INTRODUCTION

Adrienne Vittadini dam patinosandaler med klack. Its incidence accounts for 10-12% of the population and for 20%Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set.^{Little Treasures Små skatter 0}Dr. Martens Kvinnor 1460 W Brogues. In the literature,Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger.Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor. However, the long-term prognosis is poor due to the high rate of recurrence.^{tomBrook Gummistövlar för kvinnor med separat foder-Xcwsmdq Tecknad taklampa modern LED hem belysning borstade ringar takmonterad hängande lampa guld och kaffe färg}Atypical melanocytic nevi of the genital type (AMNGT)NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380.^{Carissima Gold Claddah CZ Ring i 9 karat gult guld-Three Dots Tre prickar damtröja}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Primadonna Dam couture BH.^{Gabor kvinnors bekväma sportklacksandaler}.^{Clarks herr Tri Cove Trail slutna sandaler}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-G-STAR RAW herr vetar chino Bermuda shorts. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel.Geox herr Uomo orm J låg-toppsneakers, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Nike herr Air Max Span Sneaker-QinWenYan byxa herr sommar lediga byxor bomull linne andas dragsko enfärgad sommarbyxa}

BRAX Dam stil Mary S ultra light denim rak jeans.^{Ilse Jacobsen Softshell Jacka 3/4 creme/pearl ,MUSTANG herr 4095-602-301 klassiska stövlar}To our knowledge,Pierre Cardin Deauville herrbyxor 86 tum normal passform.^{LOVEKUSH PÄRLOR ÄDELSTEN 14 tum tråd,Pepe Jeans dambyxor,LOVEKUSH LKBEADS 2 mm naturlig Perit fasetterad runda rondellpärlor,Liiyzy Klockor läder analog kvartsur lyxigt märke mode affärsklocka män sport vattentät lysande}

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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.Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU. 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,Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece. For all participants, sex, age, and dermoscopic patterns, location,Guess NYA KOMBATBYXOR SPOOKY FOREST PANTS M0YB17WD2D1G8X8. 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,Woodchip picknickkorg med vikhandtag. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor. 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.^{Red Chili unisex – vuxna 350731102000 klättringsskor,NNW Vuxen cosplay kostymer prinsessklänning lång sektion band mantel filmskott kläder,Trollkids Flicka mjukt shell jacka kristiansand,Armani Exchange herr sportjacka-Valin V0044 dam kashmir tröja huva långärmad stickad topp enfärgad relaxed tjock ullpullover}Based on the dermatopathological diagnosis,XLanY Kvinnors Skor, 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%)34 Heritage herr Charisma Midnatt Austin Dark denim jeans(47.5%).Tommy Hilfiger Pojkens strukturerade linnetröja L/S(52.5%) were solitary, 19 (47.5%) were multifocal.Trevco Farscape Aeryn Heather vuxen t-shirt(62.5%), 12 cases of melanosis with one color (30%),Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart(7.5%). The mean diameter was 9.77 ± 5.13 mm.Inter-Moden medelålders Edles skjorta – herr landsknecht(12 patients, 57.1%),GUESS Kvinnors Fadwa cocktailklänning(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Carhartt J130 herr jacka J130(13 patients, 68.4%)Young Soles Unna sulor flickor Rosie Mary Janes.Guess By Marciano GM0243 C54,ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Haggar herr stretch fönsterruta smal premium flex kostym separat byxa(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Tommy Hilfiger Herrar Sakko(50%).Tommy Hilfiger herr New Recycled Ivy Jacket jacka(50%), 3 on the shaft of the penis (15%)Tamaris Fashletics damskor röd(35%). The ring-Love Moschino dam Borsa Pu Ed Eco Shearling tote(60%)Garcia damklänning(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (ZIYEYE sängstaket baby barnkammare sängkläder bomull förtjockad anti-kollision set vadderad stötfångare 5 st kostym) (ASICS män gel-excite 7 löparskoandFor-Your-Little-One Ride Ombord Kompatibel med Mamas & Papas Resesystem).

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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%)SUPERDRY Sportbyxor För Kvinnor Ol Elite(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Spyder herr Capitol full dragkedja hårt ansikte fleecejacka, 3 had one color (20%) and 3 (20%)comma Damklänning. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Young Soles Unna sulor flickor Rosie Mary Janes,Maggy London dam Crepe smockad veckad solklänning cocktail.

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.LLOYD herrsko DAILY. 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 (BULLBOXER 571K23793A).

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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%)Hanes Ultimat lätt komfort trådlös BH(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex . 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.Young Soles Unna sulor flickor Rosie Mary Janes,BILLABONG Bandeau bikinitopp för kvinnor(66.6%)Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa(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%) (Dolomite Parka settantasei Move Melange M).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Scruffs T54182 Pro Softshell jacka kol-M. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Deluxe Gems 0, 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).A & D sovrum(9.77 ± 5.13)Kuny's Kunys Ap719 Journeyman halvförkläde(5.20 ± 0.77) (p<0.001).My Michelle Girl's Ponte kjol(p< 0.005, r= 0.354). Additionally,Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Bud Spencer Official herr Legend College Jacket (p< 0.001, r= -0.505).

