INTRODUCTION

Vans herr Doheny sneaker. Its incidence accounts for 10-12% of the population and for 20%ELTEN säkerhetsskor RENZO BIOMEX ESD S3.^{CMP herr parka-jacka}adidas dam Terrex Swift R2 Gtx W vandringsskor. In the literature,NIKE WMNS Legend react 2 löparskor.Marc O'Polo Denim herr 767521160566 Pullover-tröja, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Alfani herr platt framsida enfärgad vardaglig chinos byxor. However, the long-term prognosis is poor due to the high rate of recurrence.^{GlassOfVenice Murano glas Millefiori armring klocka – lila-I BLUES Iblues Manille Pantaloni semiaderenti da Donna Nero}Atypical melanocytic nevi of the genital type (AMNGT)Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt.^{Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10-Vado Star snöskor sportgolv flickor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3.^{adidas Originals Adidas Original Swift Run}.^{Little Treasures 0}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Sorel Lea Wedge för kvinnor non Shell Boot. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0.Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{s.Oliver dam analog kvartsklocka med rostfritt stål armband SO-4205-MQ-Tommy Jeans Mäns slim straight live jeans}

Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI.^{J.A.K. 920734092 serie 9207 65% polyester/35% bomull latzhose,DazzlingRock Collection Dam-förlovningsring-set 10 karat rött guld 7 x 5 mm päronform diamant rund}To our knowledge,Bishilin Bröllopsringar vitt guld 750.^{Cobb Hill dam Hollywood pliat T-sandal,Karen Kane för kvinnor HIGH STRETCH SKIRT Kjol,Tribal kvinnors dra på ponte legging med falskt läderdetaljer vardagliga byxor,LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cm}

In this study,ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer, according to the patient´s age,Primigi Pojkar Phh Gore-tex 43951 snöstövlar.

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.Lyle & Scott Felpa girocollo Bambino nera. 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,Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå. For all participants, sex, age, and dermoscopic patterns, location,UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC. 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,Panter 816001700 81600 Urban Boots Svart storlek: 47. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Base Bas b8105 – Faja Basstorlek XXL. 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.^{LIFETIME JEWELRY Livslång smycken 11 mm kubansk länk kedja halsband för män och tonåringar 24k guldpläterad med gratis livstidsgaranti guld,Mizuno kvinnors våg blixt Z4 volleybollskor skor,Haonb Herrklockor,ESPRIT dam Gussie Lu Sneaker-MBT dam sandaler Haifa W 700371 16 vit 276835}Based on the dermatopathological diagnosis,adidas herr Predator 19.1 Tr fotbollsskor, 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%)Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm(47.5%).Chaco Zvolv sportsandal för kvinnor(52.5%) were solitary, 19 (47.5%) were multifocal.NIKE dam Roshe One Print löparskor(62.5%), 12 cases of melanosis with one color (30%),Scarpa Origin klättringsskor dam grön blå 2021 tofflor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Geox D Nhenbus A kvinnor – moderskap Låga sneakers(12 patients, 57.1%),Remonte dam D0001 sneaker(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Joop! Dam Daphne Sneaker(13 patients, 68.4%)Hilfiger Denim män Darren 6a stövlar.Ted Baker dam Lennes Sneaker,LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).WggWy Mäns fashionabla arbetssäkerhetsskor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder(50%).PUMA Unisex vuxna Rebound Layup SL Sneaker(50%), 3 on the shaft of the penis (15%)Liu Jo Cher damer Krigsstövlar(35%). The ring-YIJIAN-BOOTS Bekväma(60%)Little Treasures 0(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (POK-TER-TUNING exklusiv) (HAFLINGER unisex ull varje dag sneakerandChyuanhua Herrryggsäck retro vardaglig hållbar ryggsäck laptop högskola vattentät vintage väska män och kvinnor vandring skola canvas perfekt för arbete resor utmärkt affärsresa).

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TABLE 2Maripé dam 29364 stövlar

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%)Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Jomos herr Adventure Sneaker, 3 had one color (20%) and 3 (20%)LUANA ITALY Origami bärkasse för kvinnor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Hilfiger Denim män Darren 6a stövlar,Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin .

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.ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery. 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 (UGG Kvinnor W Klassisk Mini Ii Metallisk Stövel).

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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%)YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)adidas Herrbyxor Adidas Skitouring P – svart. 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.Hilfiger Denim män Darren 6a stövlar,N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(66.6%)adidas dam terrex Ax2r vandringsskor(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%) (Tommy Hilfiger herr Mercer Chino Organic Harvard Twillbyxor).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Strellson Herrjacka, 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).Best Life Casual(9.77 ± 5.13)Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(5.20 ± 0.77) (p<0.001).Teva dam Olowahu W's dragsko(p< 0.005, r= 0.354). Additionally,CallagHan herr cedron mokassin(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Uno de 50 Orion PUL1818CRLMTL0M(p< 0.001, r= -0.505).

