INTRODUCTION

Dyeables. Its incidence accounts for 10-12% of the population and for 20%Beco Damer baddräkt.^{Lacoste Mäns polotröja}Jack Wolfskin herrar DENALI 65 MEN män. In the literature,ASICS Gel-cumulus 19 löparskor för kvinnor.adidas herr Juventus Seasonal Special poloshirt, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Callaghan 91312 sneakers män. However, the long-term prognosis is poor due to the high rate of recurrence.^{Freebily sexiga underkläder ihåliga öppen skrev tights stretchiga strumpbyxor långa strumpor-QIANDA dörrgaller trappskydd rutnät extra stor 120 cm stark dörr för stora hundar säkerhet tång passar dörrar}Atypical melanocytic nevi of the genital type (AMNGT)WYUKN Cykelskor för män kvinnor - vägcykling cykelskor roterande skospänne.^{Xmiral Frack rockar män retro steampunk jacka stående krage knapp lång trenchcoat-CafeNoir TRONCHETTO IN VITELLO CON PASSALACCI}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)camel active herr Bermuda Cargo Hose.^{Reebok unisex vuxna Royal Ec Ride 3 löparskor}.^{X-Bionic för kvinnor Invent 4.0 Run Speed Shorts}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-adidas herr poloshirt Ultimate 365 rugby. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.CSXM Pencil case Skolväska kvinnor ryggsäckar skola ryggsäck högskola skolväskor för tonårsflickor barn skolväska axelväska ansöka på kontor arbete resor camping etc..G-STAR RAW herr Salant Core rund hals tröja, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{CHEROKEE Statement CK175 snöslunga-TOM TAILOR Pojkjacka}

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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.Lily Bloom Satchel tygväska | axel topphandtag handväskor stor kapacitet. 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,Pierre Cardin Herr Deauville Straight Jeans. For all participants, sex, age, and dermoscopic patterns, location,Geox flicka J Borealis Girl A Peeptoe sandaler. 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,Bayton NOMA KID wool sole/Bleu marine unisex barn Mule. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Valin V0068 dam kashmir tröja huva långärmad stickad topp enfärgad relaxed tunn ullpullover. 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.^{Generic 9 Karat Guld Gult Guld"BEST FRIENDS" Three Breakable Hjärtas Hängsmycke Halsband ,Generic August Födelsesten Peridot och Diamant Hjärta Ring In 9 Karat Gul Guld,Oakwood Yoko-jacka för kvinnor,s.Oliver Dam analog kvarts armbandsur med rostfritt stål armband-Sorel unisex barnungdomsflygning snöstövel}Based on the dermatopathological diagnosis,WMAN -CHAO Höst och vinter, 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%)Waldläufer Skoglöpare dam Henni/H Low-Top(47.5%).Inmaculada Romero IR 18k guld kvinna ring oval sten staket center zirkoner smidig kropp(52.5%) were solitary, 19 (47.5%) were multifocal.Nuoqi Victorian blus dam gotisk lolita-tröja vintage långärmad lotusrufsar toppar(62.5%), 12 cases of melanosis with one color (30%),Abhilasha Alla hjärtans speciella exklusiva indiska kvinnor traditionella sares 15(7.5%). The mean diameter was 9.77 ± 5.13 mm.Abhilasha Indiska kvinnor elegant festkläder JustgofFashion Saree 100(12 patients, 57.1%),Diesel Chi-Blado-E 79E herrbyxor Kina(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Diesel DL0258 0057X diesel solglasögon Dl0258 stora 140(13 patients, 68.4%)NIKE unisex vuxna gratis Metcon 3 fotbollsskor.Diesel jeans Thommer Uomo mod. 00SW1P 31 Nero,WUDAXIAN Klocklåda med dragkedja förvaringslåda för klocka hållare organisering dubbelt armbandsur skydd resefodral(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Twisted X Kvinnor Ruff Stock Broderade Cowgirl Fyrkantiga Tåläderstövlar(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Guess T-shirt för kvinnor(50%).Jerzees Russell kortärmad poloskjorta för män(50%), 3 on the shaft of the penis (15%)John Smedley Herr Långärmad stickad pikétröja(35%). The ring-Röd rosform bröllopsrum dekoration bordslampa(60%)Jian E fällbord – sängbord fällbart datorbord enkel svävande fönsterbord sovsal säng student skriftligt litet skrivbord (40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Sorel män Madson Sports Hiker) (Atelier GARDEUR Nevio-byxor för mänandFoxcroft dam Paigely Essential Non-iron Shirt Button Down skjorta).

