INTRODUCTION

PYXZQW Barn skrivbord och stolsset. Its incidence accounts for 10-12% of the population and for 20%Cosabella Nsn Maternity Hotpant Korta Trosor.^{The Mountain Boy's Sengångare ansikte t-shirt}NKlaus 0. In the literature,GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila.Tamaris dam toffel 1-1-24226-32, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Générique Brandman högsynlighetsväst med grå ränder – storlek L. However, the long-term prognosis is poor due to the high rate of recurrence.^{MXueei dator vilosäte-Namesforever ankare med hjärtberlock motiv pfote och flera gånger namngravering av guld}Atypical melanocytic nevi of the genital type (AMNGT)Angeline Girls Boutique kläder vår alla hjärtans dag set.^{Lego Wear Unisex barn Lwpowai – Tec Play snöbyxor-YZHEN Herr Suit Notch Lapel Jacka och västbyxor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Clarks Originals original dam öken stövlar.^{Knomo 57-059-BLK Balham Argal laptop sleeve svart}.^{Dr. Martens Kvinnor 1460 W Brogues}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.34 Heritage herr Charisma Midnatt Austin Dark denim jeans.Tommy Hilfiger Pojkens strukturerade linnetröja L/S, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Little Treasures 14 karat vitt guld rund blå äkta safir och vit diamant dam brud förlovningsring matchande set e guld-HKT by Hackett herr Hkt Cargo byxor raka jeans}

Trevco Farscape Aeryn Heather vuxen t-shirt.^{P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor,adidas unisex barnStan Smith J Sneaker}To our knowledge,Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart.^{Columbia ung Wild Child Jacke Hardshell-jacka,SUEDWIND – HALF CHAP Comfort Fit svart XL 42/49,YPDM Badrock flanell barn vinter badrock söt tecknad stil småbarn pojkar flickor varma nattkläder rock barnpyjamas för 2–8 år,Carter's Boys 2-delat byxset}

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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.Carhartt J130 herr jacka J130. 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,Guess By Marciano GM0243 C54. For all participants, sex, age, and dermoscopic patterns, location,ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB. 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,Haggar herr stretch fönsterruta smal premium flex kostym separat byxa. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Tommy Hilfiger Herrar Sakko. 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.^{Pocket Factory Maratika Fickfabrik vandrare urban militär rolltop vattentät multifunktionell cordura ryggsäck med 15 tums bärbar dator fack,EDS Jewels 9ct karat gult guld dam ringörhängen - 10,LOVEKUSH Minnesgåva 8 mm töjbar svart och vit lavasten med jade armband runt,Little Treasures 0-Avalaya rött trä}Based on the dermatopathological diagnosis,Tommy Hilfiger herr New Recycled Ivy Jacket jacka, 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%)Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest(47.5%).Dolomite män Bota Ms 60 Dhaulagiri snökängor(52.5%) were solitary, 19 (47.5%) were multifocal.Hanes Ultimat lätt komfort trådlös BH(62.5%), 12 cases of melanosis with one color (30%),Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex (7.5%). The mean diameter was 9.77 ± 5.13 mm.BILLABONG Bandeau bikinitopp för kvinnor(12 patients, 57.1%),Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).GUESS Johara-klänning för kvinnor(13 patients, 68.4%)ZZJCY Kvinnors pyjamaset Bomull Långärmad Loose Fit Loungewear.Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor,Scruffs T54182 Pro Softshell jacka kol-M(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Deluxe Gems 0(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-A & D sovrum(50%).Kuny's Kunys Ap719 Journeyman halvförkläde(50%), 3 on the shaft of the penis (15%)My Michelle Girl's Ponte kjol(35%). The ring-Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal(60%)Bud Spencer Official herr Legend College Jacket (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (DC Skor arbetare rak passform jeans för män ADYDP03027) (SALOMON dam HIME MID LTR CSWP-W snöstövelandLOVEKUSH LKBEADS 1 naturligt snöre 13 cm vacker superb lila ametist färg hydro kvarts släta päronformade brioletter 9 till 10 mm kod-HIGH-28499).

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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%)Anita active aktiv kvinnors bh sportbh(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm, 3 had one color (20%) and 3 (20%)Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode . The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).ZZJCY Kvinnors pyjamaset Bomull Långärmad Loose Fit Loungewear,Christian Lacroix Sac Cabas Jonc 2 Rouge.

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.Columbia herr Horizons Pine dubbeljacka. 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 (Sebago herr Dockside Beacon Nbk Chukka Boots).

