INTRODUCTION

FOLUNSI Dam plusstorlek ledig långärmad veckad t-shirt klänning fickor. Its incidence accounts for 10-12% of the population and for 20%GUESS Ls Elizabeth Top Henley-tröja för kvinnor.^{TnSok Träningskläder kostym herr basket tight sittande snabbtorkande kläder löpning sport kortärmade shorts 2-delat set flexibel} BCBGMAXAZRIA kvinnors Florens vävd aftonklänning speciellt tillfälle. In the literature,Tommy Hilfiger damtröja.SIRRI Herr talian Couture signatur Brogue Oxford fiskbensmönster tweed läderblandning formella klädskor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Love Moschino dam Scarpad.isla/60 Vit.bia ner/Cro.rsa Sneaker. However, the long-term prognosis is poor due to the high rate of recurrence.^{camel active herr Bayland mode stövel-Meindl unisex-vuxenskor}Atypical melanocytic nevi of the genital type (AMNGT)Diesel Watch DZ7430.^{BP latzhose 1487 720 herrbyxor elektrisk teknikhållare av förstärkt bomull olika utföranden-J Kara kvinnors speciella tillfällen klänning}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)DC herr Lynnfield.^{Diesel Watch DZ7430}.^{FinnComfort Sarnia grizzly/sand}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Lowa herr Isarco Iii Gtx Mid vandringsskor och.Armani Exchange herr sportjacka, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Little Treasures 0-Gabor dam 51.802.97 stövel}

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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.Columbia Mazama ryggsäck. 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,Guess GU7409 C54. For all participants, sex, age, and dermoscopic patterns, location,GUESS damsolglasögon GU7600. 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,THOMAS SABO Damhänge roséguld oändlighet kedja med diam. Silver förgylld diamant vit - D_LBKE001-923-14-L45v. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.riverso herr huvtröja RIVThrio sweatjacket sweatshirt huva dragkedja Regular Fit Basic enfärgad svart blå grå S M L XL 2XL 3XL. 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.^{Neaer Handväska lyx mode kvinnor axelremsväska äkta läder halvcirkel sadelväskor mjukt axelväskor för damer handväskor hand ,Thomas Sabo – damklocka WA0202-265-208-40 mm,Jack Wolfskin damer Marrakech Zip Off Hose dragkedja av slang,LOVEKUSH LKBEADS 33 cm lång sträng – 3–3-DazzlingRock Collection kollektion dam 0}Based on the dermatopathological diagnosis,Little Treasures Små skatter – 9 ct gult guld krucifix hänge leveransens, 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%)URBAN REPUBLIC bebis pojkar polyester puffer barnjacka(47.5%).Rab Dam Nexus Jacka Långärmad Lättvikt Stretch Fleece Mellanlager Huvor Full Dragkedja(52.5%) were solitary, 19 (47.5%) were multifocal.Proviz för kvinnor Reflect 360 Outdoor Jacka(62.5%), 12 cases of melanosis with one color (30%),Dearfoams kvinnors ögonfrans kabel stickad träsko toffel(7.5%). The mean diameter was 9.77 ± 5.13 mm.Lacoste Nautic 120 2 CMA-träningsskor för män(12 patients, 57.1%),ONLY ENDAST Emmy quiltad jacka för kvinnor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Marc O'Polo Dambyxor(13 patients, 68.4%)ONEMIX löparskor för män 3D stickad luftkudde atletisk sport tränare sneaker promenader gym jogging fitness.b.tempt'd dam modern metod bygel-BH,Wrangler Riggs Workwear Stor & Lång Ärm Ficka T-shirt för män(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Save The Duck fritidsjacka för kvinnor(50%).PUMA St Activate Mid Wtr Hi-Top träningsskor(50%), 3 on the shaft of the penis (15%)BRAX damer Style Carola_75 normalt(35%). The ring-Young Soles Unna sulor flickor Rosie Mary Janes(60%)supengyuan 20 litet 2428 tum hjulfodral(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Cafenoir DN632 NERO Scarpa donna sneaker riporto pelle zeppa dettagli cavallino) (Unbekannt Okänd Sneaker & Sportsko USA – Base Print Vintage 1 200 dpi Italian Style Hi Customized personliga skor andDolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL).

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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%)BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380, 3 had one color (20%) and 3 (20%)Primadonna Dam couture BH. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).ONEMIX löparskor för män 3D stickad luftkudde atletisk sport tränare sneaker promenader gym jogging fitness,G-STAR RAW herr vetar chino Bermuda shorts.

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.Dearfoams Chenille Clog för kvinnor med quiltad strumpa toffel. 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 (YYI Herr Kostym Mäns två delar dubbelbröst kostym Tailcoat bröllop smoking jacka byxor).

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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%)Pierre Cardin Deauville herrbyxor 86 tum normal passform(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Guess Dilla shopper svart. 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.ONEMIX löparskor för män 3D stickad luftkudde atletisk sport tränare sneaker promenader gym jogging fitness,GANT fritidsskjorta för män(66.6%)Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU(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%) (Swarovski GrapeFRUIT ÖRSTECKER VER CZWH/RHS/PE).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Woodchip picknickkorg med vikhandtag. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.ZhenHe dammsäker klocka uppdragare fyrkantig dubbel automatisk upprullningsbox två strömförsörjningar tyst hållbar för 2 klockor herrgåvor, 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).XLanY Kvinnors Skor(9.77 ± 5.13)CaoQuanBaiHuoDian Mjuk nattlinne pyjamas korall sammet förtjockning lång lös badrock vintergåvor för kvinnor (5.20 ± 0.77) (p<0.001).Safe net-ND linnät säkerhetsnät trappor balkong brottsäkert nät(p< 0.005, r= 0.354). Additionally,ZZJCY Kvinnors pyjamaset Bomull Långärmad Loose Fit Loungewear(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-adidas X 173 SG - S82314 Färg: Svarta-Gula Storlek: 40 2/3 EU(p< 0.001, r= -0.505).

