INTRODUCTION

Maggy London dam Crepe smockad veckad solklänning cocktail. Its incidence accounts for 10-12% of the population and for 20%LLOYD herrsko DAILY.^{AMOENA Nancy BH för kvinnor}Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest. In the literature,Dolomite män Bota Ms 60 Dhaulagiri snökängor.Hanes Ultimat lätt komfort trådlös BH, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

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Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-GUESS Johara-klänning för kvinnor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor.Scruffs T54182 Pro Softshell jacka kol-M, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{XEMEX Swiss Watch armbandsur Piccadilly Quartz Ref. 883.12 Kronograf-Ted Baker dam Cleari 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.Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal. 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,Bud Spencer Official herr Legend College Jacket . For all participants, sex, age, and dermoscopic patterns, location,CAPRICE dam Manou Sneaker. 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,Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Hurley. 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.^{Merrell mäns intervcept låga höjningar vandringsskor,African Boutique långärmad maxi klänning modest marockanska aftonklänningar för kvinnor – beige en storlek,G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband -Superfit unisex barn sport7 mini sneaker}Based on the dermatopathological diagnosis,David King & Co 42 tum klädväska, 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%)Tommy Hilfiger tröja för flickor(47.5%).Bulova herr analog automatisk klocka med läderrem 98A187(52.5%) were solitary, 19 (47.5%) were multifocal.Volcom(62.5%), 12 cases of melanosis with one color (30%),Texas Wrangler TEXAS herr jeans normal passform inkl. bälte(7.5%). The mean diameter was 9.77 ± 5.13 mm.Casio herrklocka GW-8900-1JF(12 patients, 57.1%),Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).UNIONBAY Knapp ner tröja för män(13 patients, 68.4%)Spyder herr Capitol full dragkedja hårt ansikte fleecejacka.Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler,Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Armani Exchange herr bomull stretch rak jeans(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS(50%).Schott NYC herr squad jacka(50%), 3 on the shaft of the penis (15%)Reebok Classic läder(35%). The ring-Guess herr Vermont jeans(60%)LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (FRUIT OF THE LOOM Lymans behåar för flickor sportbehå) (Diesel herr jeansandFlorsheim pojkar avslöjar cykel Oxfords).

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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%)DazzlingRock Collection 4 mm hjärta rosa safir dam patiens brud förlovningsring(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Spyder kvinnors uppdaterade jacka, 3 had one color (20%) and 3 (20%)TSP Smyckeskrin förvaringsbox dubbla lager sammet smyckeskrin europeiska smycken stort utrymme smyckeshållare presentlåda . The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Spyder herr Capitol full dragkedja hårt ansikte fleecejacka,PUMA dam nattkattjacka W.

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.Hanes dam sidenreflektioner silkeslen ren knähöjd 2-pack. 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 (RICOSTA Barn lågt-topp sneaker EBI från Pepino).

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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%)MA.STRUM MA. STRUM Core Sweatshirt in Fuchsia Pink(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)adidas damer PULSEBOOST HD W löparskor grå. 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.Spyder herr Capitol full dragkedja hårt ansikte fleecejacka,Sorel Emelie Foldover' stövlar för kvinnor(66.6%)YJDMJJ Harem lastbyxor män träningsbyxor mode elastisk midja harem byxor herr Harajuku hip hop streetwear casual joggare joggingbyxor(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%) (Hobra-Gold Hobra-guld långa örhängen vitguld 585 blautopas zirkon WG 14 K).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.PAUL HEWITT unisex vuxen analog klassisk kvartsklocka med läderrem PH-SA-R-SM-B-22S. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Geox J Eclair Girl stövlar/boots madchen svarta boots Shoes, 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).Superfit dam anda snökängor(9.77 ± 5.13)Lotus klassisk klocka 18665/1(5.20 ± 0.77) (p<0.001).Bisgaard flicka Frederikke Tex stövlar(p< 0.005, r= 0.354). Additionally,Lotus klassisk klocka 18573/A(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Craghoppers dambyxa Nl Clara(p< 0.001, r= -0.505).

DISCUSSION

Mark Todd Collection kollektion unisex dam quiltad jacka -19% of the women who have had gynecological examination.^{BERA Män 100 % get ull halsduk halsdukar pojkar handgjorda mjuk känsla vintersjal varm stal}JTTM Mäns Rostfritt Stål Klocka Vattentät Affärsklocka Lysande Full Mekanisk.^{Termisk mörkläggningsgardin 90x90 Inch Retro mönster färg för vardagsrum öljett termisk ljudisolerat mörkläggningsgardiner barnkammare/sovrum}JACQUES LEMANS klassisk herrarmbandsur Sydney 1-1542D.Steiff Girl's Anorakjacka, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Helly Hansen Workwear funktionsjacke SUNNE INSULATOR 73001 isolerande}.^{Reebok Classic läder}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem.^{XJJ88 Set med 12 julgranar nyår organisering dragsträngar väskor - tema tryck hållbar produkt påse väska passar till jul fest present wrap}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (HUGO herrar San Antonio 2 tröja, pleomorphic nuclei, sometimes with prominent nucleoli).

