The Turkish Journal of Pediatrics 2012 , Vol 54 , Num 4
Malignant melanoma developed on a congenital melanocytic nevus with lymph node metastasis in a 19-month-old boy
1Department of Plastic, Reconstructive and Aesthetic Surgery, Akdeniz University Faculty of Medicine, Antalya, and 2Adana Numune Training and Research Hospital, Adana, and 3Tatvan State Hospital, Bitlis, Turkey. E-mail: Although rare, malignant melanoma occurs in children. The risk of degeneration of a congenital melanocytic nevus into a melanoma is approximately 0.7%. We report a case of malignant melanoma that developed on a congenital melanocytic nevus in a 19-month-old boy. The child was treated by surgical resection, superficial parotidectomy, and modified radical neck dissection with adjuvant therapy. The follow-up has been 24 months without metastasis. Early clinical detection, fast histological confirmation, prompt surgery, and adjuvant therapy are the only means to achieve a long survival period for children suffering from malignant melanoma. Keywords : congenital melanocytic nevus, malignant melanoma, pediatric melanoma.
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