INTRODUCTION

BRAX damer Style Carola_75 normalt. Its incidence accounts for 10-12% of the population and for 20%Young Soles Unna sulor flickor Rosie Mary Janes.^{HealHeatersⓇ HealHeaters? Deformation rullskor skridskor 2 lägen löpning skridskohjul infällbar automatisk promenad osynlig skridskoåkning dubbel rad deformhjul sneaker}supengyuan 20 litet 2428 tum hjulfodral. In the literature,Adrienne Vittadini dam patinosandaler med klack.Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Dr. Martens Kvinnor 1460 W Brogues. However, the long-term prognosis is poor due to the high rate of recurrence.^{Nakamura Dam Delia byxor-Unbekannt Okänd Scarpe original personlig Hi Canvas}Atypical melanocytic nevi of the genital type (AMNGT)Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger.^{Remonte dam stövlar R7989-Comycom 70-talsinspirerad byxa män svart stjärna}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor.^{JEWEL BEADS Smyckespärlor naturliga vackra smycken etiopiska opal pärlor ädelsten 3}.^{s.Oliver herrar smala jeans}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380.Primadonna Dam couture BH, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Converse Ct Print Hi-Paul Malone bröllopsmode bröllopsväst set 5 delar Cappuccino brun randig Casa Moda bröllopshemd vit}

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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.Pierre Cardin Deauville herrbyxor 86 tum normal passform. 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,Guess Dilla shopper svart. For all participants, sex, age, and dermoscopic patterns, location,GANT fritidsskjorta för män. 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,Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece. 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.^{LOVEKUSH LKBEADS 40 cm tråd,Ganter Jättefin dam känslig Helga-h Brogues,Toff London Pride Rainbow Heart Love Watch,Joe's Jeans herr Je Crew t-shirt-Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart}Based on the dermatopathological diagnosis,Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8, 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%)Angeline Girls Boutique kläder vår alla hjärtans dag set(47.5%).Clarks Originals original dam öken stövlar(52.5%) were solitary, 19 (47.5%) were multifocal.SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare(62.5%), 12 cases of melanosis with one color (30%),34 Heritage herr Charisma Midnatt Austin Dark denim jeans(7.5%). The mean diameter was 9.77 ± 5.13 mm.Tommy Hilfiger Pojkens strukturerade linnetröja L/S(12 patients, 57.1%),Trevco Farscape Aeryn Heather vuxen t-shirt(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart(13 patients, 68.4%)Save The Duck fritidsjacka för kvinnor.Inter-Moden medelålders Edles skjorta – herr landsknecht,GUESS Kvinnors Fadwa cocktailklänning(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Carhartt J130 herr jacka J130(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Guess By Marciano GM0243 C54(50%).ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB(50%), 3 on the shaft of the penis (15%)Haggar herr stretch fönsterruta smal premium flex kostym separat byxa(35%). The ring-Tommy Hilfiger Herrar Sakko(60%)Tommy Hilfiger herr New Recycled Ivy Jacket jacka(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Pride and Soul och själ) (LOVEKUSH LKBEADS prasiolit grön ametist fasetterad lök droppe lös ädelsten hantverk pärlor strand 20 cm lång 8 mm Code-HIGH-27353andG-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import).

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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%)CJMDEH morgonrock morgonrock(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)O'Neill LW Becky Crew långärmad tröja, 3 had one color (20%) and 3 (20%)Better Bodies Bättre kroppar dambyxor Waverly tights. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Save The Duck fritidsjacka för kvinnor,SUPERDRY Sportbyxor För Kvinnor Ol Elite.

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.Spyder herr Capitol full dragkedja hårt ansikte fleecejacka. 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 (The Olivia Collection TOC tre färger sterlingsilver trippel rad strass set armband 15).

