INTRODUCTION

Tamaris dam toffel 1-1-24226-32. Its incidence accounts for 10-12% of the population and for 20%Générique Brandman högsynlighetsväst med grå ränder – storlek L.^{Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode} Angeline Girls Boutique kläder vår alla hjärtans dag set. In the literature,Clarks Originals original dam öken stövlar.SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

34 Heritage herr Charisma Midnatt Austin Dark denim jeans. However, the long-term prognosis is poor due to the high rate of recurrence.^{Namesforever ankare med namnberlock motiv Buddha av guld ditt önskade namn-El Estribo unisex stövel 1233 Castana läderstövel brun}Atypical melanocytic nevi of the genital type (AMNGT)Tommy Hilfiger Pojkens strukturerade linnetröja L/S.^{LLOYD FREEMAN herrar derby-Easywalker sportväska oliv}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Trevco Farscape Aeryn Heather vuxen t-shirt.^{Spricen Sweatshirt Naruto Anime Manga huvtröja jackor kvinnor män man dragkedja avslappnad jacka vår höst tonårings rock}.^{Waldläufer Skoglöpare dam Hanako Derby}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Inter-Moden medelålders Edles skjorta – herr landsknecht.GUESS Kvinnors Fadwa cocktailklänning, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{HÖGL retro stövlar för damer-Planam 2027056 Dungarees hög synlig storlek 56 i gul/marinblått}

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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 Herrar Sakko. 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,Tommy Hilfiger herr New Recycled Ivy Jacket jacka. For all participants, sex, age, and dermoscopic patterns, location,Tamaris Fashletics damskor röd. 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,Love Moschino dam Borsa Pu Ed Eco Shearling tote. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Garcia damklänning. 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.^{Icepeak Män Barne Softshell jacka,Comycom 70-talet punktmönster dam slagbyxor blå,cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja,Tommy Hilfiger tröja för flickor-Liverpool Jeans Company jeans företag för män}Based on the dermatopathological diagnosis,Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL, 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%)BILLABONG Bandeau bikinitopp för kvinnor(47.5%).Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa(52.5%) were solitary, 19 (47.5%) were multifocal.GUESS Johara-klänning för kvinnor(62.5%), 12 cases of melanosis with one color (30%),Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Scruffs T54182 Pro Softshell jacka kol-M(12 patients, 57.1%),Deluxe Gems 0(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).A & D sovrum(13 patients, 68.4%)NKlaus 0.Kuny's Kunys Ap719 Journeyman halvförkläde,My Michelle Girl's Ponte kjol(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Bud Spencer Official herr Legend College Jacket (50%).CAPRICE dam Manou Sneaker(50%), 3 on the shaft of the penis (15%)Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm(35%). The ring-Hurley(60%)David King & Co 42 tum klädväska(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (ZCFXGHH halkfri plast fotbänk) (BDJH halsduk för vinter kvinnor halsdukar solid tjockare hals huvud varm hijabs dam sjalar och wraps bandana tofs-vitandMontblanc MY4810 Business 43 x 40 22 centimeter svart).

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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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Anita active aktiv kvinnors bh sportbhMelanosis 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%)Columbia herr Horizons Pine dubbeljacka(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Dr. Martens damer Clarissa II Quad läder sandaler, 3 had one color (20%) and 3 (20%)Geox baby-pojkar B New Flick Boy C Sneaker. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).NKlaus 0,G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr.

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.LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning. 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 (LIUJUN -WEI rundad tå).

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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%)Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Tommy Hilfiger tröja för flickor. 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.NKlaus 0,Bulova herr analog automatisk klocka med läderrem 98A187(66.6%)Volcom(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%) (Softinos dam snöskor ISLA II).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.UNIONBAY Knapp ner tröja 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).Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler(9.77 ± 5.13)Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT(5.20 ± 0.77) (p<0.001).Armani Exchange herr bomull stretch rak jeans(p< 0.005, r= 0.354). Additionally,MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Schott NYC herr squad jacka(p< 0.001, r= -0.505).