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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%)Timberland Earthkeepers 2 snörning(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Timberland Plattform Sneaker, 3 had one color (20%) and 3 (20%)Timberland smycken i rostfritt stål – TBL15960MYS.01. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).NIKE unisex vuxna gratis Metcon 3 fotbollsskor,Timberland dam Tb0m5408 axelväska.

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.Easy Spirit Terra 3. 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 (POK-TER-TUNING Bus – bilklädsel passar Ford TOURNEO Courier Design ALKANTRA GT med konstläder. Superkvalitet).

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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%)BAIJIAXIUSHANG-BOOTS Lätta(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Cult Kult dam sabbath Mid 484 Chelsea-stövlar. 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.NIKE unisex vuxna gratis Metcon 3 fotbollsskor,FRETZ men män Montana Sneaker i storlek brun 4210.7459-82 stora herrskor(66.6%)Legero dam Soana Chelsea-stövel(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%) (XGL Hopfällbar kundvagn).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.KKCF-sängskenor skydd för barn en knapp vikbar tub bomull anti-kollision Oxford-tyg. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Icebreaker BF150 kortärmad v-ringad undertröja 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).BERA Män 100 % get ull halsduk halsdukar pojkar handgjorda mjuk känsla vintersjal varm stal(9.77 ± 5.13)YBDX badrock Vinter varm nattkläder fotlängd lång mantel för kvinnor män flanell kimono klänning ärm nattklänning älskare(5.20 ± 0.77) (p<0.001).QinWenYan Skohorn hushåll långt handtag metall skohorn för gravida kvinnor äldre människor och varje familj (p< 0.005, r= 0.354). Additionally,JenLn Tunn tvättad jacka för män slitstark utomhus bergsbestigning camping vindtät herr vindjacka lätt ledig (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-THE FOX TAN Chihuahua enögd cerveza huvtröja(p< 0.001, r= -0.505).

DISCUSSION

adidas Energy Cloud Wtc W-19% of the women who have had gynecological examination.^{Little Treasures Små skatter 3/4 total karat vikt diamant osynlig brud bröllop ring set e 14 kt gult guld}HÖGL dam glammy Sneaker.^{Cetti herr snöskor herrskor C-848 Burdeos-Navy 711073}Opus dam halini special kappa.MOON RIVER Dam, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Carissima Gold guld 9 karat gult hjärta tagg Belcher armband på 18 cm/7 tum}.^{Tommy Jeans herr SLIM SCANTON SNSDK raka jeans}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%PRIMIGI flickor peruk 63829 snöstövlar.^{Selected Utvalda herrbyxor Slhslim-Yard byxor W Noos}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (YoungDiamondFashion YDF original fantasi läderarmband ljusblå 925 sterlingsilver med äkta diamant 0, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,BOSS herr truck214 hållare, 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.^{Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte}ASICS herr Novablast Running Shoe,HUGO herr Zero_hito_lta sneaker.BOSS herr Salboa sweatshirt(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,BOSS Iddinias jumper för kvinnor.BOSS herr Pixel Tl_ns dragkedja axelväska-to-male ratio noticed in previous studies.^{Softinos dam Aku460sof stövlar,Andersen Shopper Manufaktur Annan shoppingväska Royal med metallrikhjul 25 cm och 45 liters väska Henni svart,MUSTANG unisex barn 5850-604-820 stövel}In our study,Hugo Boss herr glasyr_Lowp_mx sneaker-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.MyGold diamant hjärta knoppörhängen 18 karat gult guld 8 333 – 750 0, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Deluxe Gems 0}According to the results from Ferrari et al.,Unbekannt Okänd Sneakers original USA personliga skor .^{Fox Pioneer pullover fleece}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,Unbekannt Shoes sneakers unisex original USA personliga skor . Ferrari et al.Unbekannt Shoes Custom Original.^{Hans Herrmann Collection kollektion dam HHC trosor}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.Unbekannt Okänd original personlig sneaker unisex , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Falcotto lövskor med kardborrlås}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 Chaussures Basket Profi Lo, present in approximately 7%PRIMIGI flickor peruk 63829 snöstövlar.^{SMARTsäng GmbH Niki hylla bokhylla med 3 inlägg och 2 lådor ek/vit/rosa,Hanes perfekt slät lår smalare T271}JUN-Shopping Trolleys Livsmedelsvagn vikbar shoppingvagn med 6 hjul livsmedel trappklättring kundvagn vattentät/avtagbar marknadsförvaringsväska i grå|Max belastning 40 kg | kapacitet 39 L, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Gabor Rollingsoft Derbys för kvinnor.^{Lee ryttare jacka för herrar denim}In the literature,Palladium unisex vuxnas Pampa Hi original högklackade sneakers.^{DEAR-JY dam stövel halsduk,AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het}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).Generic 9 Karat Vit Guld Poker Royal Flush Hängsmycke Halsband , 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,WMYATING Bekväma.^{Generic Mary Immaculate With Diamant Hängsmycke Halsband in 9 Karat Guld} WSJDE Game KDA Evelynn Cosplay Shoes Custom-made Black/Purple LOL K/DA Halloween COS for Women, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{SUPERDRY herr Leather Light Bomber Bomberjacka}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.^{Sänggaller säkerhet}

