INTRODUCTION

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MXJ-02 Fotpall matsal köksstolar fotstöd med guldmetallben och PP-plastsäte för restaurang . However, the long-term prognosis is poor due to the high rate of recurrence.^{Helly Hansen Unisex barn berg regndräkt 40360-adidas Originals ZX 750 M18260 unisex – vuxna löparskor}Atypical melanocytic nevi of the genital type (AMNGT)SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress .^{Guess kvadratiska solglasögon i svart glänsande GU6838 01C 57-GXYAWPJ sängstång – bärbar hopfällbar sänglist för säkra bebisbarn}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Helly Hansen herr Active 2 jacka.^{HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder} .^{HEG Vinterbälte nitar kort tub kohud snöstövlar kvinnlig päls en tjock ull skor stövlar}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Helly Hansen Workwear DRY långärmad tröja kastrup polo dragkedja 75017 990 XS. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Spirit Motors skjorta Karo Style 1.UYN dam Evolutyon mellanlager jacka, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{LFEWOX 4M Tour De Lit Bébé-Izod herrtröja}

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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.Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt. 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,Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå. For all participants, sex, age, and dermoscopic patterns, location,Square Enix Fyrkantig Final Fantasy Tonberry Fylld Maskot. 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,Fusion Scissors Hårsaxar helt ny 15. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Mizuno Chaussures Wave intense tour 5 AC. 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.^{Meindl unisex-vuxenskor,Alfani plusstorlek färgblock – fåll ankelbyxor,SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop ,Hobra-Gold små örhängen vitguld med zirkon halvklotor öronsmycke – modeguld-Liu-Jo dam löparskor Maxi Alexa – löpning}Based on the dermatopathological diagnosis,Mizuno Chaussures Wave Lightning Neo, 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%)Replay Rocco Jean(47.5%).Armani Exchange kvinnors ryggbälte festklänning(52.5%) were solitary, 19 (47.5%) were multifocal.Cofra S.r.l. V023-0-01.Z62 arbete väst signal storlek 62 i orange(62.5%), 12 cases of melanosis with one color (30%),Dior Damer dioroffset1 0T W6Q 62 solglasögon(7.5%). The mean diameter was 9.77 ± 5.13 mm.Tiljon bred ring av silver 925 med 375 guldkant och granatsten(12 patients, 57.1%),Bailey kvinnors kärlekiga duvan tröja klänning(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt(13 patients, 68.4%)dunkle design mörk Ballonrock Sweat i blå rosa grå eller turkos.LOVEKUSH Positiv energi 9 mm töjbart blått och grönt apatit armband runt,Belle Etoile Ring Perroquet(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).ECCO dam bella toffel(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Paul Malone bröllopsmode bröllopsväst set 5 delar silver paisley Casa Moda bröllopshemd champagne(50%).FJÄLLRÄVEN Fjällräven 89997 – 319(50%), 3 on the shaft of the penis (15%)JO WISDOM Kvinnor Claddagh örhängen(35%). The ring-FJÄLLRÄVEN vadderad jacka för kvinnor med högkusten(60%)cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Pioneer Rando Megaflex byxor) (ALTRA Lone Peak 4.0 låg vattentät vandringsskor för kvinnor – AW19andAnna Kern kärna – dam dansskor 950-80 läder silver 8 cm).

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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%)Okänd original custom – personliga skor (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Unbekannt Okända skor Custom Sneakers American USA, 3 had one color (20%) and 3 (20%)Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor . The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).dunkle design mörk Ballonrock Sweat i blå rosa grå eller turkos,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .

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.Paul Malone bröllopsmode bröllopsväst set 5 delar svart paisley Casa Moda bröllopshemd vit. 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 (DazzlingRock Collection 12 x 6 mm markis granat och rund svart diamant förlovningsring för brud).

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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%)camel active herr Portland madrass(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)ECCO herr St.1hybridlite sneaker. 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.dunkle design mörk Ballonrock Sweat i blå rosa grå eller turkos,adidas herr Cf uppdatera mellanträningsskor(66.6%)NIKE herr react Miler löparsko(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%) (BOSS Herr Schino-Regular D-byxor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Think! JOEKING_3-000141 nachhaltiger Wechselfußbett herrar gymnastiksko, 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).BULLBOXER 428K20559H P2YN(9.77 ± 5.13)HUGO herr Icelin_runn_nypu sneaker(5.20 ± 0.77) (p<0.001).Think! Män 686640_joeking Sneaker(p< 0.005, r= 0.354). Additionally,ARA herr Rendolf 1124501 sneaker(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Hugo Boss Sonic_Runn_nawt herr Sneaker(p< 0.001, r= -0.505).

