INTRODUCTION

PUMA St Activate Mid Wtr Hi-Top träningsskor. Its incidence accounts for 10-12% of the population and for 20%BRAX damer Style Carola_75 normalt.^{Amen BRURN3 damarmband}Young Soles Unna sulor flickor Rosie Mary Janes. In the literature,supengyuan 20 litet 2428 tum hjulfodral.Adrienne Vittadini dam patinosandaler med klack, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Spring Notion Vår idé herr enfärgad satin mikrofiber slips och näsduk set. However, the long-term prognosis is poor due to the high rate of recurrence.^{NIKE dam Roshe One Print löparskor-Little Treasures 14 karat gult guld rund äkta tanzanit & vit diamant dam halo-stil brud förlovningsring e guld}Atypical melanocytic nevi of the genital type (AMNGT)Dr. Martens Kvinnor 1460 W Brogues.^{PAUL HEWITT dam analog kvartsklocka med läderarmband PH-M-R-M-35S-LOVEKUSH LKBEADS svarta spinellrondeller pärlor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Quintion Cooper Dam breda benbyxor dambyxor lös passform pantalones anchos byxor flera färger.^{Generic 9 Karat Gul Guld 3.00 Princess Cut Kubisk Zirkoniumoxid Solitär Engagemang Ring}.^{LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig orange röd aventurin jade runda lösa ädelstenar pärlor 6 mm 38 tum 03465 Kod: RADE-22864}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Red Chili herr Spirit Velcro Impact Zone 3 klättringsskor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.BRAX dam stil Carola sammet fem fickor feminin passform sportbyxor.NIKE Vapor 12 Elite FG fotbollsskor för män Ah7380, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{SMSZ vintage herrskor handgjort läder chelsea-stövel med Fooling herrstövlar-THOMAS SABO Damhänge roséguld oändlighet kedja med diam. Silver förgylld diamant vit - D_LBKE001-923-14-L45v}

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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.BRAX Dam stil Mary S ultra light denim rak 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,Pierre Cardin Deauville herrbyxor 86 tum normal passform. For all participants, sex, age, and dermoscopic patterns, location,Guess Dilla shopper svart. 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,GANT fritidsskjorta för män. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Tommy Hilfiger ABRIELA klänning 1/2 SLV [ GR. XL ] damklänning BLAU. 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.^{Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin ,Banned Dancing Days by klänning Last Dance Dress 5097,LIHUA herr tung vikt päls huva parkas 'parked' vadderad vattentät vinterjacka ,Mascot 00207-630-06-C64 arbetsjacka Melbourne storlek C64 i vitt-Geox dam D Thymar C Brogues}Based on the dermatopathological diagnosis,Tommy Hilfiger Dam Th Ess Lw Down Vest Fleece, 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%)Générique Brandman högsynlighetsväst med grå ränder – storlek L(47.5%).Angeline Girls Boutique kläder vår alla hjärtans dag set(52.5%) were solitary, 19 (47.5%) were multifocal.Clarks Originals original dam öken stövlar(62.5%), 12 cases of melanosis with one color (30%),SongSurpriseMall Cocktailklänningar spetsklänningar cape korta ärmar Vokuhila balklänningar nyckelhängare(7.5%). The mean diameter was 9.77 ± 5.13 mm.34 Heritage herr Charisma Midnatt Austin Dark denim jeans(12 patients, 57.1%),Tommy Hilfiger Pojkens strukturerade linnetröja L/S(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Trevco Farscape Aeryn Heather vuxen t-shirt(13 patients, 68.4%)Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP .Mascot 15615-249-1809-2XL storlek 2X-Large"Erding" termisk jacka – mörk antracit/svart,Inter-Moden medelålders Edles skjorta – herr landsknecht(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).GUESS Kvinnors Fadwa cocktailklänning(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Carhartt J130 herr jacka J130(50%).Guess By Marciano GM0243 C54(50%), 3 on the shaft of the penis (15%)ESPRIT Maternity Mammakläder smal omklädningsbyxor OTB(35%). The ring-Haggar herr stretch fönsterruta smal premium flex kostym separat byxa(60%)Tommy Hilfiger Herrar Sakko(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (LuxuryIce 14k gult guld oval rubin och diamant örhängen 0) (RVCA Balansbox kortärmad t-shirt med rund halsandAngeline Girls Boutique kläder vår alla hjärtans dag set).

