INTRODUCTION

Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart. Its incidence accounts for 10-12% of the population and for 20%Unbekannt Okända skor Custom Sneakers American USA.^{LISILI Herrbälte krokodil design äkta läder klänning bälte rem guld/silver diamant leopard huvudspänne}Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor . In the literature,Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor .Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler. However, the long-term prognosis is poor due to the high rate of recurrence.^{AMOENA Nancy BH för kvinnor-LNLN SäKerhetsarbetsskor}Atypical melanocytic nevi of the genital type (AMNGT)Adrianna Papell blousonpärla för kvinnor formell nattklänning.^{Ziiiro Herrklocka ZIIIRO ref: Z0010WBK-Generic 9 Karat Guld Rose Bear Paw Print Hängsmycke Halsband} Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL.^{LOVEKUSH LKBEADS Naturblå safirfasetterade pärlor 2 mm – 4 mm}.^{Bugatti Valente Exko}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Hilfiger Denim män Darren 6a stövlar. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.LLOYD herrsko Galla.Vans herr Doheny sneaker, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{CMX-BOX Enkel träklocka låda organiserare smyckeskrin souvenir presentask kreativ enkel retro L19W14H9-Amaryllis Ädelstensberlock slinga vit labradorit med blomster 17 x 42 mm 925 silverring}

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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.Alfani herr platt framsida enfärgad vardaglig chinos byxor. 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,Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt. For all participants, sex, age, and dermoscopic patterns, location,NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3. 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,Sorel Lea Wedge för kvinnor non Shell Boot. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0. 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.^{Unknown Herrskor,OPUS dam handa nallebjörn,Merrell mäns intervcept låga höjningar vandringsskor,G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr-Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband} Based on the dermatopathological diagnosis,Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10, 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%)Geox pojkar J Kommodor Boy A Sneaker(47.5%).Volcom herr shorts-cargo Miter Ll(52.5%) were solitary, 19 (47.5%) were multifocal.ASICS dam gel-Squad amerikansk handboll skor(62.5%), 12 cases of melanosis with one color (30%),ASICS GEL-BND(7.5%). The mean diameter was 9.77 ± 5.13 mm.Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp(12 patients, 57.1%),Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).TBS Mojarra sandaler med öppen tå för kvinnor(13 patients, 68.4%)IVI Faye 09681-901 Cateye solglasögon.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(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Tamaris dam 1-1-28007-24 007 sandaler med klack(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm(50%).Chaco Zvolv sportsandal för kvinnor(50%), 3 on the shaft of the penis (15%)NIKE dam Roshe One Print löparskor(35%). The ring-Scarpa Origin klättringsskor dam grön blå 2021 tofflor(60%)Geox D Nhenbus A kvinnor – moderskap Låga sneakers(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Coastguard Kustskydd funktionell jacka vadderad svart/grå storlek L) (WAFJJ iögonfallande draperier för barn Blue & Dream Catcher mörka gardiner med öglor vardagsrum sovrum barnrumandDiesel herr jeans).

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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%)Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)PUMA Unisex vuxna Rebound Layup SL Sneaker, 3 had one color (20%) and 3 (20%)Liu Jo Cher damer Krigsstövlar. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).IVI Faye 09681-901 Cateye solglasögon,YIJIAN-BOOTS Bekväma.

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.Little Treasures 0. 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 (Josef Seibel Amelie 02).

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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%)Ändbord blöjbord ihopfällbara med dräneringssystem(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)ECCO dam Soft 7 damstövlar. 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.IVI Faye 09681-901 Cateye solglasögon,Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning (66.6%)Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex (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%) (Osprey unisex rullande transport handbagage 38 hjul bagage).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery, 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).prAna London Short(9.77 ± 5.13)ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(5.20 ± 0.77) (p<0.001).YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare(p< 0.005, r= 0.354). Additionally,adidas Herrbyxor Adidas Skitouring P – svart(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(p< 0.001, r= -0.505).