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The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{RVCA Kvinnor Stateside brädshorts}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 .State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Gary Com huvtröjor för män mellanvikt fleece full dragkedja höst ytterkläder långärmad aktiva jackor sport tröjor stora och höga.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-to-male ratio noticed in previous studies.^{Spanx Mönstrad kroppsformande illusion åtsittande tights,Brooks Mäns Dyad 10 löparskor,Joop! Dam Daphne Sneaker}In our study,Guess Fortune-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.Nordbron rap scarf halsduk pojkar barn varm, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{CASH-MERE.CH 100 % kashmir herr pullover | tröja rullkrage 2-söm}According to the results from Ferrari et al.,VAUDE Unisex barnbyxor barns badbyxor.^{BP 1803-720-56-48s arbetsfack}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,NIKE herr M huvtröja Po Flc Tm Club19 långärmad tröja University Red/University Red/White/. Ferrari et al.BOSS herrtröja Wailes.^{LOVEKUSH Hantverkare löst 10 mm töjbart orange karneol armband runt}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.La Millou Småbarnsfilt – det är vit magi, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{XYZMDJ bärbar smyckeskrin resa örhänge halsband tillbehör arrangör låda med dragkedja} 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)Baby sovsäck nyfödda sovsäckar filt kuvert rosett baby yttre småbarn vinter varm svadel barnvagn wrap , present in approximately 7%Space surprise Be-Tty Bo-Op Rund Crossbody Plånbok Liten Axelväska Handväskor - Kvinnor PU-läder Handväska med justerbar rem.^{Hackett London herr LINEN BLUE STR TEE T-tröja,W-xiao stool Datorspelstol av PU-läder}Yunrux Automatisk urbanare urtavla klocka spindel vitrin typ urkåda klockväska konstläder klockor låda svart för 10, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Campingbjörn hushåll örngott .^{Guilty Shoes – Mary Jane Oxford kattunge hälpump vingspets bekväma retro pumpar}In the literature,Aerosoft andningsbar kardborrstövel för kvinnor och män.^{MUBODO Termisk långärmad tröja och byxor för Pro Team cykelsportset män,Benuta barnmatta bambu bil blå 120 x 160 cm | matta för lek- och barnkammare}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).Guess Jeans"Curve X" - W93AJ2 D3OP0-27 , 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,Falcotto lövskor med kardborrlås.^{Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring}FHB 11011-20-60 Tunfthose Sebastian storlek 60 i svart, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare}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.^{JEWEL BEADS Juvelpärlor vackra smycken AAA kvalitet Rhodonit armband trendigt minimalistiskt pojkvän mörkrosa stapelarmband långt avstånd relationsarmband 8 mm kod – UKA-9225}

To date,KANULAN Klocka winder automatisk mekanisk klocka pinne box förvaringsbox förvaring display vinnare.^{Asics Tiger Baskets femme Japan S,Geox herr U Mattias B Abx a sneakers,Cxjff Sword Art Online Anime ryggsäck laptop sko för barn med USB-laddningsport svart/1 -Blakläder 149513309998D92 servicebyxor storlek D92 i svart/mörkgrå}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,Mascot 00773-430-888-82C58 storlek L 82 cm/C58"Orlando" servicebyxor - antracit-P Large/90cm/Size C45 Antracit. In addition,Snickers 69030404044 storlek 44"FlexiWork" arbetsbyxor – svart P Size 250 Svart-FHB-Zunftkleidung FHB WERNER arbetsbyxor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Blakläder 715918452799C30 storlek C30"Stretch" dambyxor - sten grå/svart C46 Röd/svart.^{Geox Uomo Snake K sneaker,Generice Herrdräkt tvådelad smal version bröllop formell klänning herr kostym jacka affärer vardaglig en knapp}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{CMP Flicka vattenavvisande täcke med huva,Gerry Weber tröja för kvinnor}Reticular depigmentation was not observed in our case series.Guess FL8IRVFAL10 Svart brun gissning Gissa FOTWEAR MAIN ankelstövlar Donna 40, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Tee Jays crossover jacka för män) pattern (koh Flowy formell fladdermusärm kvällsklänning), 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,Fruit of the Loom 143 gram. Blue-white veil may be found in melanosis,Geox män U Nebula 4 x B Abx A Chukka Boots.^{Abeler und Söhne och söhne herr analog kvarts smart klocka armbandsur med läderarmband 3105,Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart}As a result,FRUIT OF THE LOOM Womens Essentials All Day armbågslängd v-ringad t-shirt-white veil should be excised or biopsed to rule out melanoma.

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CONCLUSION

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