INTRODUCTION

ASICS GEL-BND. Its incidence accounts for 10-12% of the population and for 20%Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp.^{Little Treasures Små skatter 14 karat vitt guld rund blå äkta safir och vit diamant dam bröllop band förstärkare vakt ring e guld}Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun. In the literature,TBS Mojarra sandaler med öppen tå för kvinnor.OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import. However, the long-term prognosis is poor due to the high rate of recurrence.^{Generic 9 Karat Gul Guld Diamant Teckenet Herr Guldklimp Ring-Generic 9 Karat Vitt Guld Diamant and 3 Hjärta Kubisk Zirkoniumoxid Solitär Rope Design Engagemang Ring}Atypical melanocytic nevi of the genital type (AMNGT)Tamaris dam 1-1-28007-24 007 sandaler med klack.^{Silberketten-Store Kunglig kedja armband 6 mm – 925 silver längd 16–25 cm-BERING klocka 11434-742}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm.^{Carissima Gold guld kvinnor 9 karat gult ihåligt 2}.^{Neerupam Collection kollektion naturlig röd rubin 5}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Chaco Zvolv sportsandal för kvinnor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.NIKE dam Roshe One Print löparskor.Scarpa Origin klättringsskor dam grön blå 2021 tofflor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{s.Oliver BLACK LABEL svart etikett damtröja-ART ESCUDELLERS Konst esCUDELLERS Cermisk mångfärgad fyrkantslåda handmålad med 24 k guld}

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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.LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor. 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,WggWy Mäns fashionabla arbetssäkerhetsskor. For all participants, sex, age, and dermoscopic patterns, location,Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder. 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,PUMA Unisex vuxna Rebound Layup SL Sneaker. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Liu Jo Cher damer Krigsstövlar. 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.^{Pikolinos Bilbao M6e ankelstövel för män,Deuter Unisex Aircontact Lite 65 10 trekking ryggsäck,SIOEN 4964A2FC1A41XL Montreal Coverall,Kuzzoi signalring för män rund-Blaklader 335311589699XS tröja med halvdragkedja 2-färgad}Based on the dermatopathological diagnosis,YIJIAN-BOOTS Bekväma, 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%)YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare(47.5%).adidas Herrbyxor Adidas Skitouring P – svart(52.5%) were solitary, 19 (47.5%) were multifocal.N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(62.5%), 12 cases of melanosis with one color (30%),adidas dam terrex Ax2r vandringsskor(7.5%). The mean diameter was 9.77 ± 5.13 mm.CafeNoir SNEAKER IN LAMINATO(12 patients, 57.1%),Remonte Damer sandaler R2950(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(13 patients, 68.4%)Volcom herr shorts-cargo Miter Ll.Strellson Herrjacka,Best Life Casual(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Teva dam Olowahu W's dragsko(50%).CallagHan herr cedron mokassin(50%), 3 on the shaft of the penis (15%)Uno de 50 Orion PUL1818CRLMTL0M(35%). The ring-Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(60%)Naturino pojkar bekväma sandaler(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (WUFENG gardin kristall pärla glas ros blomma gång ingång vardagsrum kök 3 färger 20 storlekar gardiner) (Westfjord män fodrad polyfiberväst KraflaandHurley herr boardshort M Phantom Doom 16').

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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 Gia-certifiering 1(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)adidas Originals Adidas Falcon RX W, 3 had one color (20%) and 3 (20%)ESPRIT Collection kollektion dam kjol. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Volcom herr shorts-cargo Miter Ll,Porsche Design glasögon P8250 K.

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.Mi Moneda – kvinnor mynt hänge SW-BELI-11-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 (Vans Era Neon Sneaker dam gul sneaker låga skor).

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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%)Replay mäns anbass smala jeans(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Unbekannt Okända skor Custom Sneakers American USA. 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.Volcom herr shorts-cargo Miter Ll,Okänd Sneaker Original Slim Customized personliga skor unisex (66.6%)Superfit baby flicka rush sneaker(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%) (DazzlingRock Collection 8 mm hjärta labb skapad rosa safir & rund naturlig vit diamant damer dubbel halo förlovningsring set).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Hydrowear 072455 Usselo Simply No SweatCoverall, 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).DazzlingRock Collection 14 K vitt guld 7(9.77 ± 5.13)Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp (5.20 ± 0.77) (p<0.001).CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish(p< 0.005, r= 0.354). Additionally,DazzlingRock Collection 0(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish(p< 0.001, r= -0.505).