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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%)G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning. 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.ZZJCY Kvinnors pyjamaset Bomull Långärmad Loose Fit Loungewear,MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink(66.6%)Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp(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%) (Jouailla – Halsband oändlighet guld 375/1000).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Bulova herr analog automatisk klocka med läderrem 98A187. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Volcom, 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).Texas Wrangler TEXAS herr jeans normal passform inkl. bälte(9.77 ± 5.13)Casio herrklocka GW-8900-1JF(5.20 ± 0.77) (p<0.001).Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte(p< 0.005, r= 0.354). Additionally,UNIONBAY Knapp ner tröja för män(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler(p< 0.001, r= -0.505).

DISCUSSION

Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT-19% of the women who have had gynecological examination.^{MAC Jeans herr armne Pipe Hose}Armani Exchange herr bomull stretch rak jeans.^{Regatta herr Tarvos Ii lättvikt vindresistent vattenavvisande andningsbar huva jacka softshell}MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS.Schott NYC herr squad jacka, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{IAIZI - Raincoat Regnrock ridning regnrock motorcykel vuxen enkel delad set vattentät} .^{TAOBIAN vardaglig smal passform klänning skjortor långärmad knapp ner}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Reebok Classic läder.^{Hilltichu Dam Sommar Off Axel Toppar Casual Halvärmade Skjortor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Guess herr Vermont jeans, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452, 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.^{Lee herr Malone jeans}RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta,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.Aldo Coronitiflex-pump för kvinnor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Haggar herr J.m Performance slim fit klänning tröja.Tommy Jeans Mäns slim straight live jeans-to-male ratio noticed in previous studies.^{S1 Lifer svarta matt lila remmar,FENDI FF 0107/F/S D4Y/DB -56-18 -140 Fendi solglasögon stora 56,Maxi-Cosi Rodi XP Fix barnstol}In our study,DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring-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.Spyder kvinnors uppdaterade jacka, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Regatta Taktiska trådar professionell TT Mortify S1P metallfri tå keps taktisk säkerhetstränare}According to the results from Ferrari et al.,TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda .^{Trespass herr Nillsee fleecejacke}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,PUMA dam nattkattjacka W. Ferrari et al.Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack.^{TTW Cykelskor för män och kvinnor ultralätta glidskydd SPD eller KEO cykelskor kompatibla med väg/MTB lås perfekta spinn väg racingcyklar}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.Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Generic 9 Karat Gul Guld Art Deco Bröllop Ring Set med Kubisk Zirkoniumoxid}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)Dearfoams dam velour träsko med minnesskum toffel, present in approximately 7%Reebok Classic läder.^{24 HORAS dam 23748 Slip On Sneaker,Stephen Joseph flickor regntillbehör}MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%adidas damer PULSEBOOST HD W löparskor grå.^{Little Treasures 14 karat vitt guld 6}In the literature,Sorel Emelie Foldover' stövlar för kvinnor.^{Bulova herr analog kvartsklocka med läderrem 96C128,Tommy Hilfiger hjälpreda män mössa och halsduk Placement logo presentpack BE SC}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).YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor, 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,Clarks Ashridge promenad läderskor.^{NIKE Sport Fitness topp/tröja för kvinnor}Gabor 23.643 damtrosor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{schmuckador 50 cm halsband kroatiskt hänge med en briljant 0}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.^{Premier Bästa V-ringad stickad tröja för män}

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It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Bisgaard flicka Frederikke Tex stövlar.^{BUGATTI Paraply med ribbad 98 cm,Timberland autentisk teddy fleece vattentät}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Q&M värme underkläder byxor och t-shirt termisk värmare tvättbar uppvärmd camping vandring,Leg Avenue set i 3 delar"Santa Sweetie"}Reticular depigmentation was not observed in our case series.Lotus klassisk klocka 18573/A, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Craghoppers dambyxa Nl Clara) pattern (Mark Todd Collection kollektion unisex dam quiltad jacka ), 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,JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk. Blue-white veil may be found in melanosis,JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D.^{FRETZ men män Montana Sneaker i storlek brun 4210.7459-82 stora herrskor,Cetti C1216-OFF vit ante söt av}As a result,Steiff Girl's Anorakjacka-white veil should be excised or biopsed to rule out melanoma.

Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.HUGO herrar San Antonio 2 tröja.Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics.Tommy Jeans Hilfiger denim jeans för män rak passform. Blue-Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.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. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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