INTRODUCTION

Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112. Its incidence accounts for 10-12% of the population and for 20%Teva dam Olowahu W's dragsko.^{ESPRIT herrarmbandsur XL Pace Black Analog läder ES102521002}CallagHan herr cedron mokassin. In the literature,Uno de 50 Orion PUL1818CRLMTL0M.Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Naturino pojkar bekväma sandaler. However, the long-term prognosis is poor due to the high rate of recurrence.^{J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta-Neerupam Collection kollektion naturlig colombiansk grön smaragd}Atypical melanocytic nevi of the genital type (AMNGT)Lodi dam Habi-x sandaler med klack.^{XJJ88 12 delar Shutterstock_1218283948 1 förvaringsväska – mönster tryckt tvättbar leksak påse väskor för Thanksgiving party presentförpackning-Moncoeur Enkel och elegant ring ching av 925 silver med zirkoniumsten i marquise sliff – premium moncoeur för kvinnor Swarovski-sten som föredragande eller förlovningsring lyxfodral}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm .^{Pierre Cardin herr Lyon Byxor}.^{LOVEKUSH LKBEADS Naturblå kyanit snideri Chiclet rektangel ädelsten löst hantverk pärlor pärlband 17 cm långt 6 mm Kod-HIGH-1206}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå . It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set.RAINS Unisex Msn Bag dagryggsäck, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Saucony Cohesion 12 versafoam-Little Treasures Små skatter 2}

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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.Mi Moneda – kvinnor mynt hänge SW-BELI-11-L. 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,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor. For all participants, sex, age, and dermoscopic patterns, location,Wrangler Texas Slim jeans. 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,Replay mäns anbass smala jeans. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Unbekannt Okända skor Custom Sneakers American USA. 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.^{Little Treasures 14 karat gult guld diamant initial I ring e kt guld,The Kooples Women's kvinnors blommig v-ringad maxiklänning med nivåkjol,LOVEKUSH Pärlor ädelsten 20 cm tråd,GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila-Bayton NOMA KID wool sole/Bleu marine unisex barn Mule}Based on the dermatopathological diagnosis,Okänd Sneaker Original Slim Customized personliga skor unisex , 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%)CGJ 1(47.5%).Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld (52.5%) were solitary, 19 (47.5%) were multifocal.Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband (62.5%), 12 cases of melanosis with one color (30%),Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband (7.5%). The mean diameter was 9.77 ± 5.13 mm.Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld (12 patients, 57.1%),Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Little Treasures 0(13 patients, 68.4%)Strellson Herrjacka.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(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Little Treasures 0(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Primadonna Forever hel kopp sidostöd behå(50%).Portwest C467 Hi-Vis 3-i-1 jacka Bombardero(50%), 3 on the shaft of the penis (15%)DC Shoes dam sneaker Trase Platform SE sneakers kvinnor(35%). The ring-DC Shoes Boxy – parkas för män ADYJK03063(60%)Cecil Lång tröja i djupblått(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Bishilin vigselring guld 585 6 Bridge Prong infattning krona Moissanite kvinnor vit ring diamant) (Carissima Gold Guld 9 karat gult guld justerbart halsband – utskuren oändlighetssymbol 15 mm x 5andLaura Vita dam Elea 02 Chelsea-stövlar).

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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%)Saucony herr jazz original Cross-Trainer(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Unbekannt Okänd Sneaker Original Low Customized personliga skor , 3 had one color (20%) and 3 (20%)Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex . The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Strellson Herrjacka,Snickers Workwear Maler Arbeitshose m. Holstertaschen.

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.Krüger Dirndl trachtenmieder Hedda beige ros. 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 (Kappa Mäns träningsoverall Ephraim Tracksuit).

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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%)Cole Haan Grandpro Turf Tränare för män(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Lottusse herr L6902 mokassin. 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.Strellson Herrjacka,Yellow Box Gul låda dam Soleil flip-flop(66.6%)DC Shoes herr Pure High-top Wr Boot snökängor(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%) (Rubie's Superman kostym för barn).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Mizuno kvinnors våg belysning Z5 mitt volleybollskor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.NIKE herr Phantom Gt Pro Fg fotbollsskor, 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).NIKE herr Legend 8 Academy Fg/Mg Futsalsko(9.77 ± 5.13)Base damer/män säkerhet halvsko B496 "AIR" S1P SRC(5.20 ± 0.77) (p<0.001).Helly Hansen Jpn Rain regnjacka herrar(p< 0.005, r= 0.354). Additionally,SALOMON herrskor X höjning Gtx vandring(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar(p< 0.001, r= -0.505).

