacka J130.^{Skechers Skech-Air Element 2.0-Lomarc 232036/WBK herr snöskor,Bilklädsel BUS 1 2 ALKANTRA EXCLUSIVE lämplig för Peugeot BOXER i detta erbjudande grå,JEWEL BEADS Pärlor ädelsten naturlig blå kordierit vatten safir facetterad fin droppe lös hantverk pärlor strand 20 cm lång 9 mm 5 kod – HIGH-26694,wkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning}

In this study,Guess By Marciano GM0243 C54, according to the patient´s age,ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB.

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.Haggar herr stretch fönsterruta smal premium flex kostym separat byxa. 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,Tommy Hilfiger Herrar Sakko. For all participants, sex, age, and dermoscopic patterns, location,Tommy Hilfiger herr New Recycled Ivy Jacket jacka. 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,Tamaris Fashletics damskor röd. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Love Moschino dam Borsa Pu Ed Eco Shearling tote. 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.^{Bobux I-Walk signet stövlar,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,Napapijri Regnskog för män vinter en jacka,Converse – Ctas bekymrad Hl Scarpe sportig Nere Borchie-Montane Meteor vattentät jacka – AW20}Based on the dermatopathological diagnosis,Garcia damklänning, 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%)Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex (47.5%).BILLABONG Bandeau bikinitopp för kvinnor(52.5%) were solitary, 19 (47.5%) were multifocal.Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa(62.5%), 12 cases of melanosis with one color (30%),GUESS Johara-klänning för kvinnor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor(12 patients, 57.1%),Scruffs T54182 Pro Softshell jacka kol-M(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Deluxe Gems 0(13 patients, 68.4%)Cosabella Nsn Maternity Hotpant Korta Trosor.A & D sovrum,Kuny's Kunys Ap719 Journeyman halvförkläde(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).My Michelle Girl's Ponte kjol(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal(50%).Bud Spencer Official herr Legend College Jacket (50%), 3 on the shaft of the penis (15%)CAPRICE dam Manou Sneaker(35%). The ring-Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm(60%)Hurley(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LOVEKUSH LKBEADS 1 pärlband naturlig rosa Chalceny- Chalceny-sten – Chalceny vanlig låda kub enkel lådform 6–7 mm 20 cm kod-HIGH-19418) (Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orangeands.Oliver dam 5-5-23640-24 sneakers).

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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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camel active Mars 13 herr toffelMelanosis 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%)Christian Lacroix Sac Cabas Jonc 2 Rouge(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Columbia herr Horizons Pine dubbeljacka, 3 had one color (20%) and 3 (20%)Dr. Martens damer Clarissa II Quad läder sandaler. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Cosabella Nsn Maternity Hotpant Korta Trosor,Geox baby-pojkar B New Flick Boy C 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.G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr. 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 (Sportwear Zapatillas Puma Drift Cat 4 Scuderia Ferrari Storlek 41).

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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%)Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt. 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.Cosabella Nsn Maternity Hotpant Korta Trosor,Tommy Hilfiger tröja för flickor(66.6%)Bulova herr analog automatisk klocka med läderrem 98A187(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%) (Finn Comfort Linz herrskor stövlar/stövlar).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Casio herrklocka GW-8900-1JF. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte, 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).UNIONBAY Knapp ner tröja för män(9.77 ± 5.13)Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler(5.20 ± 0.77) (p<0.001).Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT(p< 0.005, r= 0.354). Additionally,Armani Exchange herr bomull stretch rak jeans(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS(p< 0.001, r= -0.505).

DISCUSSION

Schott NYC herr squad jacka-19% of the women who have had gynecological examination.^{Tissot damklockor analog kvarts One Size rostfritt stål 87645151}Reebok Classic läder.^{LA Police Gear Rip-Stop Mil-Spec BDU byxor}Guess herr Vermont jeans.LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Swarovski dam-damring ATTRACT metall 32010477}.^{ZGP Interiör matta område barn kreativt vardagsrum sovrum sängbord garderob krypmatta soffbord bäddsoffa sängkläder rund filt}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta.^{Unbekannt Shoes sneakers unisex original USA personliga skor} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (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, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Aldo Coronitiflex-pump för kvinnor, 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.^{Yizi Kök och matsal metall sidostol mottagning stolar kökshöjd barstol hem ryggstöd frukost fritid bänk pub bistro kafé metallram sammet stoppad}Haggar herr J.m Performance slim fit klänning tröja,Tommy Jeans Mäns slim straight live jeans.DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Spyder kvinnors uppdaterade jacka.TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda -to-male ratio noticed in previous studies.^{Swatch herr digital kvartsklocka med aluminiumrem YYS4020AG,Inmaculada Romero IR Singapore ihåliga kedja 18k 45cm. 1,Moncoeur Ring gjord av 925 silver med AAA granat 0}In our study,PUMA dam nattkattjacka W-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.Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{BP 1792-555-81-60n shorts}According to the results from Ferrari et al.,Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack.^{Arinos Neil Breen Credits huvtröja}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,Dearfoams dam velour träsko med minnesskum toffel. Ferrari et al.MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink.^{Little Treasures 9 karat vitt guld rund blå äkta safir och vit diamant spaltskaft brud löfte förlovningsring}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.adidas damer PULSEBOOST HD W löparskor grå, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{DSQUARED2 Dsquared DQ0207 DQ0207-01B-svart rektangulär solglasögon 53}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)Sorel Emelie Foldover' stövlar för kvinnor, present in approximately 7%RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta.^{Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor ,Craft Hantverk jakt race Jersey – asfalt/syra}YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Clarks Ashridge promenad läderskor.^{WX-ICZY Tjockt tre-lager plus sammet varmt långärmad hemslitage}In the literature,Gabor 23.643 damtrosor.^{Maier Sports Damer Lisa 2 rock,FHB-Zunftkleidung FHB WERNER arbetsbyxor}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).PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S, 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,Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes.^{BERWIN & WOLFF TRACHT FOLKLORE LANDHAUS Berwin Wolff Dirndlbluse 975060 99100 10}Superfit dam anda snökängor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Helly Hansen Dambyxor Odin Muninn byxor}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.^{Strellson Herrjacka}

To date,Lotus klassisk klocka 18665/1.^{Billy Reid jaktjacka,Blaklader 145918454599D96 Service Stretch arbetsbyxor,Schöffel Melosip-skidbyxor för män-Maggy London dam Crepe smockad veckad solklänning cocktail}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,Bisgaard flicka Frederikke Tex stövlar. In addition,Lotus klassisk klocka 18573/A-Craghoppers dambyxa Nl Clara.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Mark Todd Collection kollektion unisex dam quiltad jacka .^{Comycom Stretch jeansbyxor svart tvättad,Little Treasures 1.51CTW-DIA 0}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Tamaris dam 1-1-25056-25 stövlar,s.Oliver damringsats 925 silver rhodinerad zirkon vit Gr. 58} Reticular depigmentation was not observed in our case series.JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D) pattern (Steiff Girl's Anorakjacka), 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,Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem. Blue-white veil may be found in melanosis,HUGO herrar San Antonio 2 tröja.^{Seven for all Mankind International SAGL herr Kayden Skinny jeans,XZHSA hopfällbar babysäng canopy}As a result,Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics-white veil should be excised or biopsed to rule out melanoma.

Tommy Jeans Hilfiger denim jeans för män rak passform. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.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. Blue-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. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Guess Fortune,Nordbron rap scarf halsduk pojkar barn varm. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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