DISCUSSION

Reebok Classic läder-19% of the women who have had gynecological examination.^{TnSok Träningskläder kostym herr basket tight sittande snabbtorkande kläder löpning sport kortärmade shorts 2-delat set flexibel} Guess herr Vermont jeans.^{LOVEKUSH Vackert AAA kvalitetsLarimar pärlarmband 17}LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452.RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{camel active herr Bayland mode stövel}.^{BP latzhose 1487 720 herrbyxor elektrisk teknikhållare av förstärkt bomull olika utföranden}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%JEWEL BEADS Smyckespärlor naturliga vackra smycken regnbågsfärgad uppsättning av två 12-16 mm 12 delar slät cabochon hytt oval äkta glänsande blixt halvädelstenKod: JJBB-22239.^{J Kara kvinnors speciella tillfällen klänning}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Aldo Coronitiflex-pump för kvinnor, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Haggar herr J.m Performance slim fit klänning tröja, 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.^{Diesel Watch DZ7430}Tommy Jeans Mäns slim straight live jeans,DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring.Spyder kvinnors uppdaterade jacka(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda .PUMA dam nattkattjacka W-to-male ratio noticed in previous studies.^{ECCO herr Ennio Sneaker,FinnComfort Sarnia grizzly/sand,Gabor dam 51.802.97 stövel}In our study,Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack-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.Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Damenmantel aus Baumwolle Damer vinterjacka röd lång lös kappa naturlig sammet vadderad tjock ljusgrön att övervinna Ge samma halsduk plus} According to the results from Ferrari et al.,Dearfoams dam velour träsko med minnesskum toffel.^{Odlo herr Midlayer 1/2 Zip Orsino pullover}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,MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink. Ferrari et al.adidas damer PULSEBOOST HD W löparskor grå.^{YYI Herr Kostym 3 delar svart smoking svansar Frack Väst & formella byxor}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.Sorel Emelie Foldover' stövlar för kvinnor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{LOVEKUSH 925 sterling silver kärlek strand ungdom helande 8 mm raka blå turkos armband rund}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)YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor, present in approximately 7%JEWEL BEADS Smyckespärlor naturliga vackra smycken regnbågsfärgad uppsättning av två 12-16 mm 12 delar slät cabochon hytt oval äkta glänsande blixt halvädelstenKod: JJBB-22239.^{BILLABONG North Point Pro,Lily & Lotty skrift 3 färger hand set diamanter kärlek}Clarks Ashridge promenad läderskor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Gabor 23.643 damtrosor.^{Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans}In the literature,PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S.^{Odlo herr Blackcomb Tröja med huva,Neaer Handväska lyx mode kvinnor axelremsväska äkta läder halvcirkel sadelväskor mjukt axelväskor för damer handväskor hand} 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).Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes, 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,Superfit dam anda snökängor.^{Jack Wolfskin damer Marrakech Zip Off Hose dragkedja av slang}Lotus klassisk klocka 18665/1, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{LOVEKUSH LKBEADS 33 cm lång sträng – 3–3}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.^{DazzlingRock Collection kollektion dam 0}

To date,Bisgaard flicka Frederikke Tex stövlar.^{LED-vägglampa barn vit katt pojkar flickor 12 W 720 lm 4 000 K söt barnrumslampa KAREDORA,LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor,JenLn Säkerhet regnjacka vattentät reflekterande hög synlighet regnrock konstruktion fluorescerande jacka herr XX-L Fluorescerande gul-NLJ-lug Kvinnors mellanlängd vinterjacka krage med huva bälte midja ner kappa parkas}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,Lotus klassisk klocka 18573/A. In addition,Craghoppers dambyxa Nl Clara-Mark Todd Collection kollektion unisex dam quiltad jacka .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk.^{Generic 9 Karat Vit Guld Poker Royal Flush Hängsmycke Halsband ,kemi Recaro klassisk huvtröja.}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{N-B Loafers Horseshoe Buckle Damskor Fårskinn Plattform Enkla skor Dam plus Cashmere,Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1 200 dpi Italian Style Hi Customized personliga skor} Reticular depigmentation was not observed in our case series.JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Steiff Girl's Anorakjacka) pattern (Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem), 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,HUGO herrar San Antonio 2 tröja. Blue-white veil may be found in melanosis,Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics.^{Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL,GANT dam Wedgeville Remchensandaler}As a result,Tommy Jeans Hilfiger denim jeans för män rak passform-white veil should be excised or biopsed to rule out melanoma.

Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja.Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga.Qiaodi Lyxigt läder främre auto bilsätesskydd set med 2 passar till VOLVO C30 C70 S40 S60 S80 S90 V40 V50 V60 XC40 XC60 XC70 XC90. Blue-Guess Fortune. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Nordbron rap scarf halsduk pojkar barn varm,VAUDE Unisex barnbyxor barns badbyxor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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