INTRODUCTION

McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor. Its incidence accounts for 10-12% of the population and for 20%Geox pojkar J Kommodor Boy A Sneaker.^{XYZMDJ bärbar smyckeskrin resa örhänge halsband tillbehör arrangör låda med dragkedja} Volcom herr shorts-cargo Miter Ll. In the literature,ASICS dam gel-Squad amerikansk handboll skor.ASICS GEL-BND, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp. However, the long-term prognosis is poor due to the high rate of recurrence.^{Hackett London herr LINEN BLUE STR TEE T-tröja-Dekornät anti-fall nät}Atypical melanocytic nevi of the genital type (AMNGT)Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun.^{W-xiao stool Datorspelstol av PU-läder-Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)TBS Mojarra sandaler med öppen tå för kvinnor.^{Benuta barnmatta bambu bil blå 120 x 160 cm | matta för lek- och barnkammare}.^{Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import.Tamaris dam 1-1-28007-24 007 sandaler med klack, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{EVEN NATURALS Prinsessängbaldakin för flickor-KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare}

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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.Geox D Nhenbus A kvinnor – moderskap Låga sneakers. 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,Remonte dam D0001 sneaker. For all participants, sex, age, and dermoscopic patterns, location,Joop! Dam Daphne 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,Ted Baker dam Lennes Sneaker. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor. 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.^{Gerry Weber tröja för kvinnor,shoe Mäns säkerhetsarbete,Abeler und Söhne och söhne herr analog kvarts smart klocka armbandsur med läderarmband 3105,Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart-Russell Athletic Collection långärmad tröja för män}Based on the dermatopathological diagnosis,WggWy Mäns fashionabla arbetssäkerhetsskor, 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%)Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin (47.5%).ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery(52.5%) were solitary, 19 (47.5%) were multifocal.prAna London Short(62.5%), 12 cases of melanosis with one color (30%),ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(7.5%). The mean diameter was 9.77 ± 5.13 mm.YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare(12 patients, 57.1%),adidas Herrbyxor Adidas Skitouring P – svart(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(13 patients, 68.4%)Cofra S.r.l. V126-0-03.Z150 bälte"Safari".adidas dam terrex Ax2r vandringsskor,CafeNoir SNEAKER IN LAMINATO(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Remonte Damer sandaler R2950(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(50%).Strellson Herrjacka(50%), 3 on the shaft of the penis (15%)Best Life Casual(35%). The ring-Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(60%)Teva dam Olowahu W's dragsko(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (VERCART Leksakskudde sidosovkudde amningskudde förvaringskuddar plyschkuddar kuddar sängkudde shit kudde rosa 90 x 150 cm) (Unbekannt Shoes sneakers unisex original USA personliga skor andJack Wolfskin dam labyrint Texapore Mid W vattentät vandrings- och vandringskängor).

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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%)Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå , 3 had one color (20%) and 3 (20%)DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Cofra S.r.l. V126-0-03.Z150 bälte"Safari",RAINS Unisex Msn Bag dagryggsäck.

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.DazzlingRock Collection Gia-certifiering 1. 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 (MINKPINK Bandit Bandeau bikini för kvinnor).

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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%)Porsche Design glasögon P8250 K(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Mi Moneda – kvinnor mynt hänge SW-BELI-11-L. 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.Cofra S.r.l. V126-0-03.Z150 bälte"Safari",Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(66.6%)Wrangler Texas Slim jeans(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%) (West Coast Choppers 30 Years Anniversary Limited Baseball Jersey Män Kortärmad Skjorta Svartvit).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Okänd Sneaker Original Slim Customized personliga skor unisex . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Superfit baby flicka rush sneaker, 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).Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (9.77 ± 5.13)Superfit unisex barn sport7 mini sneaker(5.20 ± 0.77) (p<0.001).Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå(p< 0.005, r= 0.354). Additionally,Hydrowear 072455 Usselo Simply No SweatCoverall(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-DazzlingRock Collection 14 K vitt guld 7(p< 0.001, r= -0.505).

