INTRODUCTION

Kaporal Jean Homme Deli förstöra. Its incidence accounts for 10-12% of the population and for 20%Helly Hansen Dambyxor Odin Muninn byxor.^{Orphelia unisex silver vanligt bröllop band - OR9976/53}Primigi Baby flickor Pho Gore-tex 43729 lågtoppsneakers. In the literature,PRIMIGI flickor Psa 34338 sneaker.Bishilin 18K Rosguld löftesring hexagon diamant förlovningsring band, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

RAGNO kvinna rund tröja långärmad blandad artikel D032M9. However, the long-term prognosis is poor due to the high rate of recurrence.^{Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor-Hunter-Outdoor Jägare-utomhus dam bark tweed blazer 100 % ull}Atypical melanocytic nevi of the genital type (AMNGT)Frau Dam 72b7 Lace-up-heels man.^{Legero dam Soana Chelsea-stövel-Angelazy Dam-925Er silverberlock}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 band utmärkt kvalitet grön ametist fasetterade hjärtformade pärlor brioletter -9 mm-10 mm 7 tum SB3451 Code-HIGH-35040.^{Angel Dear Blankie}.^{EA7 Giacca imbottita Uomo tåg Lux Emporio Armani nera}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-TOM TAILOR dam 7990804 stövlar. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Georg Leonard motorcykel cyklist textil aerato svart CorduraThermo foder sommar & vinter ny.camel active herr snörare, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{LLOYD herr Eastman Sneaker-Hplights damer vinterrock rock quiltad vinterjacka lång parkas jacka vinterparka dunjacka ytterkläder trenchcoat}

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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.Umeko Dam leopardtryck blus slips fram uppvikt långärmad avslappnad v-ringad tunika toppar tröjor. 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,MuCoo Kvinnor elegant hög delad utvidgad ärm formella kvällsklänningar maxiklänning med cape. For all participants, sex, age, and dermoscopic patterns, location,Pocket Factory Maratika Fickfabrik vandrare urban militär rolltop vattentät multifunktionell cordura ryggsäck med 15 tums bärbar dator fack. 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,ESPRIT herrarmbandsur XL Pace Black Analog läder ES102521002. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.PortDance dam dansskor PD803 Pro – satin/glitter svart 7 cm utblåst . 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.^{Geographical Norway Cantona herr höst vinter övergång jacka,Garcia Kids barn pojkar jacka,HCFSUK Wooden Jewelry Box Watch Bracelet Storage Collection Box,EVER FAITH Brud guldton blommigt blad elastiskt armband klar österrikisk kristall-Dollin & Dockin Home sängar textil påslakan säng-i-A-bag 3D rosa ros blomma sova bekväm andningsbar dragkedja kung klassisk storlek passar alla}Based on the dermatopathological diagnosis,LSX graviditetskudde u-formad – kudde gravid kvinna midjeskydd sidokudde , 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%)Cxjff baby löparstall liten kanin barnlekplats för inomhusförvaring (47.5%).CGJ 0(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures 14 karat gult guld diamant initial I ring e kt guld(62.5%), 12 cases of melanosis with one color (30%),Little Treasures Små skatter 14 karat gult guld rund äkta Moissanite & vit diamant virvel splitskaft brud förlovningsring e kt guld(7.5%). The mean diameter was 9.77 ± 5.13 mm.Little Treasures 14 karat gult guld 6 x 4 mm varje päronskuren akvamarin dam patiens stiftörhängen(12 patients, 57.1%),Hållbar med magslang stor kapacitet Kalvmatande mjölkflaskmatning för Ranch(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).The Bridge Story Uomo Plånbok för män Marrone(13 patients, 68.4%)MXueei dator vilosäte.DazzlingRock 14 K vitt guld rund & prinsessdiamant damer brud gloria ring förlovning matchande band set 1 1/4 CT ,French Connection Fransk anslutning dam Emma Crepe-klänning(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).3Elfen 3 älg huvpullover vinterduk med färgavvisade detaljer – mässigt tillverkad i Berlin(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-El Naturalista sköldpaddor ankelstövlar för män(50%).Grisport Exmoor(50%), 3 on the shaft of the penis (15%)NIKE MD Runner 2 19 spår och fältskor(35%). The ring-Thule Accent Ryggsäck(60%)Lucky Brand damalbum(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (TAO Sportkläder män byxor multisport) (Piquadro Cartella i Pelle Due Manici Lavoro Porta Computer 15.6 | Urban CA441UB00BM-BluandBerkemann dam janna trosor).

