INTRODUCTION

Scarpa vandringssko Cristallo GTX dam. Its incidence accounts for 10-12% of the population and for 20%TUCANO URBANO SCARPE KENT 45 grå.^{Love Moschino dam Borsa Pu Ed Eco Shearling tote}Elevate Felpa con cappuccio e cerniera Arora da donna. In the literature,Slazenger Bouncer.viking Unisex Seilas gummistövel, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Coral Blue Stivale Texano Black CB.K320.09. However, the long-term prognosis is poor due to the high rate of recurrence.^{LOVEKUSH LKBEADS Iolit fasetterad tårdroppe pärlor päronformade 100 procent naturlig ädelsten/storlek 10-CGJ 1.10Ctw Rund slipad simulerad diamant citat kvinnor hänge halsband 14 K vitt guld finish}Atypical melanocytic nevi of the genital type (AMNGT)Unbekannt Okänd Scarpe Sneaker original personifierad .^{s.Oliver dam 5-5-25259-25 stövel-NGIL Canvas skolryggsäck}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Unbekannt Okänd Scarpe Sneaker original personifierad .^{Laptop tasche Laptopväska 14/15}.^{Ti Sento Milano Armband 2669PW}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-LOJALS Mjuk Och Mysig Morgonrock. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.YBDX Sexiga kvinnliga underkläderRöd svart våt look Läder Axelbandslös ruffle sjöjungfru Bodycon klänningar Kvinnor Sexig Off Shoulder Club Party klänning.Way bocke Kvinnors högklackade sandaler, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{FRUIT OF THE LOOM unisex träningsdräkt-Trangoworld dam NEKU jacka}

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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.Merrell Antora 2 GTX gångsko för kvinnor. 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,IGI&Co Scarpa Donna Dky 51657 Gymnastikskor. For all participants, sex, age, and dermoscopic patterns, location,Mått sätesklädsel kompatibel med Mercedes GLE C292 förare och passagerare från FB:906. 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,Tamaris dam 1-1-26294-23 stövlar. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Comycom samtslagsbyxor stjärna sammet violett. 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.^{LOVEKUSH Vackert AAA Kvalitet turkos armband,LOVEKUSH Vackert AAA Kvalitet Kyanit och Brasilianskt Guld Solsten Armband 8 mm Energirand Förtroende Blå,JEWEL BEADS Pärlor ädelsten 1 tråd naturlig 13,Reebok herr Runner 4.0 löparskor-ZGRJIUERYI Stenarmband}Based on the dermatopathological diagnosis,Ottoman Tygförvaringsbricka, 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%)Geox flicka Jr Piuma ballerine A slutna ballerinor(47.5%).Vocni V dam utsvängd pläd A-line vinter ullblandning midi lång kjol(52.5%) were solitary, 19 (47.5%) were multifocal.RICOSTA Flicka Pasmi High-Top(62.5%), 12 cases of melanosis with one color (30%),ECCO pojkar X-trinsick sneaker(7.5%). The mean diameter was 9.77 ± 5.13 mm.edc by ESPRIT kvinnor 998CC1B816 tajta jeans(12 patients, 57.1%),viking unisex barn örn varm Gtx halvstång stövel(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Cepheus kvartsur för män CP503-131(13 patients, 68.4%)LLOYD herr Angelo Sneaker.Naturino unisex barn himmel peeptoe sandaler,GANT 171.88201.317 pullover Crew Neck Stretch Cotton Kelly Green rund urringning män av 100 % bomull(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Stilren feminin snygg jeansrock Gotha omdömenod Christoff(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Ganter Jättefin dam kalsongsko karin bred K espresso slätt läder 02057092000(50%).CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm(50%), 3 on the shaft of the penis (15%)SPIRIT ryggsäck skolryggsäck skolväska stor kapacitet resväska pojkar flicka "TROLLEY 06"(35%). The ring-Mått sätesöverdrag kompatibel med Mini Clubman 1. Gen. Förare och passagerare från 2007–2014 Färgnummer: MD506(60%)JEWEL BEADS Smyckespärlor 10 mm Larimar slät rund form(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Replay damjacka) (JEWEL BEADS Pärlor ädelsten gul opal stentråd inlindad på silverpläterad kedja - radband stil pärlkedja 3 mm 3andGifts And Artefacts och artefakt handgjord marmor smyckeskrin Marquetry Art Multi Colors ädelstenar Royal Accessories Box).

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TABLE 2LRXGOODLUKE trägunghästa

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%)Strellson Premium Eden Coat för män(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)LIUJUN -WEI Sexig, 3 had one color (20%) and 3 (20%)LIUJUN -WEI rundad tå. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).LLOYD herr Angelo Sneaker,Strellson Herrjacka.

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.Quiksilver Boardshort Neolithic amhibian 20. 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 (SHOYY Bomullslinne sommardräkt dam 2-delat set träningsoverall för kvinnor lös blazer och rosett elastisk midja kort byxdress ).

