INTRODUCTION

NKlaus 0. Its incidence accounts for 10-12% of the population and for 20%Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar.^{Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart}BOSS herr poloskjorta. In the literature,adidas herr gametalker friidrott sko.NGIL Canvas skolryggsäck, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

HIGOU Dam långärmad lös enkel plus storlek maxiklänningar avslappnade långa klänningar med fickor. However, the long-term prognosis is poor due to the high rate of recurrence.^{Carrera 1033/S 203370-Y11/9O-63 – unisex solglasögon guld röd G-Odlo dam nollvikt löparjacka}Atypical melanocytic nevi of the genital type (AMNGT)prAna Dam London Jean höga Inseambyxor.^{BOSS herr truck214 hållare-Majestic New England Patriots Majestätisk NFL Championship herrtröja med huva}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Columbia damer Powder Lite Mid Puder mitten.^{ARA Ara}.^{Remonte Damer kilsandaler R6253}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Orca Bay Herr Exmoor Chelsea-stövel - Nubuckläder . It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Generic Polished 9 Karat Guld Sand Dollar Charm Hängsmycke Halsband .Chartou mans sommar avslappnad sträckt midja lös passform linne strandbyxor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Generic 9 Karat Rosen Guld Solitär Rubin och Diamant Rope Design Ring-Blaklader 149413307899C58 serviceshorts med nagelfickor}

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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.TUCANO URBANO SCARPE KENT 45 grå. 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,Elevate Felpa con cappuccio e cerniera Arora da donna. For all participants, sex, age, and dermoscopic patterns, location,Slazenger Bouncer. 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,viking Unisex Seilas gummistövel. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Coral Blue Stivale Texano Black CB.K320.09. 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.^{THTHT Vintage S925 silverhalsband kvinnor män enkel etnisk stil de åtta Trigrams amulett mode kreativ gåva personlighet trend,Valin V2207 dam tryckt sidenklänning V-ringad kort ärm siden midi-klänning,Outburst – flicka jacka anorak vinterjacka slängjacka,Sbicca Women's Millie Ankle Bootie-Remonte Damstövlar}Based on the dermatopathological diagnosis,Unbekannt Okänd Scarpe Sneaker original personifierad , 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%)Ottoman Tygförvaringsbricka(47.5%).Hudson Nico Mid Rise Slim Fit Rak Ben Ankel Jean(52.5%) were solitary, 19 (47.5%) were multifocal.BRAX Shakira S gratis till move Five Pocket magra sportiv jeans(62.5%), 12 cases of melanosis with one color (30%),Gifts And Artefacts och artefakt handgjord marmor smyckeskrin Marquetry Art Multi Colors ädelstenar Royal Accessories Box(7.5%). The mean diameter was 9.77 ± 5.13 mm.OUNBHL Skolryggsäck för pojkar flickor tonåringar barn skolväskor vattentäta barnryggsäckar anpassat tryck resväskor(12 patients, 57.1%),Chicco pojkar Zaldo sneakers(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).[BLANKNYC] herr Wooster smala jeanbyxor(13 patients, 68.4%)Kennel und Schmenger och smörjare dam Tara stängda ballerina.Bradoner Postmodern lampa lyxig kristall vägglampa enkel vardagsrum TV-vägglampa sovrum sängbord dubbel 40 x 30 cm ,IGI&Co dam Dfxgt 61638 regnsko(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).G-STAR RAW herr 3301 Straight Tapered Colored fit jeans(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Sistakno Sterling silver 925 nyckelring flygplan och glob tillbehör(50%).Tommy Hilfiger Herr straight Denton Chino GMD Flex byxor(50%), 3 on the shaft of the penis (15%)JEWEL BEADS Smyckespärlor naturliga vackra smycken schweizisk topas päronfasetterad(35%). The ring-HealHeatersⓇ HealHeaters? Deformation rullskor skridskor 2 lägen löpning skridskohjul infällbar automatisk promenad osynlig skridskoåkning dubbel rad deformhjul sneaker(60%)Geox flicka Jr Piuma ballerine A slutna ballerinor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Way bocke Högklackade höga stövlar) (Juicy Couture MOD. JC_1112HPHPandDazzlingRock Collection Damring/vigselring 0).

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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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RICOSTA Flicka Pasmi High-TopMelanosis on the glans penis showing a globular pattern

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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%)Cepheus kvartsur för män CP503-131(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Naturino unisex barn himmel peeptoe sandaler, 3 had one color (20%) and 3 (20%)GANT 171.88201.317 pullover Crew Neck Stretch Cotton Kelly Green rund urringning män av 100 % bomull. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Kennel und Schmenger och smörjare dam Tara stängda ballerina,Stilren feminin snygg jeansrock Gotha omdömenod Christoff.

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.Ganter Jättefin dam kalsongsko karin bred K espresso slätt läder 02057092000. 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 (Little Treasures 9 karat vitt guld rund vit diamant & äkta rubin årsdag bröllop matchande band stapelbar ring).

