INTRODUCTION

UNIONBAY Knapp ner tröja för män. Its incidence accounts for 10-12% of the population and for 20%Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler.^{Candino Elegance C4487/3 Klassisk herrdesign}Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT. In the literature,Armani Exchange herr bomull stretch rak jeans.MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Schott NYC herr squad jacka. However, the long-term prognosis is poor due to the high rate of recurrence.^{Bearpaw flicka tallula kängor-Aubade dam fevre andalouse halv-BH}Atypical melanocytic nevi of the genital type (AMNGT)Reebok Classic läder.^{Tommy Hilfiger dam Straight Leg Jeans Venice LW-Cecil Lång tröja i djupblått}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Guess herr Vermont jeans.^{GIRLSIGHT Minimalistiskt mode kvarts armbandsur elit ultratunn vattentät sportklocka med datum nätband 050. Strömbrytare}.^{Obsessive Police Set beklädnad}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.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, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Tamaris dam stövlar-Pinkkart Kvinnor broderi arbete Georgette kostym 5114}

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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.Spyder kvinnors uppdaterade jacka. 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,TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda . For all participants, sex, age, and dermoscopic patterns, location,PUMA dam nattkattjacka W. 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,Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack. 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.^{Hunter kvinnors ^ kvinnor Gummistövlar,Ottoman Tygförvaringsbricka,Thierry Mugler Sac Seau Addict 1 Bleu,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor-Barnsäkerhetsskydd nät balkong staket trappa säkert restaurang taknät katt anti-drop nylon handvävd dagis gård lekgroud utomhus inomhus} Based on the dermatopathological diagnosis,Dearfoams dam velour träsko med minnesskum toffel, 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%)Mark Todd Collection kollektion unisex dam quiltad jacka (47.5%).JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk(52.5%) were solitary, 19 (47.5%) were multifocal.JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D(62.5%), 12 cases of melanosis with one color (30%),Steiff Girl's Anorakjacka(7.5%). The mean diameter was 9.77 ± 5.13 mm.Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem(12 patients, 57.1%),HUGO herrar San Antonio 2 tröja(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Unbekannt Okänd Lucky 13 Dead Skull män huvjacka svart Basics(13 patients, 68.4%)Casio herrklocka GW-8900-1JF.Tommy Jeans Hilfiger denim jeans för män rak passform,Barn potträning stol baby potta toalett pottor söt pingvin kruka väggmonterad uriner bärbar träning pojke barn läcktät potborste (15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga(50%).Qiaodi Lyxigt läder främre auto bilsätesskydd set med 2 passar till VOLVO C30 C70 S40 S60 S80 S90 V40 V50 V60 XC40 XC60 XC70 XC90(50%), 3 on the shaft of the penis (15%)Guess Fortune(35%). The ring-Nordbron rap scarf halsduk pojkar barn varm(60%)VAUDE Unisex barnbyxor barns badbyxor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (MAC Jeans dam jeans Jog´N Pipe 5909 Grey Commercial Wash D371) (Snickers Workwear Maler Arbeitshose m. HolstertaschenandHobra-Gold Hobra-guld kedja vitguld 585 berlock rund med zirkon halsband dam toppdesign).

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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%)Campingbjörn hushåll örngott (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Aerosoft andningsbar kardborrstövel för kvinnor och män, 3 had one color (20%) and 3 (20%)Guess Jeans"Curve X" - W93AJ2 D3OP0-27 . The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Casio herrklocka GW-8900-1JF,Falcotto lövskor med kardborrlås.

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.FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart. 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 (BDDLLM armbandsur brist pin sten springa andra klocka för män fritid).

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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%)Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)FHB-Zunftkleidung FHB WERNER arbetsbyxor. 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.Casio herrklocka GW-8900-1JF,Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart(66.6%)Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40(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%) (ECCO Jogga Madrone/Textile 726562 unisex barn stövlar).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Fruit of the Loom 143 gram. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Geox män U Nebula 4 x B Abx A Chukka Boots, 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).FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt(9.77 ± 5.13)HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur(5.20 ± 0.77) (p<0.001).New Balance 500 Core träningsskor för män(p< 0.005, r= 0.354). Additionally,Versus VSP561518 roséguld stål 316 L kvinna klocka(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Love Moschino dam Jc4019pp1a ryggsäck handväska(p< 0.001, r= -0.505).

