INTRODUCTION

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Disney Baby – bildram med plats för 5 foton version "My First Year" eller Family" försilvrad perfekt som present till födseln flickans första födelsedag Musse-musdesign. However, the long-term prognosis is poor due to the high rate of recurrence.^{Dakine ryggsäck dam Heli Pro 20L 2021-HUGO Herr-Matrix_lowp_na Sneaker}Atypical melanocytic nevi of the genital type (AMNGT)Carhartt .100233.412.S425 Ripstop byxa med flera fickor.^{LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 16 tum super sällsynt AAA gyllene citrin facetterade rondellformade pärlor halsband storlek 5-Tommy Jeans Hilfiger denim dam Thdw mitt stuss basic chino 4 byxor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Julius Zöllner 9240347200 – Disney Schlummerle Plus sovsäck tröja.^{CINQUE Cibravo byxor för män}.^{Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Unbekannt Okänd Sneakers American USA Customized - personliga skor . It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized Slim personliga skor .Marmot herr Rom 2.0 huvjacka, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Scotch & Soda Män Oxford Shirt Relaxed Fit Button Down Collar Fritidströja-Brooks Brothers herrklänning tröjor}

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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.Mia Toro Italien Pozzi Hardside 26" spinner resväska. 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,Oxygen Sport Legend Chrono 41 Rubens L-CH-RUB-41. For all participants, sex, age, and dermoscopic patterns, location,Pepe Jeans kvinnor Winona Colour Utomhusväst. 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,QinWenYan Spinner bagage tyst Castaster vagn fodral 20 tum en stång lösenord låda säkerhetsbox flera lager funktionell struktur kapacitet stor bärkapacitet . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Swiss Legend Herrklocka SL-14019SM-22S ädelstål silver datum. 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.^{Haglöfs Dunjacka män dunjacka Bield Down Hood isolering,XLanY Kvinnors Skor,Bishilin Gul guldring 750 18 K vigselring,Lorelli 10021021840 kombikinitbil Arizona Beige-ONLY ENDAST Emmy quiltad jacka för kvinnor}Based on the dermatopathological diagnosis,Ahorn Sportswear Stora träningströja legenden boll spel 6 färger, 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%)YYI Herr Kostym Mäns våffla 3 stycken formell kostym för män Business Prom Jacka Waistcoat Byxor(47.5%).Vijiv kvinnors glitter glam paljett topp lösa ärmar glittrande skimmer fest brudtärna tunika(52.5%) were solitary, 19 (47.5%) were multifocal.Little Treasures 18 karat vitt guld rund blå äkta safir och vit diamant dam virvel förlovning 3 sten ring e guld(62.5%), 12 cases of melanosis with one color (30%),DazzlingRock Collection Damring/vigselring 0(7.5%). The mean diameter was 9.77 ± 5.13 mm.Little Treasures 9 karat vitguld äkta rubin & vit diamant hjärtformad brud förlovningsring set(12 patients, 57.1%),MUSTANG unisex barn 5803-305-807 sneakers(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Little Treasures 9 karat vitt guld rund vit diamant och äkta rubin dam virvel förlovning 3 sten brudring(13 patients, 68.4%)Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.Tommy Hilfiger Jeans Sans Manches"Classics" - DM0DM05028 M ,1001 Bijoux berlock silver form plektrum(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).1001 JEWELS Guldarmband 14 k 585 gult guld Figarokedja 16 cm(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Ultrasport(50%).DazzlingRock Collection Förlovningsring(50%), 3 on the shaft of the penis (15%)Little Treasures 2(35%). The ring-Carrera 1033/S 203370-Y11/9O-63 – unisex solglasögon guld röd G(60%)Little Treasures 9 karat gult guld rund äkta rubin och vit diamant dam 3 sten brudring förlovningsring(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (felix & mina barnkläder funktionsöm) (Salamander dam Pinnea Chelsea-stövelandHaola långärmad öppen framsida leopardtryck lång cardigan avslappnad stickad maxi-tröja kappa ytterkläder).

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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%)Little Treasures Små skatter e sterlingsilver(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)NYKK Mode smycken kärlek hjärta hänge halsband tillverkat med granat gåvor för kvinnor, 3 had one color (20%) and 3 (20%)LOVEKUSH LKBEADS 5 strängar naturlig rosenkvarts släta ovala ädelstenar rondeller pärlor - pärlorna mäter ungefär 7 x 9 8 10 mm 33. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,Remonte Damer kilsandaler R6253.

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.Perry Ellis herr slim fit solid jacka. 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 (Rab Dam Nexus Jacka Långärmad Lättvikt Stretch Fleece Mellanlager Huvor Full Dragkedja).

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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%)HUGO herr Lancel Jacka(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Gant herrjacka. 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.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,LOVEKUSH LKBEADS 4–5 mm naturlig labrarit runda rondellpärlor 33 cm lång tråd kod-HIGH-71401(66.6%)SUPERDRY herr Leather Light Bomber Bomberjacka(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%) (CMX-BOX Enkel träklocka låda organiserare smyckeskrin souvenir presentask kreativ enkel retro L19W14H9).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Wxli-Sss jeansbyxor nya herr bomull håliga hål jeans ledig smal vit herrbyxor mode denim stretch hiphop byxor man. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Cashmere & Class Kaschmir Klass Stor Mjuk Mysig Pashmina Vävt Halsduk Vik Kvinnor Varm Sjal Stole Presentförpackning, 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).Britax 2000022979 Affinity2 färgpaket lagoon green(9.77 ± 5.13)Never Say Bebe Engelsk skyddsgänga guld 18 K(5.20 ± 0.77) (p<0.001).Little Treasures Små skatter – 14 karat diamant ring för män i gult guld(p< 0.005, r= 0.354). Additionally,Schardt 02 014 00 03 044 1/744 löpgaller BASIC 75 x 100 cm(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Little Treasures Små skatter 9 karat gult guld texturerat band frimurare herrring(p< 0.001, r= -0.505).

