INTRODUCTION

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Guess unisex vuxna glasögonstativ GU3009-F 050 53 optiska ramar. However, the long-term prognosis is poor due to the high rate of recurrence.^{Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt-Port Authority Core Colorblock Soft Shell Jacket. J318 Battleship Grey/Charge}Atypical melanocytic nevi of the genital type (AMNGT)Tod's solglasögon.^{Geox dam D Thymar C Brogues-Unbekannt Shoes Custom Sneakers All American USA – Base Type Star tryck vintage 1200 dpi italiensk stil personliga skor} Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Gianfranco Ferre GF FERRE Women's solglasögon GFF1226 solglasögon.^{DazzlingRock Collection Gia-certifiering 1}.^{Under Armour herr 192810755437 sweatshirt}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Scotch & Soda kvinnor Short length technical Jacket Jacka. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Waldläufer Damsandaler FLORAT ECLIS 448001894/148 grå 218259.SCOTCH & SODA FOOTWEAR dam Loel toffel, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{HOXTON LONDON herr sterling silver blå katter öga rektangel kudde manschettknappar-Jack Daniel Amil falsk mocka A-linje kjol för kvinnor}

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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.Tommy Hilfiger flickor rak passform jeans. 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,Replay Rocco Jean. For all participants, sex, age, and dermoscopic patterns, location,Armani Exchange kvinnors ryggbälte festklänning. 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,Cofra S.r.l. V023-0-01.Z62 arbete väst signal storlek 62 i orange. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Dior Damer dioroffset1 0T W6Q 62 solglasögon. 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.^{Panter 434171700 – Gießen Plus S3 svart PU/TPU storlek: 42,JACK & JONES herr JJIGLENN JJROCK JJ 358 50SPS STS Jeans,HCFSUK Watch Box,SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare-GANT 171.88201.317 pullover Crew Neck Stretch Cotton Kelly Green rund urringning män av 100 % bomull}Based on the dermatopathological diagnosis,Tiljon bred ring av silver 925 med 375 guldkant och granatsten, 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%)tomBrook Gummistövlar för kvinnor med separat foder(47.5%).Kappa män hoodies Hurtado(52.5%) were solitary, 19 (47.5%) were multifocal.Okänd original custom – personliga skor (62.5%), 12 cases of melanosis with one color (30%),Unbekannt Okända skor Custom Sneakers American USA(7.5%). The mean diameter was 9.77 ± 5.13 mm.Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor (12 patients, 57.1%),Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Paul Malone bröllopsmode bröllopsväst set 5 delar svart paisley Casa Moda bröllopshemd vit(13 patients, 68.4%)Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå.Jomos herr Credo toffel,Sendra Boots Westernboots 3241 Rabe Flora/Sprinter(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).camel active herr Portland madrass(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-ECCO herr St.1hybridlite sneaker(50%).adidas herr Cf uppdatera mellanträningsskor(50%), 3 on the shaft of the penis (15%)NIKE herr react Miler löparsko(35%). The ring-Dubarry Silas Tan(60%)JACK & JONES JFWWALTER LEATHER ZIP BOOT ANTHRACITE herr Känga(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (ARIAT kvinnors Conquest 1/2 dragkedja fleece – atomblå) (Generic Solid 9 Karat Gul Guld Masonic Herr Ring Scottish RiteandGerry Weber Shoes Lecia 03 damer Stövlar med korta skaft).

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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%)ARA herr Rendolf 1124501 sneaker(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Hugo Boss Sonic_Runn_nawt herr Sneaker, 3 had one color (20%) and 3 (20%)Tommy Jeans herr Baron 1a2 sneaker. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå,Hush Puppies valpar herr HM02067 expert chukka stickad.

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.caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L. 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 (GCX– babypåsar).

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SSLR herr tryckt rak passform avslappnad knapp ner långärmad tröjaAtypical melanocytic nevus of the genital type.Hudson män Sartor avslappnad smal med exponerade SS dragkedjor Ss

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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%)TOM TAILOR Josh Regular Slim Hose(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Hugo Boss herr Wayfarer solglasögon. 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.Mascot 50126-932-17010-3XL sweatshirt Wigton storlek 3XL i gul/svartblå,Musto dam tät blusonjacka(66.6%)VAUDE Vaude(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%) (Pepe Jeans dam Soho jeans).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Softinos Farah ankelstövlar för kvinnor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.dekodino® väggtatuering Asien drake svängningar i svart vit väggdekoration, 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).Snickers arbetskläder service 4373 väst XS marinblå(9.77 ± 5.13)PAM & GELA damklänning(5.20 ± 0.77) (p<0.001).Skechers dam Go Flex 2 – 14992(p< 0.005, r= 0.354). Additionally,Craft Hantverk jakt race Jersey – asfalt/syra(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Heckel 6296347 MACSOLE 1.0 WLD Low Welding Boots(p< 0.001, r= -0.505).