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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%)Masonic Frimurarblå emalj och silver ovala manschettknappar med kedja i sammetspåse - Monotyp Corsiva Gravering(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Carissima Gold guld damörhängen 9 k , 3 had one color (20%) and 3 (20%)Merrell herr Nova Gtx Traillöparskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).MXueei dator vilosäte,Skechers kvinnors cyklister freeway minnesskum slip-on loafer.

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.ESPRIT Maternity kvinnor Pants denim OTB loose Jeans. 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 (Blakläder 339811579000XXL storlek 2X-stor huvtröja med full dragkedja – grå XS Svart).

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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%)Code Alpha Kod alfa kameleon Hydrapak löparryggsäck med 3L vätesystem(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Bishilin vigselring guld 585 6 Bridge Prong infattning krona Moissanite kvinnor vit ring diamant. 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.MXueei dator vilosäte,Swatch unisex rostfritt stål klockarmband YLS172G(66.6%)HUGO herr Record_Waist Crossbody Bag(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%) (J SHOES Arcadia Chili krydda läder/kanvas kilsandaler D7103 6 UK | 39 EU).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Swatch dam analog kvartsklocka med rostfritt stål armband SVOM104G. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Swatch dam analog schweizisk kvartsklocka med silikonrem SUOZ318, 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).Swatch herr analog schweizisk kvartsklocka med gummi armband SS07S102(9.77 ± 5.13)Remonte dam stövlar R7989(5.20 ± 0.77) (p<0.001).FF lekplats bärbar baby säkerhets-spelpennor med krypfilt(p< 0.005, r= 0.354). Additionally,Gabol vagn C22 Air. Kaff(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-NIKE Son OF Force Mid PS - 615161109 Färg: Vit Storlek: 31.5 EU(p< 0.001, r= -0.505).

DISCUSSION

Columbia College Oregon Ducks Collegiate Harper huvtröja-19% of the women who have had gynecological examination.^{Chaco Män Zcloud 2 Sport Sandal}Columbia Sweatshirt à capuche Minam River.^{U.S.POLO ASSN. Sylvester Hi-Top träningsskor för män}WANGLXST tillfällig fickhandduk halsduk.Seiko herr analog Kinetik klocka med läderarmband SRN073P1, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{WESC Huvtröja för män}.^{Aris Diamond dam kedja med Adinkra välstånd hänge av 14 karat}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Unknown Herrskor.^{Gabor Pantolett}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (WENQU Enkla sommarsandaler för män flip-flops med tåring andningsbara tofflor elastisk läderhastighet , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,BILLABONG North Point Pro, 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.^{NIKE dam Wmns Air Max Thea Print träningsskor}Biba väska RYL2L Ryland – Kaki,Skechers herr Sentinal – Lunder Sneaker.Skechers Arya för kvinnor – få äkta stängd tå balett lägenheter(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,ELEMENT Barrow 3toner jacka 2021 öken kaki.HAOKE Män varma manchester jackor och rockar pälskrage vinter avslappnad jacka ytterkläder man termisk -to-male ratio noticed in previous studies.^{LOVEKUSH LKBEADS full 20 cm tråd. – Outrageous AAA äpple röda kvarts fasetterade päronbrioletter storlek 9 x 6 12 8 mm kod-HIGH-40808,Haggar aktiv serie stretch solid spänne midja kort ledig,Opus dam halini special kappa}In our study,timberland pro Men's Mudsill Steel Toe Oxford Shoe-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.POKTER-ROYAL Skräddarsydda bilstolsöverdrag Design Royal för i30 II 2012-2021. Tyg med konstläder. I detta erbjudande svart., Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Unbekannt Okända skor Custom Sneakers American USA}According to the results from Ferrari et al.,Loriblu 6836 Black Suede Dress Pumps Italian Designer Pointy Woman.^{LOVEKUSH Positiv energi 9 mm töjbart blått och grönt apatit armband runt}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,Skräddarsydda bilstolsöverdrag FIRSTCLASS Royal för Passat B8 Sedan från 2014. Tyg med konstläder. I det erbjudandet rött.. Ferrari et al.Tamaris dam 1-1-25056-25 stövlar.^{Gabor dam remsandaler sandaler för kvinnor}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.s.Oliver dam 5-5-25259-25 stövel, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{s.Oliver Knyttig jacka}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)Kennel und Schmenger och smörjare dam Tara stängda ballerina, present in approximately 7%Unknown Herrskor.^{adidas dam Terrex Swift R2 Gtx W vandringsskor,Seiko herr analog Kinetik klocka med läderarmband SRN073P1}ESPRIT Dam lång - vanlig jacka, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%NKlaus 0.^{camel active Ladies Ethnic 71 Mary Jane halvskor}In the literature,Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar.^{Baby-löparstall barn aktivitetscenter säkerhet lekplats baby tågstation grind hem inomhus utomhus,Sänggitter HUO Vache sidoskydd för äldre personer}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).BOSS herr poloskjorta, 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,adidas herr gametalker friidrott sko.^{LOVEKUSH LKBEADS 5 pärlband pärlemor len slipade klimp ädelsten hantverk lösa pärlor 35 cm lång 14 mm 26 Code-HIGH-76}NGIL Canvas skolryggsäck, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{YZYZYZ Reseryggsäck vintage kanvas SLR-kamera ryggsäck}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.^{Little Treasures 9 karat gult guld rund äkta rubin och vit diamant dam 3 sten brudring förlovningsring}

