INTRODUCTION

Lyle & Scott Felpa girocollo Bambino nera. Its incidence accounts for 10-12% of the population and for 20%Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå.^{Nyfödd bad handfat miljöskydd PP-material plast badkar sitta liggande}UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC. In the literature,Panter 816001700 81600 Urban Boots Svart storlek: 47.Base Bas b8105 – Faja Basstorlek XXL, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

adidas herr Predator 19.1 Tr fotbollsskor. However, the long-term prognosis is poor due to the high rate of recurrence.^{Think! Tänk! Dam Turna_585046 hög sneaker-Spiuk Altube MTB C sko}Atypical melanocytic nevi of the genital type (AMNGT)Cofra S.r.l. V126-0-03.Z150 bälte"Safari".^{LOVEKUSH LKBEADS prasiolit grön ametist fasetterad lök droppe lös ädelsten hantverk pärlor strand 20 cm lång 8 mm Code-HIGH-27353-G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)TINE Tonade hoppande skor för vuxna.^{Hanes Ultimat lätt komfort trådlös BH}.^{Orca Bay Herr Exmoor Chelsea-stövel - Nubuckläder}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Geox pojkar J Kommodor Boy A Sneaker.Volcom herr shorts-cargo Miter Ll, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Sioux herr Quintero-700 snörsko klassisk storlek 49-JXXDDQ -Raincoat – Regnrock vuxen mode vindjacka regnrock poncho flicka damer resa torr ultralätt}

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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.TBS Mojarra sandaler med öppen tå för kvinnor. 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,OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer. For all participants, sex, age, and dermoscopic patterns, location,G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import. 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,Tamaris dam 1-1-28007-24 007 sandaler med klack. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm. 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.^{Miwaimao 925 Sterling Silver Rose Wrapped Open Infinity Eternal Love Ring For Women Wedding Party Mode Smycken,Geox Pojkar J Aeranter Boy ABX A Chukka Boot,Hurley herr pullover M Dipdye one &only Blocked,LOVEKUSH LKBEADS 1 snöre naturlig blå topas-Lego Wear flickjacka}Based on the dermatopathological diagnosis,Chaco Zvolv sportsandal för kvinnor, 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%)Maripé dam 29364 stövlar(47.5%).Gabor Jollys damer Stövlar med korta skaft(52.5%) were solitary, 19 (47.5%) were multifocal.Ändbord blöjbord ihopfällbara med dräneringssystem(62.5%), 12 cases of melanosis with one color (30%),ECCO dam Soft 7 damstövlar(7.5%). The mean diameter was 9.77 ± 5.13 mm.Sprezzi Fashion 925 silver signetring turkos män smycken ring oval glänsande polerad med naturlig sten | modern fast från Tyskland presentförpackning (12 patients, 57.1%),Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Jomos herr Adventure Sneaker(13 patients, 68.4%)ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer.LUANA ITALY Origami bärkasse för kvinnor,Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin (15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-prAna London Short(50%).ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(50%), 3 on the shaft of the penis (15%)YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare(35%). The ring-adidas Herrbyxor Adidas Skitouring P – svart(60%)N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (EDS Jewels Medium 9 karat vitt guld 2 mm platt bana komfort män/damer bröllopsband/ring WJS151499KW) (Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk setandUnder Armour laddade Rogue 2 väglöpning skor för män).

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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%)Best Life Casual(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112, 3 had one color (20%) and 3 (20%)Teva dam Olowahu W's dragsko. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer,CallagHan herr cedron mokassin.

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.Uno de 50 Orion PUL1818CRLMTL0M. 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 (Persol män 0Po2445S 518/56 52 solglasögon).

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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%)Lodi dam Habi-x sandaler med klack(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm . 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.ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer,XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå (66.6%)DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set(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%) (Thomas Sabo 1289 007-6 grön klöverberlock ballong).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.adidas Originals Adidas Falcon RX W. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.ESPRIT Collection kollektion dam kjol, 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).Porsche Design glasögon P8250 K(9.77 ± 5.13)Mi Moneda – kvinnor mynt hänge SW-BELI-11-L(5.20 ± 0.77) (p<0.001).Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor(p< 0.005, r= 0.354). Additionally,Wrangler Texas Slim jeans(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Replay mäns anbass smala jeans(p< 0.001, r= -0.505).

