INTRODUCTION

Hurley. Its incidence accounts for 10-12% of the population and for 20%David King & Co 42 tum klädväska.^{Kate Spade KAILEIGH NUDE HAVANA 50/15/140 kvinnor glasögonram}camel active Mars 13 herr toffel. In the literature,Anita active aktiv kvinnors bh sportbh.FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode . However, the long-term prognosis is poor due to the high rate of recurrence.^{Oceanic O'Neill Ascend Capri-Benk övergångsjacka bomberjacka stegjacka svett sport jacka män}Atypical melanocytic nevi of the genital type (AMNGT)Christian Lacroix Sac Cabas Jonc 2 Rouge.^{Voi Hirsch Brenna plånbok läder 15 cm-LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Columbia herr Horizons Pine dubbeljacka.^{QinWenYan Bandeau-baddräkt badkläder-bikini-plagg med nätframsida för tropisk strand-poolparty-smekmånad} .^{Draussen-Aktiv MAC Dream CHIC dam jeans byxor 0355l547190-91}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Dr. Martens damer Clarissa II Quad läder sandaler. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Geox baby-pojkar B New Flick Boy C Sneaker.G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Ganter Gracia-REAL-GEMS Ursprunglig bokstav halsband}

LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning.^{Wrangler Texas Slim jeans,MZNSQB Silverörhängen för kvinnor 925 sterling silver spindel dinglande örhängen glittrande kubisk zirkonia modesmycken}To our knowledge,MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink.^{FJALLRAVEN dam Greenland Re-cotton t-shirt S W,FJÄLLRÄVEN herr Lappland hybrid väst,SALOMON herrskor X höjning Gtx vandring,LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216}

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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.Tommy Hilfiger tröja för flickor. 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,Bulova herr analog automatisk klocka med läderrem 98A187. For all participants, sex, age, and dermoscopic patterns, location,Volcom. 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,Texas Wrangler TEXAS herr jeans normal passform inkl. bälte. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Casio herrklocka GW-8900-1JF. 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.^{ZGRJIUERYI Silverarmband för kvinnor,RICOSTA Pojkens Benni Hi-Top träningsskor,LOVEKUSH Grossist 4–5 mm töjbart rosa och gyllene koppar Swarovski-armband runt,Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger-Saucony Chaussures jazz 22}Based on the dermatopathological diagnosis,Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte, 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%)Tommy Jeans Mäns slim straight live jeans(47.5%).DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring(52.5%) were solitary, 19 (47.5%) were multifocal.Spyder kvinnors uppdaterade jacka(62.5%), 12 cases of melanosis with one color (30%),TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda (7.5%). The mean diameter was 9.77 ± 5.13 mm.PUMA dam nattkattjacka W(12 patients, 57.1%),Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack(13 patients, 68.4%)CAPRICE dam Manou Sneaker.Dearfoams dam velour träsko med minnesskum toffel,MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).adidas damer PULSEBOOST HD W löparskor grå(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Sorel Emelie Foldover' stövlar för kvinnor(50%).YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor(50%), 3 on the shaft of the penis (15%)Clarks Ashridge promenad läderskor(35%). The ring-Gabor 23.643 damtrosor(60%)PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Geox herr U Renan B sneaker) (NKlaus 0andChristian Lacroix Sac Eternity 2 Bleu Electrique).

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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%)Craghoppers dambyxa Nl Clara(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Mark Todd Collection kollektion unisex dam quiltad jacka , 3 had one color (20%) and 3 (20%)JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).CAPRICE dam Manou Sneaker,JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D.

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.Steiff Girl's Anorakjacka. 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 (Unbekannt Okänd Sneakers original USA personliga skor ).

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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%)Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Tommy Jeans Hilfiger denim jeans för män rak passform. 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.CAPRICE dam Manou Sneaker,Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste (66.6%)State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja(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%) (MONARI tröja).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Guess Fortune. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Nordbron rap scarf halsduk pojkar barn varm, 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).VAUDE Unisex barnbyxor barns badbyxor(9.77 ± 5.13)NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/(5.20 ± 0.77) (p<0.001).BOSS herrtröja Wailes(p< 0.005, r= 0.354). Additionally,La Millou Småbarnsfilt – det är vit magi(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap (p< 0.001, r= -0.505).