DISCUSSION

adidas dam terrex Ax2r vandringsskor-19% of the women who have had gynecological examination.^{ZHHAOXINPA Damer allväder vattentät lång vinterjacka}CafeNoir SNEAKER IN LAMINATO.^{ROSA DI MANUEL Örhängen Gult Guld. 18 KTS 750. Flicka Kvinnor Dam. Säkerhetslås.}Remonte Damer sandaler R2950.BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{BERA Män 100 % get ull halsduk halsdukar pojkar handgjorda mjuk känsla vintersjal varm stal}.^{Helly Hansen Workwear funktionsjacke SUNNE INSULATOR 73001 isolerande}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Strellson Herrjacka.^{Reebok Classic läder}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Best Life Casual, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112, 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.^{XJJ88 Set med 12 julgranar nyår organisering dragsträngar väskor - tema tryck hållbar produkt påse väska passar till jul fest present wrap}Teva dam Olowahu W's dragsko,CallagHan herr cedron mokassin.Uno de 50 Orion PUL1818CRLMTL0M(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack.Naturino pojkar bekväma sandaler-to-male ratio noticed in previous studies.^{adidas herr Cloudfoam Racer Tr löparskor,RVCA Kvinnor Stateside brädshorts,Brooks Mäns Dyad 10 löparskor}In our study,Lodi dam Habi-x sandaler med klack-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.Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Joop! Dam Daphne Sneaker}According to the results from Ferrari et al.,XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå .^{CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm}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,DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set. Ferrari et al.RAINS Unisex Msn Bag dagryggsäck.^{Little Treasures Små skatter 0}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.DazzlingRock Collection Gia-certifiering 1, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{BP 1803-720-56-48s arbetsfack}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)adidas Originals Adidas Falcon RX W, present in approximately 7%Strellson Herrjacka.^{XYZMDJ bärbar smyckeskrin resa örhänge halsband tillbehör arrangör låda med dragkedja ,Hackett London herr LINEN BLUE STR TEE T-tröja}ESPRIT Collection kollektion dam kjol, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Porsche Design glasögon P8250 K.^{W-xiao stool Datorspelstol av PU-läder}In the literature,Mi Moneda – kvinnor mynt hänge SW-BELI-11-L.^{XinMeiMaoYi Outdoor Backpack Multifunktionell Bärbar Axelremsväska Män Sports kassar Stor kapacitet Travel Vandring Ryggsäck Shoulder Messenger Bag,Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar}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).Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor, 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,Wrangler Texas Slim jeans.^{Benuta barnmatta bambu bil blå 120 x 160 cm | matta för lek- och barnkammare}Replay mäns anbass smala jeans, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring}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.^{KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare}

To date,Unbekannt Okända skor Custom Sneakers American USA.^{Zancan Hi Teck herrarmband,JEWEL BEADS Juvelpärlor vackra smycken AAA kvalitet Rhodonit armband trendigt minimalistiskt pojkvän mörkrosa stapelarmband långt avstånd relationsarmband 8 mm kod – UKA-9225,Geox herr U Mattias B Abx a sneakers-Cxjff Sword Art Online Anime ryggsäck laptop sko för barn med USB-laddningsport svart/1} 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,Okänd Sneaker Original Slim Customized personliga skor unisex . In addition,Superfit baby flicka rush sneaker-Saltwater Sandals Salt Water by Hoy Shoe Original Sandal .

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Superfit unisex barn sport7 mini sneaker.^{Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå,Stylowears Wonder Women Diana Prince Gal Gadot Superhjälte svart syntetisk läderjacka}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Geox Uomo Snake K sneaker,CMP Flicka vattenavvisande täcke med huva}Reticular depigmentation was not observed in our case series.Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Hydrowear 072455 Usselo Simply No SweatCoverall) pattern (DazzlingRock Collection 14 K vitt guld 7), 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,Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp . Blue-white veil may be found in melanosis,CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish.^{Gerry Weber tröja för kvinnor,Abeler und Söhne och söhne herr analog kvarts smart klocka armbandsur med läderarmband 3105}As a result,DazzlingRock Collection 0-white veil should be excised or biopsed to rule out melanoma.

CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Unbekannt Örhängen stiftörhängen Solitär Brillant 0.CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage.Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor. Blue-CGJ 1. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld ,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband . Clues for AMNGT are given by dermoscopy.

CONCLUSION

In the literature,Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband . To our knowledge,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym-up.Little Treasures 0, hence,Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld.Little Treasures 0.