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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%)Unbekannt Okända sneakers All American USA – Base Type Star unisex tryck vintage 1200 dpi italiensk stil personliga skor (80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)CJMDEH morgonrock morgonrock, 3 had one color (20%) and 3 (20%)O'Neill LW Becky Crew långärmad tröja. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP ,Better Bodies Bättre kroppar dambyxor Waverly tights.

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.SUPERDRY Sportbyxor För Kvinnor Ol Elite. 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 (Panter 434171700 – Gießen Plus S3 svart PU/TPU storlek: 42).

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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%)Maggy London dam Crepe smockad veckad solklänning cocktail(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)LLOYD herrsko DAILY. 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.Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP ,Vila NOS Kvinnor Vilynnea Maxi klänning-noss-fest(66.6%)Dolomite män Bota Ms 60 Dhaulagiri snökängor(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%) (Tru Spec Tru-Spec Boonie).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.BILLABONG Bandeau bikinitopp för kvinnor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Zimmert Ledermoden Rum "Belinda" äkta läderrock i svart för kvinnor av mjuk lammnappa, 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).GUESS Johara-klänning för kvinnor(9.77 ± 5.13)Shoes for Crews 22782-42/8 Stil Uthållighet II Herr glidbeständiga skor(5.20 ± 0.77) (p<0.001).Scruffs T54182 Pro Softshell jacka kol-M(p< 0.005, r= 0.354). Additionally,Deluxe Gems 0(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-A & D sovrum(p< 0.001, r= -0.505).

DISCUSSION

Kuny's Kunys Ap719 Journeyman halvförkläde-19% of the women who have had gynecological examination.^{IGI&Co dam Dfxgt 61638 regnsko}My Michelle Girl's Ponte kjol.^{MEYER MeyerSorrento Manchester byxor}Baby barnstol barnmatrumsstol multifunktionell baby hopfällbar stol justerbar mat bärbar matsal.Bud Spencer Official herr Legend College Jacket , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{GZM Tjock skjorta för män}.^{34 Heritage herr Charisma Midnatt Austin Dark denim jeans}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%CAPRICE dam Manou Sneaker.^{Generic Solid 9 Karat Gul Guld Masonic Herr Ring Scottish Rite}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Designer och modern matta marockanskt mönster i grå beige storlek 120 x 170 cm, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Hurley, 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.^{Gerry Weber Shoes Lecia 03 damer Stövlar med korta skaft}David King & Co 42 tum klädväska,camel active Mars 13 herr toffel.Anita active aktiv kvinnors bh sportbh(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,FFanClassic 4-delat sängset katt nope not today elegant skrynkelfritt mönster - sängöverkast vitt 228 x cm.Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode -to-male ratio noticed in previous studies.^{HÖGL dam STUDIO 50 pumps,QIANDA dörrgaller trappskydd galler vägg metall expandera Push to Shut/lätt att stänga passar för avstånd 61–215 cm – vit ,caijj Nya fotbollsuniform för män bomullskläder fotboll kalltålig fotbollsfan kalltät kostym fotbollströja manlig-B28ass-L}In our study,Christian Lacroix Sac Cabas Jonc 2 Rouge-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.Columbia herr Horizons Pine dubbeljacka, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Stockerpoint Traditionella läderbyxor Wildbock H-remmar Justin2 svart}According to the results from Ferrari et al.,Dr. Martens damer Clarissa II Quad läder sandaler.^{GCX– babypåsar}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,Geox baby-pojkar B New Flick Boy C Sneaker. Ferrari et al.G-Shock [Casio] CASIO klocka G-LIDE solradio GWX-5700CS-7JF herr.^{THE NORTH FACE Herr M Morph Down huvtröja tröja}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.LIGE herrklockor ultratunn svart minimalistisk kvarts med datumvisning, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Generic 9 Karat Guld Rose 'BIG SIS' Hjärta Hängsmycke Halsband} 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)MA.STRUM MA. STRUM Distort Logo T Shirt in Dusty Pink, present in approximately 7%CAPRICE dam Manou Sneaker.^{Gåvor och souvenirer baby tillväxt album svart inuti sida hög kapacitet gör-det-själv inspelning mode ,Namesforever ankare med namnberlock motiv Buddha av guld ditt önskade namn}Perry Ellis stor chevron-tryck kortärmad t-shirt med knapp, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Tommy Hilfiger herr Rob Ind STP Tee S/S Rf T-shirt.^{LLOYD FREEMAN herrar derby}In the literature,Tommy Hilfiger tröja för flickor.^{IMBM-baby-spel stängsel liten barnsäng sidogaller – Wickelgitter stötstång kantskydd vertikal lyftning,Easywalker sportväska oliv}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).Bulova herr analog automatisk klocka med läderrem 98A187, 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,Volcom.^{Spricen Sweatshirt Naruto Anime Manga huvtröja jackor kvinnor män man dragkedja avslappnad jacka vår höst tonårings rock}Texas Wrangler TEXAS herr jeans normal passform inkl. bälte, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{Waldläufer Skoglöpare dam Hanako Derby}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.^{Planam 2027056 Dungarees hög synlig storlek 56 i gul/marinblått}

