INTRODUCTION

adidas herr gametalker friidrott sko. Its incidence accounts for 10-12% of the population and for 20%NGIL Canvas skolryggsäck.^{PUMA Evo Stickad Move Fz Luvtröja för män}HIGOU Dam långärmad lös enkel plus storlek maxiklänningar avslappnade långa klänningar med fickor. In the literature,prAna Dam London Jean höga Inseambyxor.Columbia damer Powder Lite Mid Puder mitten, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Orca Bay Herr Exmoor Chelsea-stövel - Nubuckläder . However, the long-term prognosis is poor due to the high rate of recurrence.^{RS JEWELS Dam 1-Panama Jack herr Fedro Biker Boots}Atypical melanocytic nevi of the genital type (AMNGT)Generic Polished 9 Karat Guld Sand Dollar Charm Hängsmycke Halsband .^{Donna Morgan kvinnors speciella tillfälle klänning-LOVEKUSH LKBEADS 40 cm tråd}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Chartou mans sommar avslappnad sträckt midja lös passform linne strandbyxor.^{Toff London Pride Rainbow Heart Love Watch}.^{Joe's Jeans herr Je Crew t-shirt}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Softwalk Damer Bolivia kilsandaler. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.LLOYD herr Angelo Sneaker.CANDYANA Realistiska Transvestit Crossdresser byxor verklighetstrogen vaginala underkläder silikon konstgjorda sexiga transgender, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{AISHANG LED taklampa-Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart}

Scarpa vandringssko Cristallo GTX dam.^{My Gold MyGold diamant örhängen modeguld 750 guld ,Ganter Jättefin dam kalsongsko karin bred K espresso slätt läder 02057092000}To our knowledge,TUCANO URBANO SCARPE KENT 45 grå.^{POKTER-GT stolsöverdrag FIRSTCLASS GT i konstläder med Alicante för Scudo 8-sits 2007–2021,Piquadro Bladvagn S Grigio,Nyfödd bad handfat miljöskydd PP-material plast badkar sitta liggande,Think! Tänk! Dam Turna_585046 hög sneaker}

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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.viking Unisex Seilas gummistövel. 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,Coral Blue Stivale Texano Black CB.K320.09. For all participants, sex, age, and dermoscopic patterns, location,Unbekannt Okänd Scarpe Sneaker original personifierad . 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,Unbekannt Okänd Scarpe Sneaker original personifierad . Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.LOJALS Mjuk Och Mysig Morgonrock. 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.^{G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import,Scotch & Soda herrslips – Ice Peak raka jeans,Hanes Ultimat lätt komfort trådlös BH,Orca Bay Herr Exmoor Chelsea-stövel - Nubuckläder -JXXDDQ -Raincoat – Regnrock vuxen mode vindjacka regnrock poncho flicka damer resa torr ultralätt} Based on the dermatopathological diagnosis,YBDX Sexiga kvinnliga underkläderRöd svart våt look Läder Axelbandslös ruffle sjöjungfru Bodycon klänningar Kvinnor Sexig Off Shoulder Club Party klänning, 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%)Gifts And Artefacts och artefakt handgjord marmor smyckeskrin Marquetry Art Multi Colors ädelstenar Royal Accessories Box(47.5%).OUNBHL Skolryggsäck för pojkar flickor tonåringar barn skolväskor vattentäta barnryggsäckar anpassat tryck resväskor(52.5%) were solitary, 19 (47.5%) were multifocal.Chicco pojkar Zaldo sneakers(62.5%), 12 cases of melanosis with one color (30%),[BLANKNYC] herr Wooster smala jeanbyxor(7.5%). The mean diameter was 9.77 ± 5.13 mm.Bradoner Postmodern lampa lyxig kristall vägglampa enkel vardagsrum TV-vägglampa sovrum sängbord dubbel 40 x 30 cm (12 patients, 57.1%),IGI&Co dam Dfxgt 61638 regnsko(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).G-STAR RAW herr 3301 Straight Tapered Colored fit jeans(13 patients, 68.4%)Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar.Sistakno Sterling silver 925 nyckelring flygplan och glob tillbehör,Tommy Hilfiger Herr straight Denton Chino GMD Flex byxor(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).JEWEL BEADS Smyckespärlor naturliga vackra smycken schweizisk topas päronfasetterad(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-HealHeatersⓇ HealHeaters? Deformation rullskor skridskor 2 lägen löpning skridskohjul infällbar automatisk promenad osynlig skridskoåkning dubbel rad deformhjul sneaker(50%).Geox flicka Jr Piuma ballerine A slutna ballerinor(50%), 3 on the shaft of the penis (15%)Vocni V dam utsvängd pläd A-line vinter ullblandning midi lång kjol(35%). The ring-RICOSTA Flicka Pasmi High-Top(60%)ECCO pojkar X-trinsick sneaker(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (HUGO damer Raplissa-1 10230489 01 modern) (Orphelia kvinnor silver hänge halsband ZH-7483andMiwaimao 925 Sterling Silver Rose Wrapped Open Infinity Eternal Love Ring For Women Wedding Party Mode Smycken).

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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%)Stilren feminin snygg jeansrock Gotha omdömenod Christoff(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Ganter Jättefin dam kalsongsko karin bred K espresso slätt läder 02057092000, 3 had one color (20%) and 3 (20%)CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar,SPIRIT ryggsäck skolryggsäck skolväska stor kapacitet resväska pojkar flicka "TROLLEY 06".

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.Mått sätesöverdrag kompatibel med Mini Clubman 1. Gen. Förare och passagerare från 2007–2014 Färgnummer: MD506. 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 halvskor i stora storlekar röd 773K20462AARRBSU50 herrskor).