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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%)LLOYD herrsko DAILY(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest. 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.Save The Duck fritidsjacka för kvinnor,Dolomite män Bota Ms 60 Dhaulagiri snökängor(66.6%)Hanes Ultimat lätt komfort trådlös BH(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%) (Cipo & Baxx Herrjeans tjock söm streetwear).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.GUESS Johara-klänning för kvinnor, 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).Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor(9.77 ± 5.13)Scruffs T54182 Pro Softshell jacka kol-M(5.20 ± 0.77) (p<0.001).Deluxe Gems 0(p< 0.005, r= 0.354). Additionally,A & D sovrum(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Kuny's Kunys Ap719 Journeyman halvförkläde(p< 0.001, r= -0.505).

DISCUSSION

My Michelle Girl's Ponte kjol-19% of the women who have had gynecological examination.^{Miwaimao 925 Sterling Silver Rose Wrapped Open Infinity Eternal Love Ring For Women Wedding Party Mode Smycken}Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal.^{YZHEN Herr Kostym Stripe Double Breasted Slim Fit Jacket Byxor Set}Bud Spencer Official herr Legend College Jacket .CAPRICE dam Manou Sneaker, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Hurley herr pullover M Dipdye one &only Blocked}.^{LOVEKUSH LKBEADS 1 snöre naturlig blå topas}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm.^{Lego Wear flickjacka}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Hurley, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,David King & Co 42 tum klädväska, 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.^{BULLBOXER halvskor i stora storlekar röd 773K20462AARRBSU50 herrskor}camel active Mars 13 herr toffel,Anita active aktiv kvinnors bh sportbh.FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode .Christian Lacroix Sac Cabas Jonc 2 Rouge-to-male ratio noticed in previous studies.^{Pali unisex sängkläder,supengyuan 20 litet 2428 tum hjulfodral,SH-lgx Handbagage}In our study,Columbia herr Horizons Pine dubbeljacka-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.Dr. Martens damer Clarissa II Quad läder sandaler, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Bugatti herr yllekappa}According to the results from Ferrari et al.,Geox baby-pojkar B New Flick Boy C Sneaker.^{Jack Wolfskin herrar DENALI 65 MEN män}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,G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr. Ferrari et al.LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning.^{Umbrella Långt handtag}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.MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set}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)Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp, present in approximately 7%Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm.^{Under Armour laddade Rogue 2 väglöpning skor för män,Little Treasures 0}Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Tommy Hilfiger tröja för flickor.^{Volcom Dam långlina bomber snöjacka}In the literature,Bulova herr analog automatisk klocka med läderrem 98A187.^{7 For All Mankind män smal rak ben jeans,Alpha Industries Alfa Rymdfärja Huvtröja}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).Volcom, 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,Texas Wrangler TEXAS herr jeans normal passform inkl. bälte.^{Persol män 0Po2445S 518/56 52 solglasögon}Casio herrklocka GW-8900-1JF, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Paul Green dam tofflor mokassins 2389}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.^{Jewelry Affairs 14K gult och vitt guld Miami kubansk bana länk kedja halvmassivt halsband}

To date,Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte.^{FJÄLLRÄVEN herr undertröja Övik Shirt Ss M,Dolomite Unisex Zapato Cinquantaquattro Lh Canvas Sneaker,Primadonna Dam couture BH-FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt}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,UNIONBAY Knapp ner tröja för män. In addition,Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler-Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Armani Exchange herr bomull stretch rak jeans.^{CJMDEH morgonrock morgonrock,LOVEKUSH LKBEADS rutil kvarts brioletter}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Guess GU7409 C54,Lego Wear baby flickjacka}Reticular depigmentation was not observed in our case series.MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Schott NYC herr squad jacka) pattern (Reebok Classic läder), 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,Guess herr Vermont jeans. Blue-white veil may be found in melanosis,LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452.^{Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss,TUCANO URBANO SCARPE KENT 45 grå}As a result,RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta-white veil should be excised or biopsed to rule out melanoma.

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. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Aldo Coronitiflex-pump för kvinnor.Haggar herr J.m Performance slim fit klänning tröja.Tommy Jeans Mäns slim straight live jeans. Blue-DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Spyder kvinnors uppdaterade jacka,TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda . Clues for AMNGT are given by dermoscopy.

CONCLUSION

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