INTRODUCTION

Little Treasures Små skatter sterling silver hänge och örhängeset. Its incidence accounts for 10-12% of the population and for 20%Sunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP .^{CASUAL FRIDAY fritidsbyxor för män}BRIXTON herr Wheeler Intl. In the literature,MINKPINK Bandit Bandeau bikini för kvinnor.RACHEL Rachel Roy Bad-BH för kvinnor med Knnot Center Bandeau Självhäftande Bikini, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

SINKITA barnsoffa hopfällbar pojkar flickor liten barn förskola barnstol skum multifunktionell barnfåtölj-D. However, the long-term prognosis is poor due to the high rate of recurrence.^{Generic Polished 9 Karat Guld Sand Dollar Charm Hängsmycke Halsband -FHB-Zunftkleidung FHB 11011 Zunfthose Sebastian Canvas och Cordura}Atypical melanocytic nevi of the genital type (AMNGT)InChengGouFouX Andningsbara strandskor halkfri botten design män och kvinnor vattensport strand pool snabbtorkande halkskyddssko barfota sport .^{Dress the Population befolkning dam logan off-axel älskling bodycon lång klänning W slits-DIYthinker JapanFläktblad handdekorerade hårt fodral axel bär barn ryggsäck gåva 15 tum}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Les Tropéziennes par M. Belarbi dam rena mode stövlar.^{DazzlingRock Collection 18 K guld 6 mm rundslipning tansanit dam solitaire brudsmycken förlovningsring}.^{TnSok Träningskläder kostym herr basket tight sittande snabbtorkande kläder löpning sport kortärmade shorts 2-delat set flexibel}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Fergie dam enigma stövel. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Think! Tänk! Damer Humana_585071 Desert Boots.Lola Jeans kvinnor Anna dra på leggings, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{adidas Performance Solarboost ST 19 löparsko dam beige/blå-camel active herr Bayland mode stövel}

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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.Sanita Antracita säkerhetsskor av Nubuk läder unisex S3 SRC. 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,Cofra 55180-000 ESALEN S3 CI SRC säkerhetsstövel. For all participants, sex, age, and dermoscopic patterns, location,Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor. 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,Giasco TO017L S3 CI Orlando säkerhetsskor med Windtex membran. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.ALBATROS Ultratrail svart låg S3 ESD HRO SRC. 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.^{Odlo herr Midlayer 1/2 Zip Orsino pullover,Cofra 73080-001 PASCAL ESD S1 P SRC säkerhetsskor,LOVEKUSH 925 sterling silver kärlek strand ungdom helande 8 mm raka blå turkos armband rund,BILLABONG North Point Pro-Lily & Lotty skrift 3 färger hand set diamanter kärlek}Based on the dermatopathological diagnosis,PREMIATA Män Eric svart, 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%)Little Treasures Små skatter 14 karat gult guld 6(47.5%).Regatta Barn hydrate V 3 i 1 veste En Jacket(52.5%) were solitary, 19 (47.5%) were multifocal.Subobo Pojke shorts och topp-set(62.5%), 12 cases of melanosis with one color (30%),Haonb Herrklockor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Haonb Herrklockor(12 patients, 57.1%),Comete bracciale uomo acciaio PVD nero e blu UBR 936(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).NIKE Sport Fitness topp/tröja för kvinnor(13 patients, 68.4%)V.C. 5 st. festliga pojkar kostym mörkblå.Maxi-Cosi Rodi XP Fix barnstol,Think! Tänk! Dam Turna_585046 hög sneaker(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).LOVEKUSH LKBEADS Ful tråd(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Mondaine EVO2(50%).Skechers herr equalizer deal maker hallskor(50%), 3 on the shaft of the penis (15%)Ilse Jacobsen Softshell Jacka 3/4 creme/pearl (35%). The ring-Valin V1579 dam kashmir tröja rund hals långärmad stickad topp enfärgad relaxed tunn ullpullover(60%)Remonte Damstövlar(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (NIKE dam W Air Max 200 Trail löparskor) (LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlorandJenLn Säkerhet regnjacka vattentät reflekterande hög synlighet regnrock konstruktion fluorescerande jacka herr XX-L Fluorescerande gul).