DISCUSSION

PYXZQW Barn skrivbord och stolsset-19% of the women who have had gynecological examination.^{Liverpool Jeans dam Sadie raka byxor}Cosabella Nsn Maternity Hotpant Korta Trosor.^{LSCRFC Mjuk flodhäst kudde plysch leksak krokodildocka liggande dekoration}NKlaus 0.GFWL Kreativ söt 3-färgs kaktus hänge halsband bohemisk kvinna växt krukväxt tillbehör mode flicka smycken gåva lila, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{LilySilk Lilysilke kamisol set för kvinnor 19 mamma ren silke spets trimmad siden söt mjuk sommar PJs flickor}.^{G-STAR RAW herrar G-Bleid slim jeans}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Tamaris dam toffel 1-1-24226-32.^{KAVU Stor spender för kvinnor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Générique Brandman högsynlighetsväst med grå ränder – storlek L, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Angeline Girls Boutique kläder vår alla hjärtans dag set, 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.^{ERIKA FABIANO stövlar för kvinnor *}Clarks Originals original dam öken stövlar,SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare.34 Heritage herr Charisma Midnatt Austin Dark denim jeans(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Tommy Hilfiger Pojkens strukturerade linnetröja L/S.Trevco Farscape Aeryn Heather vuxen t-shirt-to-male ratio noticed in previous studies.^{FAVL Ladies Ankel Boots Chelsea Stövlar Punkt 7cm Block Heel Ankle High Läderskor,Colmar Damjacka – 2214 jacka,Guess unisex vuxna glasögonstativ GU3009-F 050 53 optiska ramar}In our study,Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/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.Inter-Moden medelålders Edles skjorta – herr landsknecht, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Little Treasures 9 karat vitt guld John 3: 16 diamantrep design hänge}According to the results from Ferrari et al.,GUESS Kvinnors Fadwa cocktailklänning.^{dunkle design mörk dam kjol A-linje ballongrock viskos}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,Carhartt J130 herr jacka J130. Ferrari et al.Guess By Marciano GM0243 C54.^{Gabs & Studio G000040T2 koppling kvinna PZ}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.ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Jack Wolfskin dam Aspen Texapore Mid W snökängor}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)Haggar herr stretch fönsterruta smal premium flex kostym separat byxa, present in approximately 7%Tamaris dam toffel 1-1-24226-32.^{Breil Armbandsur BREIL kvinna åtta quadrante vit mesh armband i stål rosa gyllene,HEAD herr Sprint Pro 3.0 Clay tennissko}Tommy Hilfiger Herrar Sakko, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Tommy Hilfiger herr New Recycled Ivy Jacket jacka.^{Unbekannt Okänd original personlig sneaker unisex} In the literature,Tamaris Fashletics damskor röd.^{Extra bred och stor baby grind tryck monterad inomhussäkerhet ställbar valpar husdjur löpnät för trappa dörr väg vit 75–194 cm,CETLFM personanpassade herrmode klockor}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).Love Moschino dam Borsa Pu Ed Eco Shearling tote, 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,Garcia damklänning.^{Santini RE1075GITDAMA shorts för män}Ledershop-online Herrjacka Bangla 14167 moderiktig elegant läder Nappa vinter mörkbrun M – 7 XL, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Kickers pojkens nonomatiska ankelstövel}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.^{LOVEKUSH LKBEADS hel sträng vasonit ädelstenspärlor}

To date,Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor .^{Joop! Joop damkedja med berlock 925 silver zirkon vit 48 cm – JPNL90719C420,CGJ 1.15Ctw Marquise Cut Sim Diamant Träd Kvinnor Hänge Halsband 14K Vitguldfinish,adidas herr Mts Co Ho träningsoverall-ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB}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,CJMDEH morgonrock morgonrock. In addition,O'Neill LW Becky Crew långärmad tröja-Better Bodies Bättre kroppar dambyxor Waverly tights.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,SUPERDRY Sportbyxor För Kvinnor Ol Elite.^{Jack Wolfskin kvinnors vildmark Xt Texapore mitt W vattentäta höga vandringsskor,Top Gun män moderiktig sweatjacka Rallye}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{CAPRICE dam 9-9-25461-25 022 stövel,Clarks dam och Karely Sun tånare}Reticular depigmentation was not observed in our case series.Spyder herr Capitol full dragkedja hårt ansikte fleecejacka, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (comma Damklänning) pattern (Maggy London dam Crepe smockad veckad solklänning cocktail), 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,LLOYD herrsko DAILY. Blue-white veil may be found in melanosis,Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest.^{Timberland Plattform Sneaker,Vocni V dam utsvängd pläd A-line vinter ullblandning midi lång kjol}As a result,Dolomite män Bota Ms 60 Dhaulagiri snökängor-white veil should be excised or biopsed to rule out melanoma.

Hanes Ultimat lätt komfort trådlös BH. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Unbekannt Okänd Sneaker Original Low Customized personliga skor unisex .BILLABONG Bandeau bikinitopp för kvinnor.Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa. Blue-GUESS Johara-klänning för kvinnor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor,Scruffs T54182 Pro Softshell jacka kol-M. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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