INTRODUCTION

Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner. Its incidence accounts for 10-12% of the population and for 20%Lacoste herr Sideline 319 1 Cma sneaker.^{Little Treasures 14 karat vitguld äkta rubin & vit diamant damer vintage stil brud förlovningsring e vitt guld}Tommy Jeans dam skinny jeans. In the literature,Guess herrarmbandsur analog kvarts läder W18540G1.Tissot t070.405.16.411.00 – armbandsur män, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Reloj Guess unisex vuxen kvartsklocka 8434103388192. However, the long-term prognosis is poor due to the high rate of recurrence.^{Little Treasures Små skatter 14 karat vitt guld rundskuren äkta rubin och vit diamant dam brud 3 sten förlovningsring e guld-LLC- WATCH Män mode minimalist automatisk klocka}Atypical melanocytic nevi of the genital type (AMNGT)Guess – VIPER herrklockor W0659G4.^{Lily Bloom Satchel tygväska | axel topphandtag handväskor stor kapacitet-GHqY Personliga handgjorda skor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Guess kvinnors analoga kvartsur glitter flicka.^{MGW Kvinnors ultrahögklackade plattform sandaler Nitar plattformar Stilettklackar Dam sommarklackade partyklänningsko Lämplig för fest}.^{Mammut herr longsleeve Alvra}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Solo New York Everyday Max hybridryggsäck. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20.Guess Shilah Mini dam axelväska teal, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Badabulle färg pop säkerhetsgrind-PRIMIGI flickor Psa 34338 sneaker}

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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.Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS. 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,G-Shock GA700DC-1A. For all participants, sex, age, and dermoscopic patterns, location,Superfit pojkar strider sneaker. 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 barn Kjenning Jr. Combat Boots. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Meindl pojkar halvsko Ontario Junior GTX utomhussko. 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.^{Baby Barnvagn Ultra-Light Foldbara Barn 1-6 år gammal barnvagn Hög Landskap Stroller,ZJDECR handväska koreanskt mode vingar väska vild axel messengerväska 22 x 12 14 cm,Camper dam Iman Oxford,SMILODOX Vinter dunjacka SUB Zero Män | Jacka för sport träning & fritid träningsjacka – sporttröja sweatshirt med dragkedja-JEWEL BEADS Pärlor ädelsten naturlig foal unakit slät bricka lös hantverk pärlor tråd 45 cm lång 12 mm 22 kod – HIGH-26320}Based on the dermatopathological diagnosis,Tommy Jeans Hilfiger denim damstöveljeans, 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%)BP 2213-840-8653-41/42n arbetsbyxor med elastisk ryggdel(47.5%).Carter's Baby Girls' tryckta leggings(52.5%) were solitary, 19 (47.5%) were multifocal.POKTER-ALC för Renault Kangoo fr.o.m. 2010 sätesskydd personbilar Comfort in ALKANTRA-sittyta(62.5%), 12 cases of melanosis with one color (30%),ClimAir Car Comfort CLI10063ABC Sonniboy passar till Suzuki Vitara (7.5%). The mean diameter was 9.77 ± 5.13 mm.Mattel Fisher-Price DKF64 Deluxe Comfort Curve Wippe(12 patients, 57.1%),Tranemo 2820-50-03-D96 buntbyxor Comfort Plus storlek D96 i marin(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).LWZ Herr lätta bekväma vattentäta regnstövlar med ståltå(13 patients, 68.4%)UPOWER BLANCO S2 SRC.M.O.D MOD Herrjeans Thomas – Comfort Fit blå Alava Blue,Kjus herrbyxor blå Ibiza(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Helly Hansen mäns Odin Skarstind byxbyxor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-YJDMJJ Harem lastbyxor män träningsbyxor hiphop kamouflage herrars lapptäcke militärbyxor casual mode flera fickor streetwear joggingbyxor(50%).Vilebrequin herrbyxor i massivt linne-XXL(50%), 3 on the shaft of the penis (15%)Spelsäng inkl. räv med textilset gardin och tunnel "Princes"(35%). The ring-SHANYUR Vardagliga byxor för män elastiskt midjeband lös harem broderi knytfärg kontrast joggingbyxor kvinnor man streetwear koreansk harajuku punk hip hop (60%)Killtec Dam funktionskjol med avtagbar inre byxa Lyola(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (dekodino® väggtatuering fotboll torwart ball ungdomsrum väggdekoration tonåring) (b.tempt'd dam modern metod bygel-BHandHarry's Horse Rijbroek Heren Liciano denim fullt grepp).

