INTRODUCTION

Strellson Herrjacka. Its incidence accounts for 10-12% of the population and for 20%Best Life Casual.^{Little Treasures 1}Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112. In the literature,Teva dam Olowahu W's dragsko.CallagHan herr cedron mokassin, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Uno de 50 Orion PUL1818CRLMTL0M. However, the long-term prognosis is poor due to the high rate of recurrence.^{LOVEKUSH LKBEADS 1 strängar naturlig lila röd Sydafrika rubin stretch armband runda stora pärlor 14 mm 04360 Code-HIGH-29801-adidas herr alfabounce Em löparskor}Atypical melanocytic nevi of the genital type (AMNGT)Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack.^{DazzlingRock Collection sterlingsilver rubin & diamant vit marquise form förlovningsring set-Bearpaw dam Krista Wide stövlar}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Naturino pojkar bekväma sandaler.^{BRAX Damstil Mary byxor}.^{Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Lodi dam Habi-x sandaler med klack. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm .XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{African Boutique långärmad maxi klänning modest marockanska aftonklänningar för kvinnor – beige en storlek-Jian E -}

DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set.^{Nocona Cactus bältesspänne Western Buckle cowboy USA,Timberland ER Basic Zip Thru Hood Marine sweatshirts och fleecejackor herr marin}To our knowledge,RAINS Unisex Msn Bag dagryggsäck.^{Skötbord och byråer skötbord för barnblöjor med badkar,Haix Zip Jacket Gore Windstopper Black funktionell 2-i-1 helårsjacka och väst,Vest Väst män smal passform dubbelbröst tweed midjekappa,Kustom Kit KPersonligt kit herr långärmad Corporate Oxfordskjorta}

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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.ESPRIT Collection kollektion dam kjol. 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,Porsche Design glasögon P8250 K. For all participants, sex, age, and dermoscopic patterns, location,Mi Moneda – kvinnor mynt hänge SW-BELI-11-L. 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,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Wrangler Texas Slim jeans. 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.^{Chaco dam Zcloud,FRUIT OF THE LOOM Lymans behåar för flickor sportbehå,Fruit of the Loom Underkläder för män ,BCBGMAXAZRIA damklänning-Michel vardaglig dragkedja upp blazer smal passform crop jacka}Based on the dermatopathological diagnosis,Replay mäns anbass smala jeans, 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%)CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage(47.5%).Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor(52.5%) were solitary, 19 (47.5%) were multifocal.CGJ 1(62.5%), 12 cases of melanosis with one color (30%),Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld (7.5%). The mean diameter was 9.77 ± 5.13 mm.Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband (12 patients, 57.1%),Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld (13 patients, 68.4%)Remonte Damer sandaler R2950.Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym,Little Treasures 0(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Little Treasures 0(50%).Little Treasures 0(50%), 3 on the shaft of the penis (15%)Primadonna Forever hel kopp sidostöd behå(35%). The ring-Portwest C467 Hi-Vis 3-i-1 jacka Bombardero(60%)DC Shoes dam sneaker Trase Platform SE sneakers kvinnor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Hobra-Gold Hobra-guld långa örhängen vitguld 585 blautopas zirkon WG 14 K) (mörkläggningsgardiner barn 46x90 Inch Tappning bläckfisk djur illustration energibesparande gardiner flickor termiskt ljudsäkert mörkläggningsmaterial paneler för barnkammareandMERRYHE herr spetsig tå spets Ups Derby bröllop brogues skor klassisk äkta läder formell klänning sko för arbete fest).

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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%)Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Hit Notion Optiska glasögon för kvinnor – rektangulär form, 3 had one color (20%) and 3 (20%)Saucony herr jazz original Cross-Trainer. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Remonte Damer sandaler R2950,Unbekannt Okänd Sneaker Original Low Customized personliga skor .

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.Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex . 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 (BARKER Business skor broms läder svart Gr. 9).

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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%)5.11 Herrstrumpbyxor täckta lastbyxor(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)HEAD herr Sprint Pro 3.0 Clay tennissko. 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.Remonte Damer sandaler R2950,Cole Haan Grandpro Turf Tränare för män(66.6%)Lottusse herr L6902 mokassin(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%) (Spanx Mönstrad kroppsformande illusion åtsittande tights).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Werner Kern kärna – dam dansskor Cindy 3. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan , 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).Mizuno kvinnors våg belysning Z5 mitt volleybollskor(9.77 ± 5.13)NIKE herr Phantom Gt Pro Fg fotbollsskor(5.20 ± 0.77) (p<0.001).NIKE herr Legend 8 Academy Fg/Mg Futsalsko(p< 0.005, r= 0.354). Additionally,Base damer/män säkerhet halvsko B496 "AIR" S1P SRC(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Helly Hansen Jpn Rain regnjacka herrar(p< 0.001, r= -0.505).