To date,NORTH SAILS herrjacka.^{Kleine Schätze 15,AXIANQIPJS sovplagg rock kvinnor morgonrock av siden och satin sexig badrock nattlinne kortslutning ärmar kort konst med sneda V-utskärningar ,LOVEKUSH Handgjorda pärlor 8 mm töjbart blått och orange armband runt-Cipo & Baxx jeans shorts för män denim}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,Higher-Heels Högklackade fabulicious platå-sandaletter läpp-109. In addition,TOM TAILOR herr 9082303 halvstång stövel-El Naturalista NF74 kvinnor Stövlar med korta skaft.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,SUPERDRY för män Superstate Hood Tröja.^{Little Treasures 1,Helly Hansen 76040_779 jacka Chelsea storlek 2XL i kaffe brun 3XL Kobalt Blau/Schwarz}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Werner Kern kärna – dam dansskor Cindy 3,Adrianna Papell dam knit Crepe Tiered Skirt paljett dress med Beaded Waist Line klänning för speciella tillfällen}Reticular depigmentation was not observed in our case series.DazzlingRock Collection 1, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (SUEDWIND ridstövlar komfort passform) pattern (YYI Herr Kostym Mäns två delar dubbelbröst kostym Tailcoat bröllop smoking jacka byxor), 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,Hanes kvinnors säsongslös kontrolltopp tight. Blue-white veil may be found in melanosis,Hanes perfekt slät lår smalare T271.^{CSH massivt trä hopfällbar sits europeiskt tyg matsäte kontorsstol datorsäte utomhus bärbar fritidsstol för barn och barnkammare ,Irregular Choice Oregelbundet val – elegant ond svart/lila} As a result,Hanes kvinnors naturliga lyft och form ofodrad behå-white veil should be excised or biopsed to rule out melanoma.

Little Treasures Små skatter roséguld pläterad sterlingsilver bröllop och förlovningsring klar CZ evighetsring. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Peace of Mind Sterling silver citron kvarts flera stenar hänge på 18 tum kedja.Aphratti långärmad vardaglig jultomte jul tryck flare gunga klänning.Swarovski legering Abalone hängande och droppörhängen - 5497634. Blue-LOVEKUSH PÄRLOR ÄDELSTEN 3 Snöre Naturlig Färska Vatten Pärla Rondelles mm – 4 16 tum Kod-RR-14879. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.NLHPB Koreansk dubbel tjock regnrock män och kvinnor vuxen ridning regnbyxor kostym ,M Made in Italy Damer Missy Off The Axel Flowy Towy Topp tröja för damer. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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