INTRODUCTION

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CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm. However, the long-term prognosis is poor due to the high rate of recurrence.^{Wrangler mäns cowboysnitt vanliga raka ben jeans-The Chesterfield Brand märke Sienna City ryggsäck läder 30 cm}Atypical melanocytic nevi of the genital type (AMNGT)SPIRIT ryggsäck skolryggsäck skolväska stor kapacitet resväska pojkar flicka "TROLLEY 06".^{Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack-Finkid Vankka Husky förstärkta utomhus regn snickarbyxor för spädbarn och småbarn}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Mått sätesöverdrag kompatibel med Mini Clubman 1. Gen. Förare och passagerare från 2007–2014 Färgnummer: MD506.^{adidas herr poloshirt Ultimate 365 rugby}.^{Lee vardagsbyxor för män}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-JEWEL BEADS Smyckespärlor 10 mm Larimar slät rund form. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.LRXGOODLUKE trägunghästa.PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{HH- sänggaller höjdjusterbart sängskydd för småbarn barn-Darn Tough tuff herr merinoull vandrare mikro crew kudde strumpa}

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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.LIUJUN -WEI Sexig. 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,LIUJUN -WEI rundad tå. For all participants, sex, age, and dermoscopic patterns, location,Strellson Herrjacka. 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,Quiksilver Boardshort Neolithic amhibian 20. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor. 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.^{ECCO Rudny gladiator för kvinnor,SOUTHPOLE Vinterjacka för herrar SP jacka,camel active herr stand-up pullover,Xiix Barnvagn barnvagn justerbar konvertibel trehjuling med markis mumie väska lämplig för 1~6 år gammal -JewelryWeb Chisel titan graverbar räfflad 8 mm polerad band ring smycken gåvor för kvinnor – storlek alternativ räckvidd: L till Z e Titan}Based on the dermatopathological diagnosis,KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv, 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%)KVK 3(47.5%).Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart(52.5%) were solitary, 19 (47.5%) were multifocal.Unbekannt Okända skor Custom Sneakers American USA(62.5%), 12 cases of melanosis with one color (30%),Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor (7.5%). The mean diameter was 9.77 ± 5.13 mm.Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor (12 patients, 57.1%),Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler(13 patients, 68.4%)edc by ESPRIT kvinnor 998CC1B816 tajta jeans.Adrianna Papell blousonpärla för kvinnor formell nattklänning,Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Hilfiger Denim män Darren 6a stövlar(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-LLOYD herrsko Galla(50%).Vans herr Doheny sneaker(50%), 3 on the shaft of the penis (15%)ELTEN säkerhetsskor RENZO BIOMEX ESD S3(35%). The ring-adidas dam Terrex Swift R2 Gtx W vandringsskor(60%)NIKE WMNS Legend react 2 löparskor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Unbekannt Okänd Sneaker PERSONALIZZATE Original Hi Canvas) (Mac Douglas dam Pyla Fantasia Xs axelväskaandKaporal Jean Homme Deli förstöra).

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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%)Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10, 3 had one color (20%) and 3 (20%)Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).edc by ESPRIT kvinnor 998CC1B816 tajta jeans,Bishilin Bröllopsringar vitt guld 750.

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.ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer. 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 (Flanell filt till min käraste son).

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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%)Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC. 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.edc by ESPRIT kvinnor 998CC1B816 tajta jeans,Panter 816001700 81600 Urban Boots Svart storlek: 47(66.6%)Base Bas b8105 – Faja Basstorlek XXL(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%) (Hudson män Axl skinny).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.TINE Tonade hoppande skor för vuxna. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor, 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).Geox pojkar J Kommodor Boy A Sneaker(9.77 ± 5.13)Volcom herr shorts-cargo Miter Ll(5.20 ± 0.77) (p<0.001).ASICS dam gel-Squad amerikansk handboll skor(p< 0.005, r= 0.354). Additionally,ASICS GEL-BND(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp(p< 0.001, r= -0.505).