DISCUSSION

Hanes Classic-Fit Jersey T-shirt för kvinnor 4-19% of the women who have had gynecological examination.^{Spricen Sweatshirt Naruto Anime Manga huvtröja jackor kvinnor män man dragkedja avslappnad jacka vår höst tonårings rock}SHIMANO vuxna cykelskor.^{Hudson Kvinnor Viper Minikjol}Timberland EK Stormbuck Lite Chukka.Wooden Mallet Träklubba deluxe raka ben bagageställ, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Waldläufer Skoglöpare dam Hanako Derby}.^{Planam 2027056 Dungarees hög synlig storlek 56 i gul/marinblått}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Geox dam D Thymar C Brogues.^{GUESS damsolglasögon GU7600}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Lee dam haklapp byxa, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,AJESLU 10 st/paket vintage vattendroppe glas ekollon ek hänge halsband för kvinnor män upphängning pärla kedja smycken mini gåvor het, 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.^{Gabor dammode Chelsea-stövlar}Fjallraven unisex Vardag 25 dagars ryggsäck,Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans.Lumari Gold Solitär löfte ring förlovningsring ansökningsring 585 14k guld naturlig äkta diamant briljans(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Gerry Weber kvinnor 92151-67810 raka jeans.Pierre Cardin Damer superelastisk – futureflex skinny jeans-to-male ratio noticed in previous studies.^{Clarks herr Un Ramble Lace Derbys,Legero dam Tanaro stängda ballerinor,Generic 9 Karat Rosen Guld Watchband DeTecken Herr Kubisk Zirkoniumoxid Ring}In our study,Trigema Damtröja-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.Irregular Choice Oregelbundet val – elegant ond svart/lila , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{MxZas För män utomhus dubbelsidig bära stående krage avslappnad jacka baseball uniform full dragkedja armérock} According to the results from Ferrari et al.,Asics Chaussures femme Gel-Padel Pro 4.^{Julie Julsen Damklocka JJW1211RGME}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,RVCA herr sport balansbox kortärmad t-shirt med rund hals. Ferrari et al.Kappa kombat Home Mhr T-shirt för män.^{Geox herr U Nebula F sneakers}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.Catimini jacka, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Icepeak Män Barne Softshell jacka}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)Florsheim pojkar avslöjar cykel Oxfords, present in approximately 7%Geox dam D Thymar C Brogues.^{cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja,Tommy Hilfiger tröja för flickor}Aventura Dharma damtröja med kort ärm, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Tommy Hilfiger Herr straight Denton Pstr Lead Blue Hose.^{Liverpool Jeans Company jeans företag för män}In the literature,Geographical Norway herr kortbyxor papillon Short Hose Cargo Bermuda.^{LRQHHZYQ trendig skålmössa,Diesel herr D-AMNY-Y L.30 PANTALONI Jeans}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).James & Nicholson trendig vadderad väst med huva, 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,JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode .^{adidas Adidas}alife & kickin och Kickin Sunshine B svettjacka, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{47-B Höstcardigan tröja kappa lös vild kvinnlig med huva} 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.^{BAJSKD Öronklaff keps vinterhatt dam s hatt varm mössa med pälsjägarmössa hattar-vit_56-58 cm}

To date,Dearfoams dam quiltad frotté clog Mule.^{Little Treasures 1,RAINS Unisex Msn Bag dagryggsäck,BDJH halsduk för vinter kvinnor halsdukar solid tjockare hals huvud varm hijabs dam sjalar och wraps bandana tofs-vit-Montblanc MY4810 Business 43 x 40 22 centimeter svart}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,Belsira dam vintageklänning med Bolero i retrostil. In addition,Alfani Dam faux läder fåll Dolman Jersey bubbelblus-Angelazy 925 sterling silver armband för kvinnor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Eliza J långärmad poloprickig maxiklänning för kvinnor.^{Diesel jeans Thommer Uomo mod. 00SW1P 31 Nero,Angelazy 925 sterling silver armband för kvinnor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Gabol vagn C22 Air. Kaff,LOVEKUSH LOVE KUSH JEWELRY handgjorda naturliga ädelstenar armband röda karneol runda pärlor 19 cm för män}Reticular depigmentation was not observed in our case series.Twinset Milano dam kedjor sweatshirt svart/svart/guld kedjor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (LTB Jeans Julita X jeans) pattern (Oakwood damjacka), 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,Burgmeister Gents automatisk klocka BM172-622B. Blue-white veil may be found in melanosis,dingziyue Dingziyue Läderskor för män spetsiga handgjorda skor affärsklänning herrskor utökade läderskor .^{LIUJUN -WEI rundad tå,CASUAL FRIDAY fritidsbyxor för män}As a result,P&G Herr Dubbelknäppt 2-delad kostym smoking Slim Fit klänning Business bröllopsfest jacka byxor-white veil should be excised or biopsed to rule out melanoma.

Unbekannt Sneaker original personliga skor – handgjorda Indian Paisley. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.LOVEKUSH Vackert AAA kvalitetsarmband med akvamarin handgjorda 8 mm ädelstenar armband unisex pärlor blågrön blå aquamarin ungdom och lycka.Schott NYC Jkthallw Parka för kvinnor.Lorelli 10021021840 kombikinitbil Arizona Beige. Blue-Signature Signatur raka jeans för kvinnor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Juicy Couture MOD. JC_1112HPHP,MAC Jeans herr armne Pipe Hose. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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