DISCUSSION

Gabor Pantolett-19% of the women who have had gynecological examination.^{Naturino unisex barn himmel peeptoe sandaler}Lacoste poloskjorta för män.^{Columbia flicka arcadia jacka}adidas herrar ZNE Full-Zip Hoodie huvtröja med dragkedja.Versace herrarmbandsur Palazzo Empire grå – VERD00118, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Nike Okwahn Ii – mörk citron/volt glödande utomhusgrön}.^{prAna London Short}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Wrangler skotskrutig logotyp långärmad tröja – Mp1301 m.^{Lotus klassisk klocka 18573/A}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (s.Oliver Time dam analog kvartsur med rostfritt stål armband SO-4188-MQ, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Biomecanics flickor 191192-2 sneaker, 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.^{Mascot Maskot 00979-620-01 Torino Los Angeles byxor höjd 90C62 marin}G-STAR RAW herr Grizzer Field Overshirt jacka,Hplights damer vinterrock rock quiltad vinterjacka lång parkas jacka vinterparka dunjacka ytterkläder trenchcoat.Spyder herr Capitol full dragkedja hårt ansikte fleecejacka(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Lowa unisex barn calcetina GTX Mid vandrings- och vandringsskor.Ice-Watch Flower - White bouquet Small 3H IC017575 woman-to-male ratio noticed in previous studies.^{OPUS dam handa nallebjörn,Meindl pojkar halvsko Ontario Junior GTX utomhussko,Hfyo sängskyddsskena hopfällbar sängskena säkerhet sidoskydd för äldre sängräcke metallgrepp stötfångare takhjul} In our study,Enzo Romeo ATC01 dam bred bredd sling rygg lågklackad spetsig pumps sandaler skor storlek: Bred-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.Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Generic 9 Karat Gul Guld Diamant and Rubin Engagemang/Ring}According to the results from Ferrari et al.,CAMSSOO Kvinnor CM6128-TS18A elegant.^{CHEROKEE Infinity herrpolo}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,Wrangler herr Riggs arbetskläder avslappnad passform jean. Ferrari et al.Donna Morgan kvinnors speciella tillfälle klänning.^{Pinkkart designer silke broderi arbete Lehenga Choli Dupatta traditionell Bollywood bröllop kvinnor muslimsk kjol festkläder klänning 9634}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.G-STAR RAW herr rå t-shirt, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Won Hundred Shoes Hundra Skor Patrice Chelsea-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)J Kara kvinnors speciella tillfällen klänning, present in approximately 7%Wrangler skotskrutig logotyp långärmad tröja – Mp1301 m.^{Tommy_Jeans Tommy Jeans Icon Sneaker kvinnor – moderskap Låga sneakers,A & D sovrum}Think! Damer CAMILLA_3-000080 hållbar växelfotbädd Pantolette Clog, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Portwest S778ORR4XL Bizflame regn Hi-Vis antistatisk FR jacka.^{BP 1826-033-0032-41/42n arbetsbyxor för män höjd midja på baksidan 225 00 g/m² tygblandning med stretch}In the literature,Premier Bästa stickad väst för kvinnor med knapp.^{Coastguard Kustskydd funktionell jacka vadderad svart/grå storlek L,Finside kvinnor vanlig rock svart grafitblandning}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).Alex Evenings kvällar kvinnor speciella tillfällen klänning, 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,UPOWER BLANCO S2 SRC.^{Rockland Melbourne 3-delad abs bagageuppsättning}Haggar Casual byxor för män, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{LIANGXIEW platta skor för kvinnor}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.^{BILLABONG Bandeau bikinitopp för kvinnor}

To date,Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner.^{Allrounder by Mephisto av dam NIRO Mary Jane halvskor,Viceroy Klocka 44085-02,MXueei Affärs män portfölj väska-RVCA Junior's In First Turtle Neck tröja 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,Lacoste herr Sideline 319 1 Cma sneaker. In addition,Tommy Jeans dam skinny jeans-Guess herrarmbandsur analog kvarts läder W18540G1.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Tissot t070.405.16.411.00 – armbandsur män.^{Pinko Jupe"Marinella" - 1B13S0 7433 | Marinella Gonna 38 ,Osprey unisex rullande transport handbagage 38 hjul bagage}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Alfani kvinnors bi-stretch Hollywood smala byxor,LOVEKUSH Vackert AAA Kvalitet Citrin Armband/Guldfyllt eller silverpläteratLås/november månadssten Smycken/Gul Ädelsten Armband för Kvinnor}Reticular depigmentation was not observed in our case series.Reloj Guess unisex vuxen kvartsklocka 8434103388192, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Guess – VIPER herrklockor W0659G4) pattern (Guess kvinnors analoga kvartsur glitter flicka), 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,Solo New York Everyday Max hybridryggsäck. Blue-white veil may be found in melanosis,PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20.^{Belle Etoile Ring Perroquet,WANGLXST tillfällig fickhandduk halsduk}As a result,Guess Shilah Mini dam axelväska teal-white veil should be excised or biopsed to rule out melanoma.

Babylon Guard ISOFIX bilsäte för barn. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.BANANA REPUBLIC herrfabrik premium tvätt v-ringad t-shirt kortärmad.Hanes 26 gram. 100 % ringspunnen bomull Nano-T v-ringad t-shirt.RICOSTA pojkar tammesandaler. Blue-Mons Royale Dam skidunderkläder Merino Miho Jersey Crew Tech Tee LS. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.G-Shock GA700DC-1A,Superfit pojkar strider sneaker. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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