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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%)Giorgio Fedon 1919 automatisk herrklocka PCQ svart GFCQ001(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)surell Faux Rabbit Pom tröja stickad mössa med visir – vinterskidmössa, 3 had one color (20%) and 3 (20%)Blaklader 149413307899C58 serviceshorts med nagelfickor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).UPOWER BLANCO S2 SRC,JACQUES LEMANS herr analog kvartsklocka med läderarmband 1–1838B.

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.QX IAIZI Tredimensionell växt trädgård väggdekoration trä foto vägg fräsch dekorativ fotoram dekoration kombination. 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 (Lurchi baby pojkar Kev-Sympatex-stövlar).

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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%)IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät (66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)BP 1803-720-56-48s arbetsfack. 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.UPOWER BLANCO S2 SRC,MUSTANG dam 1306-301-100 Derbys(66.6%)Little Treasures Små skatter 14 karat gult guld rosa äkta safir och vit diamant dam brud förlovningsring set e kt guld(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%) (Friedrich Hugo PCS_GREYLINE-DE-AIR-04 Greyline).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.BP 1790-555-13-44l latzh. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.BP 2402-820-1332-44/46n arbetsväska, 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).LOVEKUSH 925 sterling silver handgjorda pärlor helvete 8 mm stracking lila jade armband runt(9.77 ± 5.13)Blaklader 199816448699C54 4-vägs stretch X1900 hantverkare arbetsbyxor(5.20 ± 0.77) (p<0.001).Art Konst dam 1232 stad kobolto/Camden stängd tå klackar(p< 0.005, r= 0.354). Additionally,adidas män X 19.1 TF fotbollsskor silver(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Little Treasures Små skatter 14 karat vitt guld rund rosa äkta safir och vit diamant dam brud förlovningsring set e guld(p< 0.001, r= -0.505).