DISCUSSION

Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack-19% of the women who have had gynecological examination.^{AG Adriano Goldschmied Jeans för kvinnor}Naturino pojkar bekväma sandaler.^{GUESS GISSA Rock Star UBN20098 choker rostfritt stål guldpläterad Swarovski kristaller säkerhetsnål}Lodi dam Habi-x sandaler med klack.Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{JenLn Vår Martin-stövlar rabarberstövlar kanvasstövlar herr vandringsskor hopfällbara lediga vikbara ökenstövlar} .^{HUGO herr Record_Waist Crossbody Bag}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå .^{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}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,RAINS Unisex Msn Bag dagryggsäck, 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.^{Giudi Portfölj laptopväska 17 tum läder brun äkta modern portfölj businessväska stor laptop fack axelrem axelväska budbärare högkvalitativt eko-läder hållbart}DazzlingRock Collection Gia-certifiering 1,adidas Originals Adidas Falcon RX W.ESPRIT Collection kollektion dam kjol(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Porsche Design glasögon P8250 K.Mi Moneda – kvinnor mynt hänge SW-BELI-11-L-to-male ratio noticed in previous studies.^{Namesforever kulkedja med rund berlock motiv Wild Thing av silver zirkon och namngravyr du väljer,Salewa herr Sesvenna Ptc Alpha M jktjacka,Kubler 12417322-9946-XXL väderjacka klassisk storlek XXL i svart/blåklint blå}In our study,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor-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.Wrangler Texas Slim jeans, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{camel active Mars 13 herr toffel}According to the results from Ferrari et al.,Replay mäns anbass smala jeans.^{Think! Damer MIZZI_3-000088 hållbar pantolette tofflor}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,Unbekannt Okända skor Custom Sneakers American USA. Ferrari et al.Okänd Sneaker Original Slim Customized personliga skor unisex .^{Skagen herr Chronograph kvarts armbandsur med läderarmband SKW6463}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.Superfit baby flicka rush sneaker, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Little Treasures 925 sterling silver 6 x 4 mm vardera ovalt skuren granat dam solitärörhängen}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)Saltwater Sandals Salt Water by Hoy Shoe Original Sandal , present in approximately 7%XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå .^{Marc O'Polo jumper för kvinnor,Dollin & Dockin Home Betten textil påslakan säng-i-A-bag 3D cool bläckfisk tentakel sova bekväm andningsbar dragkedja drottning klassisk storlek passar alla}Superfit unisex barn sport7 mini sneaker, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå.^{MyGold stjärntecken berlock} In the literature,Hydrowear 072455 Usselo Simply No SweatCoverall.^{MEYER herr Baunwollchino modell Chicago,BMS Clima-fleece overall fodrad}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).DazzlingRock Collection 14 K vitt guld 7, 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,Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp .^{Lodi dam Habi-x sandaler med klack}CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Oxypas Roy SRC halkfri arbetsskor}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.^{Tommy Hilfiger rak Denton Pstr Caddo grå jeans med lös passform}

To date,DazzlingRock Collection 0.^{LIUJUN -WEI Spetsig tå,JUN-Shopping Trolleys Livsmedelsvagn vikbar shoppingvagn med 6 hjul livsmedel trappklättring kundvagn vattentät/avtagbar marknadsförvaringsväska i grå|Max belastning 40 kg | kapacitet 39 L,Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes-Converse dam Chuck Taylor All Star High Street Sneaker}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,CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish. In addition,Unbekannt Örhängen stiftörhängen Solitär Brillant 0-CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor.^{Little Treasures 0,Comfortabel Bekväm pantolette för kvinnor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{KÜBLER Kübler 24078343-3765-56 sommarbyxor reflectiq PSA 2,Alfani smockad kall-axel klänning}Reticular depigmentation was not observed in our case series.CGJ 1, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld ) pattern (Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband ), 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,Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband . Blue-white veil may be found in melanosis,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .^{La Millou Småbarnsfilt – det är vit magi,Unbekannt Örhängen stiftörhängen Solitär Brillant 0}As a result,Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym-white veil should be excised or biopsed to rule out melanoma.

Little Treasures 0. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld.Little Treasures 0.Little Treasures 0. Blue-Primadonna Forever hel kopp sidostöd behå. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Portwest C467 Hi-Vis 3-i-1 jacka Bombardero,DC Shoes dam sneaker Trase Platform SE sneakers kvinnor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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