DISCUSSION

Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun-19% of the women who have had gynecological examination.^{viking unisex barn örn Iv GTX hög sneaker}TBS Mojarra sandaler med öppen tå för kvinnor.^{Keen dam Ana Cortez flip-w sandaler}OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer.G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Palladium unisex vuxnas Pampa Hi original högklackade sneakers}.^{Unbekannt Sneaker original personliga skor – handgjorda Indian Paisley}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Tamaris dam 1-1-28007-24 007 sandaler med klack.^{DCB Dam och barn gåsblomma berlock – gult guld 9 karat} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Chaco Zvolv sportsandal för kvinnor, 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.^{Guess – VIPER herrklockor W0659G4}NIKE dam Roshe One Print löparskor,Scarpa Origin klättringsskor dam grön blå 2021 tofflor.Geox D Nhenbus A kvinnor – moderskap Låga sneakers(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Remonte dam D0001 sneaker.Joop! Dam Daphne Sneaker-to-male ratio noticed in previous studies.^{Replay Damer Luz skinny jeans,Bockle Joggings,Armani Exchange kvinnors ryggbälte festklänning}In our study,Ted Baker dam Lennes Sneaker-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.LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Liuxiaomiao Damhandväska axelväska dam handväska kvinnlig väska handväskor för kvinnor flera väskor stor storlek mamma och son lång axelrem}According to the results from Ferrari et al.,WggWy Mäns fashionabla arbetssäkerhetsskor.^{Gabor skaftstövel – sportgolv}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,Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder. Ferrari et al.PUMA Unisex vuxna Rebound Layup SL Sneaker.^{Generic "Ace of Diamants" Royal Flush Diamant Ring in 9 Karat Vitt Guld med Röd Diamants}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.Liu Jo Cher damer Krigsstövlar, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Darkrock herr dubbelbröstad guvernör väst VTG Brocade gotisk steampunk} 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)YIJIAN-BOOTS Bekväma, present in approximately 7%Tamaris dam 1-1-28007-24 007 sandaler med klack.^{Väggfäste bild rum hög målning modern väggkvalitetsram fukttålig levande mathål enkel behöver vacker affisch korrosionsbeständig väggdekoration,Love Moschino Wallet - JC5654PP07KL}Little Treasures 0, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Maripé dam 29364 stövlar.^{ZHANG Höst/vinter dam stor kornig kort pärlknapp fårskuren sammetskappa kappa}In the literature,Gabor Jollys damer Stövlar med korta skaft.^{TOM TAILOR Puffer Jacka för kvinnor,Haonb Herrklockor}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).Ändbord blöjbord ihopfällbara med dräneringssystem, 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,ECCO dam Soft 7 damstövlar.^{DC Shoes Boxy – parkas för män ADYJK03063}Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Dolce Vita dam Celaya}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.^{Diesel Chi-Blado-E 79E herrbyxor Kina}

To date,Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex .^{Römer reservskydd för King II ATS/LS green marble,JAKO Jacka atletico,KVK 3-Clarks dam hjälte promenad. Derbys}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,Jomos herr Adventure Sneaker. In addition,LUANA ITALY Origami bärkasse för kvinnor-Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery.^{Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU,NIKE unisex barn Jr Phantom Vsn Academy Df Ic träningsskor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Classyak västerländsk fransad jacka för kvinnor,GUESS Ls Elizabeth Top Henley-tröja för kvinnor}Reticular depigmentation was not observed in our case series.prAna London Short, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor) pattern (YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare), 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,adidas Herrbyxor Adidas Skitouring P – svart. Blue-white veil may be found in melanosis,N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder.^{Bohemisk stickad sofffilt/ullfilt och kast/tupplur/sängtäckt filt/golvfönsterfilt för sovrum | soffa resa jul 130x220cm b,LTB Jeans Julita X jeans}As a result,adidas dam terrex Ax2r vandringsskor-white veil should be excised or biopsed to rule out melanoma.

CafeNoir SNEAKER IN LAMINATO. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Remonte Damer sandaler R2950.BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar.Strellson Herrjacka. Blue-Best Life Casual. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112,Teva dam Olowahu W's dragsko. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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