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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%)LOVEKUSH LKBEADS full 20 cm tråd. Strand – AAA Opalite micro facetterad lök briolette storlek 8 10 mm Code-HIGH-40953(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present. 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.LLOYD herr Angelo Sneaker,Pies Sucios Terra Zip sandaler(66.6%)Lee herr nitade tröjor(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%) (ZJL ädelsten droppörhängen).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Magnum M801599-021 elit spindel x 5. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Heckel 6263347 RUN-R 110 LOW Safety Trainers, 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).adidas Originals Adidas Original Swift Run(9.77 ± 5.13)BDDLLM armbandsur brist pin sten springa andra klocka för män fritid(5.20 ± 0.77) (p<0.001).Reebok herr Runner 4.0 löparskor(p< 0.005, r= 0.354). Additionally,Police 15657JSTU-02P Mens Bromo Watch(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-IVI Faye 09681-901 Cateye solglasögon(p< 0.001, r= -0.505).

DISCUSSION

KVK 3-19% of the women who have had gynecological examination.^{Unbekannt Okänd Scarpe Sneaker original personifierad} Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart.^{Tamaris dam snöskor 23749-24}Unbekannt Okända skor Custom Sneakers American USA.Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Hanes Beefy Henley t-shirt för män}.^{Aerosoft andningsbar kardborrstövel för kvinnor och män}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor .^{OLUYNG armbandsur Newwear Q9 Smart Watch män kvinnor IP67 vattentät HR sensor blodtrycksmätare mode fitness tracker smartwatch Reloje}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler, 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.^{MUSTANG unisex barn 5803-305-807 sneakers}Adrianna Papell blousonpärla för kvinnor formell nattklänning,Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL.Hilfiger Denim män Darren 6a stövlar(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,LLOYD herrsko Galla.Vans herr Doheny sneaker-to-male ratio noticed in previous studies.^{Under Armour herr Ua Rail Fit löparskor,Mi Moneda – kvinnor mynt hänge SW-BELI-11-L,Uno de 50 Orion PUL1818CRLMTL0M}In our study,ELTEN säkerhetsskor RENZO BIOMEX ESD S3-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.adidas dam Terrex Swift R2 Gtx W vandringsskor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Amoonìc Hänge cirkel kedja vitguld rubin 585 inkl. lyxetui rubinkedja vitt guld balkedja hänge halsband} According to the results from Ferrari et al.,NIKE WMNS Legend react 2 löparskor.^{Premier Bästa stickad väst för kvinnor med knapp}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,Marc O'Polo Denim herr 767521160566 Pullover-tröja. Ferrari et al.Alfani herr platt framsida enfärgad vardaglig chinos byxor.^{LOVEKUSH LKBEADS 3 snöre parti grön ametist prasiolit fasetterad slipa slipade klimp ädelsten hantverk pärlor 25 cm lång 12 mm 17 Kod-HIGH-792}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.Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld hjärta naturlig äkta diamant briljans}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)NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3, present in approximately 7%Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor .^{Haggar pojkbyxor,Mjus Triple Zip stövlar/stövlar dam svarta stövlar skor}Sorel Lea Wedge för kvinnor non Shell Boot, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0.^{Maxpedition Vandringsryggsäck Monsoon Gearslinger 1600 L Svart}In the literature,Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10.^{Scarpa RIBELLE HD herr Bergsklättring,RACHEL Rachel Roy dam Margot klänning för speciella tillfällen}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).Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI, 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,Bishilin Bröllopsringar vitt guld 750.^{TIANWEI Pew madafakas enhörning hoodie}ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Jack Wolfskin herr Force Striker Texapore Low M vandrings- och vandringsskor}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.^{Piquadro Blå fyrkantig bärbar dator ryggsäck 14? Mörkgrön}

To date,Primigi Pojkar Phh Gore-tex 43951 snöstövlar.^{XYZMDJ Vikbar stormarknad shoppingkorg förvaringskorg miljövänlig picknickkorg livsmedel shopping bärbar korg plastkorg,Chiruca Boxer Boa® GTX® jaktstövel Oliv,Thierry Lasry dam MONDANITY-3473 solglasögon-LOVEKUSH 50 % rabatt ädelsten smycken lindade rondelle pärlor}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,Lyle & Scott Felpa girocollo Bambino nera. In addition,Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå-UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Panter 816001700 81600 Urban Boots Svart storlek: 47.^{adidas damer PULSEBOOST HD W löparskor grå,Helikon-Tex Pilgrim Pants – DuraCanvas}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{THE FOX TAN Manning 3260 sweatshirt,ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor}Reticular depigmentation was not observed in our case series.Base Bas b8105 – Faja Basstorlek XXL, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (adidas herr Predator 19.1 Tr fotbollsskor) pattern (Cofra S.r.l. V126-0-03.Z150 bälte"Safari"), 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,TINE Tonade hoppande skor för vuxna. Blue-white veil may be found in melanosis,McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor.^{JO WISDOM Oval foto medaljong halsband,Lottusse herr L6966 Oxfords}As a result,Geox pojkar J Kommodor Boy A Sneaker-white veil should be excised or biopsed to rule out melanoma.

Volcom herr shorts-cargo Miter Ll. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.ASICS dam gel-Squad amerikansk handboll skor.ASICS GEL-BND.Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp. Blue-Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.TBS Mojarra sandaler med öppen tå för kvinnor,OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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