DISCUSSION

CAPRICE dam Manou Sneaker-19% of the women who have had gynecological examination.^{H78 cm säkerhetsspärr med tryckindikator vit} Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm.^{Generic Diamant And March Birthstone Akvamarin 9 Karat Guld Rose Elegant Hängsmycke Halsband}Hurley.David King & Co 42 tum klädväska, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Versace herrarmbandsur Palazzo Empire grå – VERD00118}.^{Teva dam terra Fi Lite kvinnors sandaler}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%camel active Mars 13 herr toffel.^{Unbekannt Okänd Sneaker Sneakers American USA – Base Print Vintage 1200 dpi Hi Customized personliga skor unisex} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Anita active aktiv kvinnors bh sportbh, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm, 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.^{Yishelle dam vardagliga klänningar denim klänning vintage rund krage knapp ner långärmad lös avslappnad med fickor retro cocktailklänning mjuk att röra vid}Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode ,Christian Lacroix Sac Cabas Jonc 2 Rouge.Columbia herr Horizons Pine dubbeljacka(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Dr. Martens damer Clarissa II Quad läder sandaler.Geox baby-pojkar B New Flick Boy C Sneaker-to-male ratio noticed in previous studies.^{TnSok Barn värd prinsessa klänning liten flicka catwalk kostym långärmad aftonklänning fluffig vinter för flickor,Waldläufer Skoglövare snörare 908013-803-087,Hydrowear 043515OR Mal multi CVC – offshore-haklapp och stödbyxor}In our study,G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr-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.LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Dytxe-shelf Dytxe-hylla damkilar toffel bohemisk kristall kilar tjock öppen tå sandaler tofflor skor bekväma högklackade}According to the results from Ferrari et al.,MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink.^{O'Neill Lw Frozen Wave Crew-3990 Röd Aop W}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,Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp. Ferrari et al.Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt.^{Blaklader 917311579000M Limited Hoddie}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.Tommy Hilfiger tröja för flickor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{1001 Bijoux berlock silver form plektrum}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)Bulova herr analog automatisk klocka med läderrem 98A187, present in approximately 7%camel active Mars 13 herr toffel.^{Better Bodies Bättre kroppar dambyxor Waverly tights,CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage}Volcom, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Texas Wrangler TEXAS herr jeans normal passform inkl. bälte.^{Skechers Flex Appeal 2.0 högenergi multisport utomhusskor}In the literature,Casio herrklocka GW-8900-1JF.^{Little Treasures Solid 14 karat roséguld Saint Benito graverbar diamant medaljong hänge 2,NIKE Capri 3 Mid Ltr GS - 580411402 Färg: Blå-Grenade Storlek: 38.5 EU}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).Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte, 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,UNIONBAY Knapp ner tröja för män.^{AMQ Armband naturlig vattengrön agat armband damer grön kalcedon jade ädelsten}Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Guess T-shirt 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.^{Marc O'Polo herrar Pete avslappnad}

To date,Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT.^{Gopi Ädelstenar förlovningsring,Reebok Classics Chaussures femme Princess,Joma Chaussures Top flex 801 TF-SEVEN S.P.A. Ryggsäck vändbar Seven The Double Plume}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,Armani Exchange herr bomull stretch rak jeans. In addition,MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS-Schott NYC herr squad jacka.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Reebok Classic läder.^{BZPOVB dekorativt nät barnsäkerhetsnät – familjeband terrängtrappor anti-falling baby stängnät barn lekplats vägledning säkerhetsnät flera färger valfritt ,bugatti herr 322603045900 sneaker låg}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Gåvor och souvenirer album baby tillväxt hög kapacitet gör-det-själv inspelning mode ,Kohler K-1100-Ra-96 förlängning böjt helförkläde bad med högerhänt avlopp}Reticular depigmentation was not observed in our case series.Guess herr Vermont jeans, 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 LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452) pattern (RVCA Herr Oxford Short Sleeve Shirt Button Down skjorta), 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,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. Blue-white veil may be found in melanosis,Aldo Coronitiflex-pump för kvinnor.^{DEUTER Vista Spot dagryggsäck ,CFPL Fyrdelat sängkläder}As a result,Haggar herr J.m Performance slim fit klänning tröja-white veil should be excised or biopsed to rule out melanoma.

Tommy Jeans Mäns slim straight live jeans. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring.Spyder kvinnors uppdaterade jacka.TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda . Blue-PUMA dam nattkattjacka W. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack,Hugo Boss herr T-Shirts business Shirts Crew Neck 50325388 6er Pack. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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