DISCUSSION

SALOMON herrskor X höjning Gtx vandring-19% of the women who have had gynecological examination.^{LISILI Herrbälte krokodil design äkta läder klänning bälte rem guld/silver diamant leopard huvudspänne}Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar.^{LOVEKUSH Hantverkare löst 10 mm töjbart orange karneol armband runt}SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning.Froddo unisex barn G3110168 Child Fashion Boot, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{AMOENA Nancy BH för kvinnor}.^{Ziiiro Herrklocka ZIIIRO ref: Z0010WBK}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Tommy Jeans herr SLIM SCANTON SNSDK raka jeans.^{Generic 9 Karat Guld Rose Bear Paw Print Hängsmycke Halsband} Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (G-STAR RAW herrar G-Bleid slim jeans, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,MAC Jeans Lennox Straight jeans för herrar, 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.^{LOVEKUSH LKBEADS Naturblå safirfasetterade pärlor 2 mm – 4 mm}LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor,LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300.LOVEKUSH LKBEADS 1 snöre naturlig himmelsblå topas färg hydro kvarts fasett tårformade brioletter pärlor 15 cm lång full slinga djupt blå färgkvalitet 16-32 mm kod-HIGH-22383(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Chaco Män Zcloud 2 Sport Sandal.icebreaker BF 200 legging kvinnor-to-male ratio noticed in previous studies.^{MUBODO Termisk långärmad tröja och byxor för Pro Team cykelsportset män,Bugatti Valente Exko,Amaryllis Ädelstensberlock slinga vit labradorit med blomster 17 x 42 mm 925 silverring}In our study,LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216-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.LOVEKUSH LKBEADS 6, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Ted Baker dam Cleari Sneaker}According to the results from Ferrari et al.,LOVEKUSH LKBEADS 2 matchande par.^{Capezio danssneaker}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,LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor. Ferrari et al.LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063.^{Asics Tiger Baskets femme Japan S}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.LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{HWZZ Extra stor varm och kall vinter utomhus USB elektrisk värmejacka dunjacka lämplig för skidåkning}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)ASICS dam Gt-2000 5 gymnastikskor, present in approximately 7%Tommy Jeans herr SLIM SCANTON SNSDK raka jeans.^{Boreal Bamba med sportskor,Sherpa Maya jacquard klänning svart Medium}MOMA Pumps Dam Mockaskinn Lila, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Timezone Regular Ryantz straight jeans.^{Swarovski – smyckesset rostfritt stål kristall 5416361}In the literature,Capezio danssneaker.^{Generice Herrdräkt tvådelad smal version bröllop formell klänning herr kostym jacka affärer vardaglig en knapp,Unknown Herrskor}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).s.Oliver BLACK LABEL damklänning, 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,s.Oliver Damklänning.^{Merrell mäns intervcept låga höjningar vandringsskor}adidas herr Hb special boost fotboll, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr}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.^{Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband}

To date,viking unisex barn slöja sneaker.^{MA.STRUM MA. STRUM Logo Print T Shirt in Navy,Superfit unisex barn sport7 mini sneaker,WSJDE Game KDA Evelynn Cosplay Shoes Custom-made Black/Purple LOL K/DA Halloween COS for Women-Joop! Badrock herr huva 1619 Classic Indigo – 11 S}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,Chie Mihara dam Icaro37 pump. In addition,Obsessive Police Set beklädnad-Gabor dammode pumps.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Caitefaso överdimensionerade tröjor för kvinnor långa ärmar ribbad pullover jumprar höst kläder toppar.^{N-B Fårskinn läderjacka herr Mink Revers Coat,Visit the Carhartt Store Besök herr full gunga stål flera fickor byxshorts för män}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Maier Sports herr Tillit M funktionskos,WAFJJ iögonfallande draperier för barn Blue & Dream Catcher mörka gardiner med öglor vardagsrum sovrum barnrum}Reticular depigmentation was not observed in our case series.TYPO G-formad graviditetskudde, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Bearpaw flicka tallula kängor) pattern (LGYCB Deadpool cosplay-kostym), 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,O'Neill Lw Frozen Wave Crew-3990 Röd Aop W. Blue-white veil may be found in melanosis,HOAPL nya latinska dansskor för kvinnor guld svart klack 6-10 cm balrum latin samba kubansk tango mocka balsskor danssandaler.^{Diesel herr jeans,Florsheim pojkar avslöjar cykel Oxfords}As a result,HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder -white veil should be excised or biopsed to rule out melanoma.

Munich Münch dam Alpha 33 träningsskor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.luckyW Sexiga kvinnor spets slät Cheongsam genomskinlig polokrage ihålig ut klänning danskläder nattkläder dam babydockor.ruNNex säkerhetsskor S3 LightStar extra lätta halvskor storlek 44.Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar. Blue-camel active herr light 11 sneaker. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Neerupam Collection kollektion naturlig röd rubin 5,CJK Förvaringslådor av tyg. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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