DISCUSSION

Unbekannt Okända skor Custom Sneakers American USA-19% of the women who have had gynecological examination.^{CJMDEH morgonrock morgonrock}Okänd Sneaker Original Slim Customized personliga skor unisex .^{POUPDM Ryggsäck för kvinnor snygg student ryggsäck resa lätt veke sammet axelväska ledig miniväska}Superfit baby flicka rush sneaker.Saltwater Sandals Salt Water by Hoy Shoe Original Sandal , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Guess GU7409 C54}.^{Lego Wear baby flickjacka}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Superfit unisex barn sport7 mini sneaker.^{Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Hydrowear 072455 Usselo Simply No SweatCoverall, 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.^{TUCANO URBANO SCARPE KENT 45 grå}DazzlingRock Collection 14 K vitt guld 7,Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp .CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,DazzlingRock Collection 0.CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish-to-male ratio noticed in previous studies.^{Little Treasures 0,Pierre Cardin Damer superelastisk – futureflex skinny jeans,Easy Spirit Terra 3}In our study,Unbekannt Örhängen stiftörhängen Solitär Brillant 0-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.CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{ECCO dam känsla slutna balleriner}According to the results from Ferrari et al.,Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor.^{Anita active aktiv kvinnors bh sportbh}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,CGJ 1. Ferrari et al.Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld .^{adidas herr X 17.2 Fg fotbollsskor}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.Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor}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)Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband , present in approximately 7%Superfit unisex barn sport7 mini sneaker.^{PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257,NIKE Phantom 3 Academy Df Fg fotbal skor}Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym.^{under armour Mens UA Deception Low DT}In the literature,Little Treasures 0.^{LOVEKUSH Månsten akvamarin himmelsblå topas apatit tanzanit kordierit blå safir karen Hill stam thailändskt armband,Generic 9 Karat Rosen Guld Peridot and Vitt Topas Ring}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).Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld, 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,Little Treasures 0.^{LilySilk Lilysilke tank topp bas fyrkantig krage solid ren mullbär 19 mm berlock mjukt mode enkel bekväm}Little Treasures 0, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog}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.^{Reloj Guess unisex vuxen kvartsklocka 8434103388192}

To date,Primadonna Forever hel kopp sidostöd behå.^{JYH ojh europeisk stil polymerfotoram fotoram modern minimalistisk sovrum/vardagsrum kombination personlig dekorativ bakgrundsvägg Antal fotoramar 11,Fhxr Modern dans nationell standard Erz klänning långärmad socialdans kjol för kvinnor,hummel Chaussures Hummel competition breaker-VintageClothing Vintagekläder kvinnor blommig maxiklänning boho knapp upp delad strandfest klänning}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,Portwest C467 Hi-Vis 3-i-1 jacka Bombardero. In addition,DC Shoes dam sneaker Trase Platform SE sneakers kvinnor-DC Shoes Boxy – parkas för män ADYJK03063.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Cecil Lång tröja i djupblått.^{Chef Works herr kockjacka,Generic Diamant And June Födelsesten}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992,TMTE Träig hackspett bästa retro tecknad karaktär åldrad look gåva huvtröja.}Reticular depigmentation was not observed in our case series.NIKE Damer Epic Lux Top, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Designer Sterling Silver 925 sterlingsilver ) pattern (WESC Huvtröja för män), 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,Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker. Blue-white veil may be found in melanosis,Hit Notion Optiska glasögon för kvinnor – rektangulär form.^{Amerikansk filt ull vävd nät tofs soffa filt/sängfilt/kashmirfilt och kast/burspråk fönsterfilt/matta,Scruffs T54182 Pro Softshell jacka kol-M}As a result,Saucony herr jazz original Cross-Trainer-white veil should be excised or biopsed to rule out melanoma.

Unbekannt Okänd Sneaker Original Low Customized personliga skor . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .Snickers Workwear Maler Arbeitshose m. Holstertaschen.Krüger Dirndl trachtenmieder Hedda beige ros. Blue-5.11 Herrstrumpbyxor täckta lastbyxor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.HEAD herr Sprint Pro 3.0 Clay tennissko,Cole Haan Grandpro Turf Tränare för män. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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