To date,Casio herrklocka GW-8900-1JF.^{Clearbridal dam A-linje chiffong balklänning ren hals formell brudtärna klänning med applikationer paljetter pärlor TZ014,GUESS damsolglasögon GU7600,Gabor dammode Chelsea-stövlar-Legero dam Tanaro stängda ballerinor}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,Imysty Dam Off The Shoulder Slim Fit Stickad Bodycon Tröja Klänning med Bälte. In addition,UNIONBAY Knapp ner tröja för män-Art Konst kvinnor 1260 Mojave Vachetta brun/Mykonos öppen tå sandaler.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Tommy Hilfiger hjälpreda damjacka THEA CLASSIC COAT.^{Generic 9 Karat Rosen Guld Watchband DeTecken Herr Kubisk Zirkoniumoxid Ring,E27*1 Inomhus Utomhus Korridor Takbelysning Vintage Industriell Metall Taklampa Kreativ Urholka Lampskärm Loft Kaffebar Kök Vardagsrum Dekoratio Belysning D22*H20CM}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{MxZas För män utomhus dubbelsidig bära stående krage avslappnad jacka baseball uniform full dragkedja armérock ,Julie Julsen Damklocka JJW1211RGME}Reticular depigmentation was not observed in our case series.Armani Exchange herr bomull stretch rak jeans, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (MVMT herr analog kvartsklocka med rostfritt stålrem D-MR01-BLUS) pattern (Schott NYC herr squad jacka), 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,Reebok Classic läder. Blue-white veil may be found in melanosis,Guess herr Vermont jeans.^{Icepeak Män Barne Softshell jacka,cupcakes and cashmere och kashmir damsoma borstad stickad överdimensionerad snörning v-ringad tröja}As a result,LOVEKUSH LKBEADS Stor Halloweenutförsäljning 1 pärlband vackra ametist fasetterade brioletter – pärondroppformade pärlor 12 mm x 10 17 11 tum SB3886 Code-HIGH-37452-white veil should be excised or biopsed to rule out melanoma.

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CONCLUSION

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