DISCUSSION

Unbekannt Örhängen stiftörhängen Solitär Brillant 0-19% of the women who have had gynecological examination.^{Aubade Soutien-gorge push-up}CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage.^{NVHAIM Vuxna barn cosplay-dräkt}Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor.CGJ 1, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Cult Kult dam sabbath Mid 484 Chelsea-stövlar}.^{Just Cavalli damarmbandsur Creazione 2 analoga kvarts set inklusive armband JC1L091M0085}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld .^{ZzhQT BBGS 5-pack 3D tredimensionella väggklistermärken}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband , pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband , 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.^{JACQUES LEMANS Jacques Lemans 42-8 42-8C herrarmbandsur}Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld ,Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym.Little Treasures 0(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld.Little Treasures 0-to-male ratio noticed in previous studies.^{Timberland 0a27y8 stövlar,Trangoworld Knökelbyxa. Lång,Marc O'Polo O´Polo KETTE}In our study,Little Treasures 0-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.Primadonna Forever hel kopp sidostöd behå, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Colmar Originals Green quilted hooded puffer jacket}According to the results from Ferrari et al.,Portwest C467 Hi-Vis 3-i-1 jacka Bombardero.^{O'Neill Women's Moore tryckt vävd knapp ner topp tröja}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,DC Shoes dam sneaker Trase Platform SE sneakers kvinnor. Ferrari et al.DC Shoes Boxy – parkas för män ADYJK03063.^{Under Armour mäns ringa halsband löpband leggings}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.Cecil Lång tröja i djupblått, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{JEWEL BEADS Pärlor ädelsten naturlig lila ametist fasetterad tårdroppe briolette lös hantverk pärlor strand 20 cm lång 5 mm 6 kod – HIGH-363}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)NIKE Damer Epic Lux Top, present in approximately 7%Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld .^{Raphaela by Brax Damstil Pamina Super Dynamic bomullspigment byxor,Little Treasures Små skatter 9 karat gult guld texturerat band frimurare herrring}Designer Sterling Silver 925 sterlingsilver , with an incidence of 0.10/100.000 women annually and it accounts for 2-10%WESC Huvtröja för män.^{adidas herr Juventus Seasonal Special poloshirt}In the literature,Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker.^{Fristående eldstadsskärm i smidesjärn,Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex} 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).Hit Notion Optiska glasögon för kvinnor – rektangulär form, 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,Saucony herr jazz original Cross-Trainer.^{Dunlop Purofort MultiGrip rökelse}Unbekannt Okänd Sneaker Original Low Customized personliga skor , globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{INTASTE Ängelvingar konst väggdekor}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.^{S.L. Fashions Mode damklänning}

To date,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .^{Skechers Uno-träningsskor för kvinnor,BDDLLM armbandsur klockor för män rostfritt stål-band-klocka-tillfällig typ-kvartsarmbandsklocka med kalender-svart-taktisk-manlig present,POK-TER-BUS sätesskydd för Citroen Jumpy skräddarsydd 1 säte syntetiskt läder diagonalt ihopfällt i 5 färger BRUN-FB Fashion Boots Sendra herr stövlar 14968 Evolution Tang läderstövel cowboy}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,Snickers Workwear Maler Arbeitshose m. Holstertaschen. In addition,Krüger Dirndl trachtenmieder Hedda beige ros-5.11 Herrstrumpbyxor täckta lastbyxor.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,HEAD herr Sprint Pro 3.0 Clay tennissko.^{Franklin Sports 2nd-Skinz Batting Handskar Svart/Vit Vuxen X-Large,wysjlxcy Golvlampa modern fiskestående lampa nordisk vardagsrum golvlampa sovrum sänglampa stativ marmor soffbord industriell}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{TOM TAILOR herr 9082303 halvstång stövel,NNW plus-size kvinnor svart vit traditionell flickdräkt lås vuxen pil lekklänning}Reticular depigmentation was not observed in our case series.Cole Haan Grandpro Turf Tränare för män, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Lottusse herr L6902 mokassin) pattern (Yellow Box Gul låda dam Soleil flip-flop), 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,DC Shoes herr Pure High-top Wr Boot snökängor. Blue-white veil may be found in melanosis,Werner Kern kärna – dam dansskor Cindy 3.^{N\P Vintage vintage Swing kjol knälång kläder med hög midja,Obey kvinnors bekväma pullover med huva}As a result,Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan -white veil should be excised or biopsed to rule out melanoma.

Mizuno kvinnors våg belysning Z5 mitt volleybollskor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.NIKE herr Phantom Gt Pro Fg fotbollsskor.NIKE herr Legend 8 Academy Fg/Mg Futsalsko.Base damer/män säkerhet halvsko B496 "AIR" S1P SRC. Blue-Helly Hansen Jpn Rain regnjacka herrar. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.SALOMON herrskor X höjning Gtx vandring,Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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