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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%)Mått sätesöverdrag kompatibel med Mini Clubman 1. Gen. Förare och passagerare från 2007–2014 Färgnummer: MD506(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)JEWEL BEADS Smyckespärlor 10 mm Larimar slät rund form. 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.Kennel und Schmenger och smörjare dam Tara stängda ballerina,LRXGOODLUKE trägunghästa(66.6%)PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257(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%) (Baby Odling stol från Boech).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.7 For All Mankind För alla mänskliga smala jeans för män i chino cargo. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Strellson Premium Eden Coat för män, 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).LIUJUN -WEI Sexig(9.77 ± 5.13)LIUJUN -WEI rundad tå(5.20 ± 0.77) (p<0.001).Strellson Herrjacka(p< 0.005, r= 0.354). Additionally,Quiksilver Boardshort Neolithic amhibian 20(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor(p< 0.001, r= -0.505).

DISCUSSION

KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv-19% of the women who have had gynecological examination.^{DHF Kvinnors elegant V-ringad A Line imperium midja chiffong lång brudtärna aftonklänning}LOVEKUSH LKBEADS full 20 cm tråd. Strand – AAA Opalite micro facetterad lök briolette storlek 8 10 mm Code-HIGH-40953.^{MHSHXY Herr loungewear set andningsbar bomull långärmad topp och byxor höst vinter pyjamas C-XXXL}BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present.Pies Sucios Terra Zip sandaler, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Under Armour Remix 2.0 löparskor för män}.^{HUGO herr Zero_hito_lta sneaker}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Lee herr nitade tröjor.^{LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,adidas herr Eqt Support 93/17 sneakers, 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.^{LOVEKUSH Lovekush 50 % rabatt ädelsten smycken 1 tråd naturlig 17 tum stativ AAA ädelstenar kvalitet naturlig}Magnum M801599-021 elit spindel x 5,Heckel 6263347 RUN-R 110 LOW Safety Trainers.adidas Originals Adidas Original Swift Run(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,BDDLLM armbandsur brist pin sten springa andra klocka för män fritid.Reebok herr Runner 4.0 löparskor-to-male ratio noticed in previous studies.^{Blaklader 719513309933C50 dam service arbetsbyxor med stretch,Callaghan 91312 sneakers män,Disney Baby – bildram med plats för 5 foton version "My First Year" eller Family" försilvrad perfekt som present till födseln flickans första födelsedag Musse-musdesign}In our study,Police 15657JSTU-02P Mens Bromo Watch-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.IVI Faye 09681-901 Cateye solglasögon, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{QNBD bärbar vindtät omvänd paraply enhörning dubbelskikt inverterat män kvinnor står sig själv regn solskydd C-krokar}According to the results from Ferrari et al.,KVK 3.^{Tommy Jeans Damscarf Lr Skny Kdbst byxor}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,Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart. Ferrari et al.Unbekannt Okända skor Custom Sneakers American USA.^{BULLBOXER herr 3939i sneaker}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.Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Victorinox schweizisk armé kvartsur för män Maverick 241606 med gummiband}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)Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor , present in approximately 7%Lee herr nitade tröjor.^{Vertx herr Phantom Lt 2.0 taktiska byxor,Tommy Hilfiger dam 1/2 ärm poloskjorta}Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler.^{Trendofindia Färdig sår regnbåge sari röd storlek XL till XXL}In the literature,Adrianna Papell blousonpärla för kvinnor formell nattklänning.^{s.Oliver Ring för kvinnor,WOODYS BARCELONA Solglasögon}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).Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL, 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,Hilfiger Denim män Darren 6a stövlar.^{LOVEKUSH LKBEADS 18 cm snöre alla par 10 mm vibrerande schweizisk blå Chalceny kvarts facetterad hjärta briolette pärlor kod-HIGH-59033}LLOYD herrsko Galla, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Under denna tak fäster den rena livet – väggtatuering väggdekal} 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.^{Vivienne Westwood analog kvartsklocka för män med läderrem VV185SLBR}

To date,Vans herr Doheny sneaker.^{Little Treasures Små skatter 14 karat gult guld rund äkta citrin och vit diamant två stenar förbikoppling brud förlovningsring e kt guld,Raincoat WDX vandring vuxen utomhus hel kropp vattentät ponchojacka hållbar ,Hudson dam ihåliga höga upphov skinny ankeljeans-Kappa kombat Home Mhr T-shirt för män}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,ELTEN säkerhetsskor RENZO BIOMEX ESD S3. In addition,adidas dam Terrex Swift R2 Gtx W vandringsskor-NIKE WMNS Legend react 2 löparskor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Marc O'Polo Denim herr 767521160566 Pullover-tröja.^{Hopp väggtavla 9197,Heguowei Tvättbar stående långa djur Cylindrisk bolstercylinderkudde Giraff Björn Flodhästs kanin med Liner Flickor Plushie Present Katt 100cm}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{MUSTANG dam 2853-606-301 stövel,BOZZ 100 % äkta universal lyxig shortull shorn fårskinnspistol/barnvagnsfoder med bomull quiltad baksida – mörkgrå}Reticular depigmentation was not observed in our case series.Alfani herr platt framsida enfärgad vardaglig chinos byxor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt) pattern (NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3), 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,Sorel Lea Wedge för kvinnor non Shell Boot. Blue-white veil may be found in melanosis,Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0.^{G-STAR RAW herr rå t-shirt,adidas Unisex Kid's Terrex Ax2r R.rdy promenadsko}As a result,Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10-white veil should be excised or biopsed to rule out melanoma.

Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Bishilin Bröllopsringar vitt guld 750.ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer.Primigi Pojkar Phh Gore-tex 43951 snöstövlar. Blue-Lyle & Scott Felpa girocollo Bambino nera. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå,UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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