DISCUSSION

OLYMP Luxor comfort fit skjorta långärmad Karo-19% of the women who have had gynecological examination.^{Woodchip picknickkorg med vikhandtag}Bungsa damörhängen "SWANLAKE" guldfärger – 1 par örhängen i svanform med rosa och svart strass kristall öronsmycke kvinnor svan studs crystals.^{wkd-thvb Vinterjacka för män ledig varm parkas stående krage kappa höst tjock smal herr ytterkläder}GUESS Damklocka W0073L2 .CafeNoir TRONCHETTO CON MULTISTRASS IN MICROFIBRA, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Gabor damsneakers med låg topp sneaker}.^{Snickers Duratwill Craftsmans trouesers 156 Muted Black/Black}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Little Treasures Små skatter 1.^{DazzlingRock Collection 14 K vitt guld 7}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Mustang kvinnors 1278-801-2 öppen tå sandaler, 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.^{SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröja}wkd-thvb Vinterrock i ull för män,Amaryllis Hängsmycke Sugilith Freeform.Hydrowear 042851K Rhodos konstruktorbyxa(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Hydrowear 041035 Piemont bild linje.Hydrowear 046456 Aspen vinterpark-to-male ratio noticed in previous studies.^{art 1255 Becerro Black/Creta damer Öppna kilsandaler,Michaelax-Fashion-Trade Camel Active – herr jeans Woodstock Stone Washed ,Casio herrklocka GW-8900-1JF}In our study,Hydrowear 04025997 Twello Termo Line-jacka-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.Hydrowear 042854K Rhodos konstruktorbyxor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Beco Damer baddräkt}According to the results from Ferrari et al.,Napapijri herr NOLANOS Shorts.^{Dior Damer dioroffset1 0T W6Q 62 solglasögon}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,Barntoalett multifunktionell bärbar potta 1-6 år gammal män och kvinnor babyväska stil urinal gUL. Ferrari et al.Randiga gardiner.^{Little Treasures 14 karat roséguld diamant och granat förlovning/förslagsring e 14kt rosguld}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.Brütting Kansas kvinnor bana, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{NBgy barnlekar}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)NIKE Phantom 3 Academy Df Fg fotbal skor, present in approximately 7%Little Treasures Små skatter 1.^{JenLn Tunn tvättad jacka för män slitstark utomhus bergsbestigning camping vindtät herr vindjacka lätt ledig ,Under Armour Pojkar Ua Hunt 1/4 dragkedja polär fleece kvart}J.A.K. 21071246 serie 12021 99% bomull/1% negastat skjorta, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Leber&Hollman LH-BIBWINTER_L Vister fodrad skyddslyktor.^{Angeline Boutique flickor halloween outfit set - pumpa spöke spindel tunika leggings med oändlighetsscarf}In the literature,Top Swede 7721-20-06 modell 7721 Hi Vis softshell jacka.^{CAPRICE dam Kania höga stövlar,P.M. Kinderwesten Festliga pojkar kostym väst med plast 2 tlg för barndräkt}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).Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat, 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,Sänggaller sängskyddslångare.^{adidas Unisex Copa 20.1 Fg fotbollsskor}Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Wrangler skotskrutig logotyp långärmad tröja – Mp1301 m}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.^{CGJ 3}

To date,SPORT-TEK herr 1/2-dragkedja färgblock vindskjorta. JST75.^{H&H damgenomföring örhängen silver tassar beagle 925 rhodinerad 2,MAC Jeans Män Ben Loose Fit,Little Treasures Små skatter 1-Moschino Underwear Camo Tape Logo Hooded Sweat Top in Khaki L}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,Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor. In addition,Naturino pojkar sol sandaler-Portwest - Bizflame Plus flambeständig lätt anti-statisk coverall panna 280 g orange 2XL/lång.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Spanx dam 10178R-VERY M formande kropp.^{J.A.K. 1110086080-serien 11100 70% polyester/30% bomull buntbyxor med hängväskor,ZRXian-Area Rugs Designermattor modern europeisk minimalistisk stil vardagsrum matta sovrum sängbord med 12 färger och 5 storlekar}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Little Treasures 0,CSXM Pencil case Skolväska kvinnor ryggsäckar skola ryggsäck högskola skolväskor för tonårsflickor barn skolväska axelväska ansöka på kontor arbete resor camping etc.}Reticular depigmentation was not observed in our case series.Sorel kvinnors Lolla utskurna bootie ankelstövlar, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (TYR Dam Glisade Diamondfit baddräkt) pattern (Brooks mäns lansering 5 löparskor), 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,LLOYD FREEMAN herrar derby. Blue-white veil may be found in melanosis,HVTKL Klassisk retro vertikal sektion plånbok läder herr casual kort första lagret av dragkedja .^{GUESS glasögon ,Replay mäns anbass smala jeans}As a result,Hanes Youth ComfortBlend EcoSmart träningsbyxor-white veil should be excised or biopsed to rule out melanoma.

Spyder Badbyxor för män. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Hurley herr boardshort M Phantom Doom 16'.Hudson Jeans för kvinnor.GORE WEAR C5 korta tights för kvinnor. Blue-Vans herr Ua autentiska träningsskor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Icebreaker Dam Persist Shorts,FRAUIT-Frauen Top FRAUIT dam lång kappa revers faux för lös långärmad ytterkläder väska plysch vinterjacka mode kort coat elegant casual festlig party kläder blus top. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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