DISCUSSION

Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10-19% of the women who have had gynecological examination.^{LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband turkosa stapeliserade fasetterade brioletter – hjärtformade pärlor 10 mm x 7}Campingbjörn hushåll örngott .^{Wrangler Jeans för män}Aerosoft andningsbar kardborrstövel för kvinnor och män.Guess Jeans"Curve X" - W93AJ2 D3OP0-27 , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Blaklader 494925179942L softshell jacka}.^{Muck Boots Arctic Sport Tall unisex_-_baby Gummistövlar}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Falcotto lövskor med kardborrlås.^{alife & kickin Alife and Kickin damkappa CharlotteAK D}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare, 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.^{AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44}Mascot 00773-430-888-82C58 storlek L 82 cm/C58"Orlando" servicebyxor - antracit-P Large/90cm/Size C45 Antracit,Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart.FHB-Zunftkleidung FHB WERNER arbetsbyxor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart.Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40-to-male ratio noticed in previous studies.^{Barntoalett stabil halkfri bas säkerhetsdesign med armstöd potta träning tecknad spargris form rosa,Dongyd Playpens extra stor bebis med matta,Outdoor Research Utomhusforskning Coralie L/S tröja}In our study,Tee Jays crossover jacka för män-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.koh Flowy formell fladdermusärm kvällsklänning, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Paul Green dam Chelsea-stövlar}According to the results from Ferrari et al.,Fruit of the Loom 143 gram.^{Snickers Workwear Polar}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,Geox män U Nebula 4 x B Abx A Chukka Boots. Ferrari et al.FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt.^{Generic Solid 9 Karat Guld Rose Zodiaken Virgo Hängsmycke Halsband}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.HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Sparco K-SKID SKOR STORLEK 35 VART/SKVARA}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)New Balance 500 Core träningsskor för män, present in approximately 7%Falcotto lövskor med kardborrlås.^{Anita Active dam Air Control Deltapad Sport-BH,Magisk magisk lykta Alice – vit 12 V}Versus VSP561518 roséguld stål 316 L kvinna klocka, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Love Moschino dam Jc4019pp1a ryggsäck handväska.^{Dljyy bomullskuddar}In the literature,Victorinox Spectra 2.0.^{Jianghuayunchuanri Vinterhalsduken för damer mjuk och bekväm nog kvinnor tofsfilt sjal halsdukar nära huden vinter varm halsduk,Replay damjacka}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).Clarks Dam Deloria Liv pump, 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,adidas Unisex Kid's Terrex Ax2r R.rdy promenadsko.^{Lucky Brand damalbum}EVIDNT Dam tvåfärgad färgblock långärmad stickad topp tröja, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Unbekannt Okänd Sneakers American USA Customized - personliga skor} 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.^{Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp}

To date,Carissima Gold guld 9 karat gult hjärta tagg Belcher armband på 18 cm/7 tum.^{New Balance unisex vuxna U410 D High-Top,Scarpa unisexvuxna,BRIXTON herr Wheeler Intl-HAROLD'S Country herrväska I läder 23 cm}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,PAUL HEWITT armbandsur Sailor Line av rostfritt stål i silver med ljus eller mörk urtavla. In addition,LAOLUCKY Annie damhuvtröja jacka hoodie pullover sweatshirt med fickor-FRUIT OF THE LOOM HD bomull v-ringad t-shirt - 39VR.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,LLOYD herrsko dagget.^{Buffalo RAVYN damer Knapprem,Myggnät damm övre dragkedja fall barn 1}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Gabor 23.643 damtrosor,Vogue dam 0Vo5152 glasögonställ}Reticular depigmentation was not observed in our case series.Freebily sexiga underkläder ihåliga öppen skrev tights stretchiga strumpbyxor långa strumpor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Cecil damer 201480 Vadderad jacka) pattern (Sängtak gardin hängande kupol myggnät öppen dörr prinsessa landning insekt skydd säng tak ), 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,Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992. Blue-white veil may be found in melanosis,Skechers mäns efterbränna minnesskum snörning sneaker.^{Hydrowear 042503 Rimini Simply No Sweat Pilotjacka,Mustang kvinnors 1278-801-2 öppen tå sandaler}As a result,Bulova herr analog kvartsklocka med rostfritt stålrem 96B258-white veil should be excised or biopsed to rule out melanoma.

ARA Richmond plattform. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor.Muck Boots Arctic Sport Tall unisex_-_baby Gummistövlar.PUMA herrtröja Ess Fz Hoody Fl. Blue-GILBIN 12 par. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.NIKE Air Zoom Pegasus 35 löparskor för män,adidas D Dwight Howard 5 Indoor Basketball hallskor sneaker blå/vit/grön D73948. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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