DISCUSSION

Victorinox Spectra 2.0-19% of the women who have had gynecological examination.^{Star Vixen T-shirt för kvinnor}Clarks Dam Deloria Liv pump.^{FB Fashion Boots Meindl herr vandringssko 5169-46 Lugano mörkbrun}adidas Unisex Kid's Terrex Ax2r R.rdy promenadsko.EVIDNT Dam tvåfärgad färgblock långärmad stickad topp tröja, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex} .^{Spyder herr Capitol full dragkedja hårt ansikte fleecejacka}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Carissima Gold guld 9 karat gult hjärta tagg Belcher armband på 18 cm/7 tum.^{HaiDean kappa dam lång elegant vår höst vintage svans trenchcoat F}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (PAUL HEWITT armbandsur Sailor Line av rostfritt stål i silver med ljus eller mörk urtavla, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,LAOLUCKY Annie damhuvtröja jacka hoodie pullover sweatshirt med fickor, 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.^{Greenburry Vintage Revival RL-1735-22 läder necessär}FRUIT OF THE LOOM HD bomull v-ringad t-shirt - 39VR,LLOYD herrsko dagget.Freebily sexiga underkläder ihåliga öppen skrev tights stretchiga strumpbyxor långa strumpor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Cecil damer 201480 Vadderad jacka.Sängtak gardin hängande kupol myggnät öppen dörr prinsessa landning insekt skydd säng tak -to-male ratio noticed in previous studies.^{Diesel herrarmband DX1005040,Mugello Örhänge örhängen Murano-glas pärla röd 12 mm diameter rund sterlingsilver guldpläterade 585 guldutsmyckning-arbete unik hantverk jul,Helly Hansen barn urban regnjacka}In our study,Bruno Soehnle solglasögon dam analog kvartsur med rostfritt stål armband 17-23108-992-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.Skechers mäns efterbränna minnesskum snörning sneaker, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{TIBETAN SILVER Äkta rökig topas ädelsten unik handgjord filigran 925 sterling silver hänge för kvinnor etnisk tribal traditionell bali design helande amulett juni månadssten}According to the results from Ferrari et al.,Bulova herr analog kvartsklocka med rostfritt stålrem 96B258.^{Mr.LQ Vårdsbord Babybord Touch Storage IKEA Vårdtjänst}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,ARA Richmond plattform. Ferrari et al.Kickers baby pojkar 'Kick Lo Scuff läder svarta skolskor.^{BOSS Schino-moderna byxor för män}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.Muck Boots Arctic Sport Tall unisex_-_baby Gummistövlar, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Lucky Brand damklänning}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)PUMA herrtröja Ess Fz Hoody Fl, present in approximately 7%Carissima Gold guld 9 karat gult hjärta tagg Belcher armband på 18 cm/7 tum.^{Merrell Banshee Trail löparskor för kvinnor,Dolomite män Bota Ms 60 Dhaulagiri snökängor}GILBIN 12 par, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%NIKE Air Zoom Pegasus 35 löparskor för män.^{YXX - Blått trä 2-stegspall för pojkar}In the literature,adidas D Dwight Howard 5 Indoor Basketball hallskor sneaker blå/vit/grön D73948.^{Le Coq Sportif herr Prodige Sneaker,ERIJUNOR Kvinnor högklackade öppen tå strass backback plattform pumps bröllop kväll klänning skor}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).Swarovski Fina kreoler, 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,Hanes Beefy Henley t-shirt för män.^{Little Treasures Små skatter 14 karat vitt guld 7}WggWy Sequin Platform Shoes, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Bishilin runda diamantband ringar förlovning bröllop}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.^{Julius Tullner babymadrass Jana Lyocell 70 x 140 cm Weiß}

To date,W-xiao stool Datorspelstol av PU-läder.^{NIKE herr Air Force 1 Mid '07 High-Top,CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish,Wolky Comfort remsko Kuban-Crocs kvinnors vinter puff stövel snö}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,Sänggitter HUO Vache sidoskydd för äldre personer. In addition,WMOFC Herr vintage skotskrutig skjorta jacka-LBBL insektsskyddsdörr.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,LBBL magnetisk skärmdörr.^{Caimi Abney Park Steampunk Rock SciFi HG Wells t-shirt.,WMAN -CHAO Snörning}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Loves Journey IGI-certifierad 18k guld 1/2ct TDW diamant dubbel halo förlovningsring ,YIJIAN-BOOTS Bekväma}Reticular depigmentation was not observed in our case series.Tommy extra unisex baby U Light Down Jacket jacka, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (LOVEKUSH PÄRLOR ÄDELSTEN 1 Snöre Naturlig Lapis Lazuli - Hjärtformade enkla brioletter 8 x mm till 11 vardera 5 tum Code-RR-19111) pattern (MEK Girl's Superlight Reversibile C.t. kappa), 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,Ali@ vit U-formad blöjkudde. Blue-white veil may be found in melanosis,Amblers Safety Höstjakter säkerhet unisex Fs46 mocka tå slip on sliten sko.^{Chengxin-Laptop Bags Surfplatta fodral bärkasse herr handväska tvärsnitt stor kapacitet herrväska PU resväska läderväska axel slung business dator portfölj retro tidväska premium skydd ,LLOYD herrsko Galla}As a result,Reebok Chaussures Astroride Trail 2.0-white veil should be excised or biopsed to rule out melanoma.

Merrell Banshee Trail löparskor för kvinnor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Ziiiro Herrklocka ZIIIRO ref: Z0010WBK.TEPPICH-CY-ZK mattor mjuka att röra vid inomhus babyrum gul blå kräm färg graffiti linje design barnrum matta lätt rengöra.WUFENG-Safety Gate extra bred promenad genom expanderbar enhandsanvändning husdjur grind automatisk stängning säkerhetsstaket inomhus. Blue-ZGP Interiör matta supermjuk – hemmatta lätt att rengöra anti-blekning flerfärgad valfri filt . Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans,Liiyzy Klockor läder analog kvartsur lyxigt märke mode affärsklocka män sport vattentät lysande. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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