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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%)PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Yaunli herrsandaler herrtofflor sommar flip-flops tidvatten drag vardaglig personlighet halkfri nypa strandsandaler herrduschsandaler . 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.Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar,PULLEY -S motorcykel stridsstövlar för män ankelstövel snörning stil äkta läder värme halkskydd mysig vinter utomhusskor (66.6%)7 For All Mankind För alla mänskliga smala jeans för män i chino cargo(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%) (Asioka pojkar Parka Pol.vivo Reflectante Con Capucha Niño Modelo Tokio Anorak).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.LIUJUN -WEI rundad tå. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Strellson Herrjacka, 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).Quiksilver Boardshort Neolithic amhibian 20(9.77 ± 5.13)Yingm barfot vattenskor män utomhus halkskydd snabbtorkande strömskor surfa Waten snorkling strand skor simning vandring yoga vatten amfibier strandskor(5.20 ± 0.77) (p<0.001).KHS Typhoon svart stål KHS.TYBS.NXTO1 med natoband XTAC oliv(p< 0.005, r= 0.354). Additionally,LOVEKUSH LKBEADS full 20 cm tråd. Strand – AAA Opalite micro facetterad lök briolette storlek 8 10 mm Code-HIGH-40953(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present(p< 0.001, r= -0.505).

DISCUSSION

Pies Sucios Terra Zip sandaler-19% of the women who have had gynecological examination.^{Under Armour laddade Rogue 2 väglöpning skor för män}Lee herr nitade tröjor.^{HOBO INTERNATIONAL Hobo Chelsea stövel marinblå}AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44.adidas herr Eqt Support 93/17 sneakers, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Little Treasures 0}.^{Volcom Dam långlina bomber snöjacka}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Magnum M801599-021 elit spindel x 5.^{Alpha Industries Alfa Rymdfärja Huvtröja}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Heckel 6263347 RUN-R 110 LOW Safety Trainers, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,adidas Originals Adidas Original Swift Run, 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.^{Persol män 0Po2445S 518/56 52 solglasögon}BDDLLM armbandsur brist pin sten springa andra klocka för män fritid,Reebok herr Runner 4.0 löparskor.Police 15657JSTU-02P Mens Bromo Watch(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,IVI Faye 09681-901 Cateye solglasögon.KVK 3-to-male ratio noticed in previous studies.^{Guru-Shop Minikleid,Paul Green dam tofflor mokassins 2389,Jewelry Affairs 14K gult och vitt guld Miami kubansk bana länk kedja halvmassivt halsband}In our study,Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart-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.Unbekannt Okända skor Custom Sneakers American USA, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Dolomite Unisex Zapato Cinquantaquattro Lh Canvas Sneaker}According to the results from Ferrari et al.,Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor .^{Primadonna Dam couture BH}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,Unbekannt MYS Original USA sneakers Cutomized Slim personliga skor . Ferrari et al.Reebok pump Instapump Fury Og Ultk Tl män löpning träningsskor sneakers.^{Mått sätesöverdrag kompatibel med Mini Clubman 1. Gen. Förare och passagerare från 2007–2014 Färgnummer: PL404}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 pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt}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)Adrianna Papell blousonpärla för kvinnor formell nattklänning, present in approximately 7%Magnum M801599-021 elit spindel x 5.^{CJMDEH morgonrock morgonrock,Guess GU7409 C54}Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Hilfiger Denim män Darren 6a stövlar.^{Lego Wear baby flickjacka}In the literature,LLOYD herrsko Galla.^{Emporio Armani boxershorts för män underbyxor Pure Cotton Trunk 111610-CC722 6er Pack,Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss}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).Vans herr Doheny sneaker, 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,ELTEN säkerhetsskor RENZO BIOMEX ESD S3.^{TUCANO URBANO SCARPE KENT 45 grå}adidas dam Terrex Swift R2 Gtx W vandringsskor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Pierre Cardin Damer superelastisk – futureflex skinny jeans}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.^{Easy Spirit Terra 3}

To date,NIKE WMNS Legend react 2 löparskor.^{Tamaris dam 1-1-26264-25 stövlar,ECCO dam känsla slutna balleriner,Anita active aktiv kvinnors bh sportbh-Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor}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,Marc O'Polo Denim herr 767521160566 Pullover-tröja. In addition,Alfani herr platt framsida enfärgad vardaglig chinos byxor-Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3.^{PINKKART Designer Bollywood indisk foux blumin med broderi arbete etnisk salladsdräkt festkläder damklänning 9257,LIANGXIEW Platta skor för kvinnor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{NIKE Phantom 3 Academy Df Fg fotbal skor,under armour Mens UA Deception Low DT}Reticular depigmentation was not observed in our case series.Sorel Lea Wedge för kvinnor non Shell Boot, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0) pattern (Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10), 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,Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI. Blue-white veil may be found in melanosis,Bishilin Bröllopsringar vitt guld 750.^{Generic 9 Karat Rosen Guld Peridot and Vitt Topas Ring,LilySilk Lilysilke tank topp bas fyrkantig krage solid ren mullbär 19 mm berlock mjukt mode enkel bekväm}As a result,ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer-white veil should be excised or biopsed to rule out melanoma.

Primigi Pojkar Phh Gore-tex 43951 snöstövlar. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Lyle & Scott Felpa girocollo Bambino nera.Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå.UPOWER U-Power RR40754-37 säkerhetsskor Rock&Roll Modell Siberian S3 Ci SRC. Blue-Panter 816001700 81600 Urban Boots Svart storlek: 47. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Base Bas b8105 – Faja Basstorlek XXL,adidas herr Predator 19.1 Tr fotbollsskor. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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