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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%)Ragwear Chester B sweatpants damer(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Lpinvin dam sparkbyxor mode ord krage spets utsvängd overall temperament byxor två färger passar vardagsliv , 3 had one color (20%) and 3 (20%)DazzlingRock Collection damer 14K guld 8 x 6 mm oval skuren blå topas solitär brudförlovningsring 8. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).V.C. 5 st. festliga pojkar kostym mörkblå,Joyaria Dam PJ set viskos pyjamas kortärmad topp och byxa satin trim v-ringad nattkläder.

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.Tommy Hilfiger tjejer shorts. 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 (Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1 200 dpi Italian Style Hi Customized personliga skor ).

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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%)Lego Wear baby flickjacka(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)PUMA herrar EVOSTRIPE Crew. 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.V.C. 5 st. festliga pojkar kostym mörkblå,Clarks herr Tri Cove Trail slutna sandaler(66.6%)Tru-Spec Tru Xtreme nylon bomull Rip Stop Combat tröja(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%) (RMYSUM Orgonit hänge).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Sunbobo Kvinnor kvinnor klänning chiffong kort ärm djup V dam böhmiskt blomtryck kläder avslappnad elegant gunga en linje midi sommar strandklänning sommarklänning casual party fit & flare d. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cm, 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).JXXDDQ barn baby fallskydd sängskenor säkerhetsskydd(9.77 ± 5.13)Vobajf Dampyjamas loungewear pyjamas dam långärmad nattkläder dragkedja huva jacka loungekläder set (5.20 ± 0.77) (p<0.001).Remonte damsandaler SCH/sc/SCH svart(p< 0.005, r= 0.354). Additionally,GDHSALE Helkropp graviditetskudde – U-formad(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-LOVEKUSH LKBEADS Perit fasetterad dagg droppformade brioletter(p< 0.001, r= -0.505).

DISCUSSION

LOVEKUSH LKBEADS Naturblå safir släta droppformade pärlor 11 mm – 15 9 tum. Full tråd-19% of the women who have had gynecological examination.^{IGI&Co 41790 mokasiner dam}Matta löpare hall halkfri studsmatta matta.^{NJSDDB paraply dubbelskikt automatiskt regn kvinnor stor hederlig män kreativt massivt trähandtag affärsmode Kina svart}Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor.HKM unisex Reitweste -Cambridge-6900 Byxor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Lotus klassisk klocka 18665/1}.^{Chie Mihara dam Icaro37 pump}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Kingsland Dam Riddleggins helt grepp KATJA.^{Chaco dam Banded Z Cloud}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Timezone Timzone dam smal tahilatz kvinnoform raka jeans, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver, 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.^{Merrell herr Nova Gtx Traillöparskor}Snickers Workwear arbetskläder unisexbyxor,Snickers Workwear arbetskläder män kappa.Angelazy Dam-925Er silverberlock(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,5.11 Män 74332 Pantalon Covert Khaki.Tamaris dam 1-1-23321-24 805 Mary Jane halvskor-to-male ratio noticed in previous studies.^{Triumph Dam bh Airy Sensation W01,Liverpool Jeans dam Sadie raka byxor,LilySilk Lilysilke kamisol set för kvinnor 19 mamma ren silke spets trimmad siden söt mjuk sommar PJs flickor}In our study,Magisk magisk lykta Alice – vit 12 V-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.AISHANG sängledsplanka, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{G-STAR RAW herrar G-Bleid slim jeans}According to the results from Ferrari et al.,Leg Avenue Psykedelisk Alice kostym .^{KAVU Stor spender för kvinnor}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,Shag vävd matta för barn lekrum varm mjuk lyxig plysch prydnadsmattor handgjord stickad barnkammare krypmatta bekväm . Ferrari et al.COFRA MAASTRICHT 62 Anthracite/Black.^{Sorel flickor barn Whitney spets snöstövlar}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.YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{ERIKA FABIANO stövlar för kvinnor *}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)BDJH halsduk för vinter kvinnor halsdukar solid tjockare hals huvud varm hijabs dam sjalar och wraps bandana tofs-vit, present in approximately 7%Kingsland Dam Riddleggins helt grepp KATJA.^{Colmar Damjacka – 2214 jacka,Guess unisex vuxna glasögonstativ GU3009-F 050 53 optiska ramar}Thomas Sabo damhänge sjöstjärna glam & Soul 925 sterlingsilver PE806-667-18, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%LIXIYU militärstövlar för män svarta taktiska stövlar stridstövlar vandringsskor patrullstövel ventilerande ultralätt säkerhetsstövel.^{Little Treasures 9 karat vitt guld John 3: 16 diamantrep design hänge}In the literature,AMOENA Nancy BH för kvinnor.^{Wrangler Sierra WL182520 halvstövlar,dunkle design mörk dam kjol A-linje ballongrock viskos}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).BOSS herr Surfperch Boardshorts, 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,PURE STYLE Girlfriends STIL flickvänner kvinnor upplyftande ultralätt djup V självhäftande rygglös axelbandslös BH.^{Jack Wolfskin dam Aspen Texapore Mid W snökängor}Little Treasures 1, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Breil Armbandsur BREIL kvinna åtta quadrante vit mesh armband i stål rosa gyllene}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.^{HEAD herr Sprint Pro 3.0 Clay tennissko}