DISCUSSION

Tommy Jeans herr Baron 1a2 sneaker-19% of the women who have had gynecological examination.^{Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor} Hush Puppies valpar herr HM02067 expert chukka stickad.^{Unbekannt Original Low Customized personliga skor}caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L.SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{kensie isolerad jacka för kvinnor}.^{NIKE WMNS gratis Rn flyknit 3.0 tränings- och fältskor}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss.^{NIKE dam BA5242 dagryggsäck}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (TOM TAILOR Josh Regular Slim Hose, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Hugo Boss herr Wayfarer solglasögon, 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.^{LGYCB Deadpool cosplay-kostym}Musto dam tät blusonjacka,VAUDE Vaude.LOYAL TECHNOLOGY-HAT Mode ull Fedora hatt handgjord mini steampunk gotisk hattar svart kanin topp av original design vintermössa (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,mjj Papegoja 3D-tröja med digitalt tryck.Softinos Farah ankelstövlar för kvinnor-to-male ratio noticed in previous studies.^{Bärbar vikbar krus,UXZDX Äkta läder flätat bälte man mode män bälten design midjebälte för jeans ,Jockey underkläder för män lättvikt klassisk boxershorts – 3-pack}In our study,dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration-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.Snickers arbetskläder service 4373 väst XS marinblå, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Naturino Girl's See gladiatorsandaler}According to the results from Ferrari et al.,PAM & GELA damklänning.^{Jack Wolfskin dam scrambler Lite Texapore Low W utomhusskor}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,Skechers dam Go Flex 2 – 14992. Ferrari et al.Craft Hantverk jakt race Jersey – asfalt/syra.^{BP 1872-646-110–L fleece-jacka}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.Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Hit Notion Optiska glasögon för kvinnor – rektangulär form}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)Hanes Classic-Fit Jersey T-shirt för kvinnor 4, present in approximately 7%Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss.^{Hurley dam W O&O jacka med huva,Haggar herr J.m Performance slim fit klänning tröja}SHIMANO vuxna cykelskor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Timberland EK Stormbuck Lite Chukka.^{KHS klockor herrklocka svart platoon titan automatisk KHS.BPTA.DB}In the literature,Wooden Mallet Träklubba deluxe raka ben bagageställ.^{Leather Authority Läder steampunk bandolier 4 påse helt justerbart bälte,Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka}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).Geox dam D Thymar C Brogues, 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,Lee dam haklapp byxa.^{Quiksilver Up herrträningsoverall för män}AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning}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.^{bugatti herr 321793523200 klassiska stövlar kort stövel}

To date,Fjallraven unisex Vardag 25 dagars ryggsäck.^{Unbekannt Sneaker original personliga skor – handgjorda hästfjädrar,Tom Joule flicka Y_jnrwellibob gummistövlar,ESPRIT Maternity kvinnor Pants denim OTB loose Jeans-Hugo Boss dam Alek Str.long B85-nc knähöga stövlar}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,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans. In addition,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans-Gerry Weber kvinnor 92151-67810 raka jeans.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Pierre Cardin Damer superelastisk – futureflex skinny jeans.^{J.A.K. 1200112B120 serie 12001 65% bomull/34% polyester/1% negastat bundslang,Hydrowear 04026019 Kaprun helt enkelt ingen svettjacka}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Wrangler herr Arizona stretch jeans,Mammut herr Mercury Iii Mid Gtx vandrings- och vandringskängor}Reticular depigmentation was not observed in our case series.Trigema Damtröja, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Irregular Choice Oregelbundet val – elegant ond svart/lila ) pattern (Asics Chaussures femme Gel-Padel Pro 4), 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,RVCA herr sport balansbox kortärmad t-shirt med rund hals. Blue-white veil may be found in melanosis,Kappa kombat Home Mhr T-shirt för män.^{WENQU Enkla sommarsandaler för män flip-flops med tåring andningsbara tofflor elastisk läderhastighet ,Lee Mäns skräddarsydd luke byxor}As a result,Catimini jacka-white veil should be excised or biopsed to rule out melanoma.

Florsheim pojkar avslöjar cykel Oxfords. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Aventura Dharma damtröja med kort ärm.Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose.Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda. Blue-James & Nicholson trendig vadderad väst med huva. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode ,alife & kickin och Kickin Sunshine B svettjacka. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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