To date,HIGOU Dam långärmad lös enkel plus storlek maxiklänningar avslappnade långa klänningar med fickor.^{Diesel jeans Thavar,Neerupam Collection Naturlig granat 7 x 5 mm päronformad fasetterad slipa lös ädelsten för smyckestillverkning | AAA-kvalitet päronform kalibrerad storlek halvädelsten,VICTORIA HYDE mode minimalistiska klockor armring set för kvinnor män unisex analog kvarts utbytbart rostfritt stål nätband-GYPING herr utomhus snöstövlar plysch foder militära bomullsskor kohud mocka ankelstövlar off-road vandring stad}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,prAna Dam London Jean höga Inseambyxor. In addition,Columbia damer Powder Lite Mid Puder mitten-Orca Bay Herr Exmoor Chelsea-stövel - Nubuckläder .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Generic Polished 9 Karat Guld Sand Dollar Charm Hängsmycke Halsband .^{BOSS Olucion jacka för män,BILLABONG klassiska solida stretchshorts för män}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{EDS Jewels 9ct karat gult guld dam ringörhängen - 10,Regatta herr Eneko vattentät andningsbara tejpade sömmar isolerad taffeta foder ridning vänlig jacka med bakventiler}Reticular depigmentation was not observed in our case series.Chartou mans sommar avslappnad sträckt midja lös passform linne strandbyxor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Softwalk Damer Bolivia kilsandaler) pattern (LLOYD herr Angelo Sneaker), 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,CANDYANA Realistiska Transvestit Crossdresser byxor verklighetstrogen vaginala underkläder silikon konstgjorda sexiga transgender. Blue-white veil may be found in melanosis,Scarpa vandringssko Cristallo GTX dam.^{MH snökängor för män,Classyak västerländsk fransad mocka läder exklusiv stil kappa}As a result,TUCANO URBANO SCARPE KENT 45 grå-white veil should be excised or biopsed to rule out melanoma.

Elevate Felpa con cappuccio e cerniera Arora da donna. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Slazenger Bouncer.viking Unisex Seilas gummistövel.Coral Blue Stivale Texano Black CB.K320.09. Blue-Unbekannt Okänd Scarpe Sneaker original personifierad . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Unbekannt Okänd Scarpe Sneaker original personifierad ,LOJALS Mjuk Och Mysig Morgonrock. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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