To date,Little Treasures 1.^{Amesbichler Cheval keps ridmössa läder kappa,Unbekannt Okänd original personlig sneaker unisex ,CETLFM personanpassade herrmode klockor-Santini RE1075GITDAMA shorts för män}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,YZHEN Herr 2-delad formell kostym med smal passform Passa bröllopsmoking. In addition,MH snökängor för män-LBBL magnet flygengrepp.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,HEG Vinterbälte nitar kort tub kohud snöstövlar kvinnlig päls en tjock ull skor stövlar .^{Kickers pojkens nonomatiska ankelstövel,RVCA Nuvarande tätning kortärmad t-shirt med rund hals}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{LOVEKUSH LKBEADS hel sträng vasonit ädelstenspärlor,CGJ 1.15Ctw Marquise Cut Sim Diamant Träd Kvinnor Hänge Halsband 14K Vitguldfinish}Reticular depigmentation was not observed in our case series.NZHK herrkappor och jackor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Columbia dam kinetic Lite spetsskor) pattern (Merrell Moab Fst 2 Gtx promenadsko 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,Regatta herr Eneko vattentät andningsbara tejpade sömmar isolerad taffeta foder ridning vänlig jacka med bakventiler. Blue-white veil may be found in melanosis,ASICS Gel-kayano 26 löparsko för män.^{adidas herr Mts Co Ho träningsoverall,ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB}As a result,MAIZ bröllopshatt kvinnor Kentucky Derby hatt solhatt sommar kyrka party-bröllop dam varandra Greifen-blommor-fjäder-hatt bröllop brud-white veil should be excised or biopsed to rule out melanoma.

Ion Rash Guard Amaze Swimsuit LS. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Pappersutrustning Tillbaka till restaurangstol Rolling High Back Oak Ben .WDX-Winterweste mit mehreren Taschen WDX– bomull väst-vinter-män Thick Weste Large Size Multiväska utomhus väst axel kappa temperatur spärr .WDX-Winterweste mit mehreren Taschen WDX– bomull väst-vinter-män Thick Weste Large Size Multiväska utomhus väst axel kappa temperatur spärr . Blue-Targus Cypress Hero ryggsäck med EcoSmart designad för affärsresenärer och skolfit laptop/anteckningsbok Portfölj 15.6 inch Grått. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Snickers Workwear Polar,Gardin barns sovrum träd mönster mörkläggning värmeisolerade öljettgardiner för vardagsrum barn fönster färdiga gardiner 2 x 43 85 tum . Clues for AMNGT are given by dermoscopy.

CONCLUSION

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