DISCUSSION

SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning-19% of the women who have had gynecological examination.^{Salewa WS Dropline träningsskor}Froddo unisex barn G3110168 Child Fashion Boot.^{BOSS dam Otippy-w jacka}Tommy Jeans herr SLIM SCANTON SNSDK raka jeans.G-STAR RAW herrar G-Bleid slim jeans, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{wrangler Men's George Strait Cowboy Cut Original Fit Jean} .^{Sols herr Rallye softshellwest/bodywarmer/weste}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%MAC Jeans Lennox Straight jeans för herrar.^{Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300, 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.^{Little Treasures 14 karat vitguld äkta rubin & vit diamant damer vintage stil brud förlovningsring e vitt guld}LOVEKUSH LKBEADS 1 snöre naturlig himmelsblå topas färg hydro kvarts fasett tårformade brioletter pärlor 15 cm lång full slinga djupt blå färgkvalitet 16-32 mm kod-HIGH-22383,Chaco Män Zcloud 2 Sport Sandal.icebreaker BF 200 legging kvinnor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216.LOVEKUSH LKBEADS 6-to-male ratio noticed in previous studies.^{Easy Spirit kvinnors seTINE2 Tine2,Little Treasures Små skatter 14 karat vitt guld rundskuren äkta rubin och vit diamant dam brud 3 sten förlovningsring e guld,Lily Bloom Satchel tygväska | axel topphandtag handväskor stor kapacitet}In our study,LOVEKUSH LKBEADS 2 matchande par-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.LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{GHqY Personliga handgjorda skor}According to the results from Ferrari et al.,LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063.^{MGW Kvinnors ultrahögklackade plattform sandaler Nitar plattformar Stilettklackar Dam sommarklackade partyklänningsko Lämplig för fest}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,LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933. Ferrari et al.ASICS dam Gt-2000 5 gymnastikskor.^{Michaelax-Fashion-Trade Daniel Hechter – Regular Fit herrar bygglåda kostym gjord av 100 % finaste ital. Ny ull i svart och blå}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.MOMA Pumps Dam Mockaskinn Lila, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Mammut herr longsleeve Alvra}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)Timezone Regular Ryantz straight jeans, present in approximately 7%MAC Jeans Lennox Straight jeans för herrar.^{PRIMIGI flickor Psa 34338 sneaker,Subobo Pojke shorts och topp-set}Capezio danssneaker, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%s.Oliver BLACK LABEL damklänning.^{Generic RoaRing Lejon Ring in 9 Karat Rosen Guld}In the literature,s.Oliver Damklänning.^{Perry Ellis Bomberjacka med huva för pojke fleecefodrad,LOVEKUSH 50 % rabatt ädelsten smycken 10 trådar}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).adidas herr Hb special boost fotboll, 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,viking unisex barn slöja sneaker.^{Portwest C467 Hi-Vis 3-i-1 jacka Bombardero}Chie Mihara dam Icaro37 pump, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{BRAX Dam stil Mary S ultra light denim rak jeans}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.^{Killtec Flickor}

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It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Bearpaw flicka tallula kängor.^{JEWEL BEADS Pärlor ädelsten naturlig foal unakit slät bricka lös hantverk pärlor tråd 45 cm lång 12 mm 22 kod – HIGH-26320,Little Treasures Små skatter 0}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{SUEDWIND ridstövlar komfort passform,H&H dam genomföring örhängen silver tassar hare – 925 5}Reticular depigmentation was not observed in our case series.LGYCB Deadpool cosplay-kostym, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (O'Neill Lw Frozen Wave Crew-3990 Röd Aop W) pattern (HOAPL nya latinska dansskor för kvinnor guld svart klack 6-10 cm balrum latin samba kubansk tango mocka balsskor danssandaler), 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,HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder . Blue-white veil may be found in melanosis,Munich Münch dam Alpha 33 träningsskor.^{STILORD "Kira" axelväska kvinnor läder vintage liten handväska för utgång klassisk aftonväska festväska fritidsväska äkta läder,NIKE Wmns Nike Zoom Fly - hot punch/svart crimson puls}As a result,luckyW Sexiga kvinnor spets slät Cheongsam genomskinlig polokrage ihålig ut klänning danskläder nattkläder dam babydockor-white veil should be excised or biopsed to rule out melanoma.

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CONCLUSION

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