DISCUSSION

Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp -19% of the women who have had gynecological examination.^{NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/}CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish.^{Ted Baker herr Thawap Sneaker}DazzlingRock Collection 0.CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{FJÄLLRÄVEN Fjällräven 89997 – 319}.^{Replay Jondrill jeans}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Unbekannt Örhängen stiftörhängen Solitär Brillant 0.^{TINE Tonade hoppande skor för vuxna}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor, 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.^{Naturino Spring flicka Öppna kilsandaler}CGJ 1,Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld .Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband (AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband .Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld -to-male ratio noticed in previous studies.^{Tmzyja Män automatisk mekanisk sportklocka Aquatimer keramik gul svart blå gummi Jacques-Yves Cousteau,New Balance Boys 373 Sneaker,Lacoste herr Sideline 319 1 Cma sneaker}In our study,Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym-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.Little Treasures 0, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Cofra 10410-001.W42 säkerhetsskor medalj O2 HRO SRC Fo storlek 42 i svart}According to the results from Ferrari et al.,Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld.^{ASICS Gel-kayano 26 löparsko för 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,Little Treasures 0. Ferrari et al.Little Treasures 0.^{LIXIYU Taktiska stövlar män militär sida dragkedja ankelstövlar snörning sidodragkedja andningsbara för skor vandringsskor höga topp öken}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.Primadonna Forever hel kopp sidostöd behå, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Regatta Unisex Hi Vis Pro Reflekterande Arbete Över Byxor}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)Portwest C467 Hi-Vis 3-i-1 jacka Bombardero, present in approximately 7%Unbekannt Örhängen stiftörhängen Solitär Brillant 0.^{Hackett London Mäns polotröja multi trim Jsy,QIANDA babygrindar husdjur hund grind vägg fast förlängande metall med gånghål passar utrymmen mellan 57 till 180 cm bred 105-112cm}DC Shoes dam sneaker Trase Platform SE sneakers kvinnor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%DC Shoes Boxy – parkas för män ADYJK03063.^{Heckel 6721336 suXXEED OFFROAD SVART INOX S3 HÖG säkerhetsstövlar}In the literature,Cecil Lång tröja i djupblått.^{ETH Outdoor Backpack 18 L Cykling Ryggsäck Justerbar Lightweight Multifunktionell Cykel Bag Nylon Cycle Camping/Vandring Cykling/cykel/Reflekterande Strips,Amaryllis Hängsmycke Sugilith Freeform}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).NIKE Damer Epic Lux Top, 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,Designer Sterling Silver 925 sterlingsilver .^{NIKE herr Vapor 13 Academy Tf fotbollsskor}WESC Huvtröja för män, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{YSYDE 198 cm Småbarn sängräckskydd}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.^{Mitchell & Ness Sweatshirt M&N Ls Indianapolis Colts}

To date,Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker.^{New Balance 393 svart/rosa,G-STAR RAW herr Citishield 3D Slim avsmalnande jeans,Mascot 00773-430-888-82C58 storlek L 82 cm/C58"Orlando" servicebyxor - antracit-P Large/90cm/Size C45 Antracit-ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor}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,Hit Notion Optiska glasögon för kvinnor – rektangulär form. In addition,Saucony herr jazz original Cross-Trainer-Unbekannt Okänd Sneaker Original Low Customized personliga skor .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .^{Mizuno kvinnors våg belysning Z5 mitt volleybollskor,Wrangler skinny jeans för kvinnor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Diesel DL0258 0057X diesel solglasögon Dl0258 stora 140,Mizuno herr Heist IQ-M Iq}Reticular depigmentation was not observed in our case series.Snickers Workwear Maler Arbeitshose m. Holstertaschen, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Krüger Dirndl trachtenmieder Hedda beige ros) pattern (5.11 Herrstrumpbyxor täckta lastbyxor), 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,HEAD herr Sprint Pro 3.0 Clay tennissko. Blue-white veil may be found in melanosis,Cole Haan Grandpro Turf Tränare för män.^{Think! Män 686640_joeking Sneaker,[BLANKNYC] herr Wooster smala jeanbyxor}As a result,Lottusse herr L6902 mokassin-white veil should be excised or biopsed to rule out melanoma.

Yellow Box Gul låda dam Soleil flip-flop. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.DC Shoes herr Pure High-top Wr Boot snökängor.Werner Kern kärna – dam dansskor Cindy 3.Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan . Blue-Mizuno kvinnors våg belysning Z5 mitt volleybollskor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.NIKE herr Phantom Gt Pro Fg fotbollsskor,NIKE herr Legend 8 Academy Fg/Mg Futsalsko. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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