RT Book, Section
A1 Karnes, Jonathan B.
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114876847
T1 Pediatric Melanoma
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114876847
RD 2024/04/19
AB A  13-year-old  red-haired  female  with  a  family  history  of  melanoma  in  her  father  and  multiple  moles  presents  for  a  routine  physical  and  is  found  to  have  a  thin  8  mm  pink  papule  on  the  right  neck  that  has  appeared  in  the  last  6  months  and  occasionally  bleeds  when  it  rubs  on  a  shirt  (Figure  147-1).  A  narrow  margin  excisional  biopsy  was  performed  which  revealed  invasive  melanoma  0.7  mm  in  depth  with  2  mitoses  per  high  power  field.  She  was  referred  to  pediatric  surgery  where  she  underwent  wide  local  excision  and  sentinel  lymph  node  biopsy  of  the  neck,  which  revealed  micrometastasis  in  one  node.  After  PET  scan  showed  no  distant  metastasis,  she  underwent  lymph  node  dissection  and  was  enrolled  in  a  clinical  trial  through  a  major  referral  hospital  in  the  region.  Her  prognosis  is  guarded,  but  similar  to  adults  with  the  same  cancer  stage.