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Previous Volume 332:656-662 March 9, 1995 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To give a child the ominous diagnosis of malignant melanoma is a very difficult decision for both clinician and pathologist. Difficulties in histologic diagnosis combined with a reluctance on the part of the clinician may lead to delays in diagnosis and curative surgical intervention. In fact, some melanomas in children are misdiagnosed clinically as benign lesions and recognized as melanomas only after excision. It is imperative to recognize that malignant melanoma occurs in children and to appreciate its clinical characteristics and predisposing factors.

Incidence and Prognosis

Approximately 2 percent of melanomas occur in patients under the age of 20 years, and 0.3 to . . . [Full Text of this Article]

Risk Factors

Origin, Signs, and Symptoms of Melanoma in Children

Congenital Melanoma

Melanoma Arising in Congenital Nevi

Dysplastic Nevus Syndrome

Xeroderma Pigmentosum

Immunosuppression

Spitz Nevus

Malignant Blue Nevus

Therapy

Source Information

From the Department of Dermatology, Dermatopathology Section, New York University Medical Center, New York (P.I.C.); the National Institute of Pediatrics, Mexico City, Mexico (R.R.-M.); and the Department of Dermatology and Dermatopathology, Albany Medical College, Albany, N.Y. (M.C.M.).

Address reprint requests to Dr. Mihm at Albany Medical College, 47 New Scotland Ave., Suite K–213, Albany, NY 12208-3479.

References

Related Letters:

Melanoma in Children
Bono A., Bartoli C., Del Prato I., Pappo A. S., Pratt C. B., Ceballos P. I., Ruiz-Maldonado R., Mihm M. C.
Extract | Full Text  
N Engl J Med 1995; 333:255-257, Jul 27, 1995. Correspondence

This article has been cited by other articles:

• Ferrari, A., Bono, A., Baldi, M., Collini, P., Casanova, M., Pennacchioli, E., Terenziani, M., Marcon, I., Santinami, M., Bartoli, C. (2005). Does Melanoma Behave Differently in Younger Children Than in Adults? A Retrospective Study of 33 Cases of Childhood Melanoma From a Single Institution. Pediatrics 115: 649-654 [Abstract] [Full Text]  
• Wechsler, J., Bastuji-Garin, S., Spatz, A., Bailly, C., Cribier, B., Andrac-Meyer, L., Vergier, B., Fraitag, S., Verola, O., Wolkenstein, P., and the French Cutaneous Cancerology Group, (2002). Reliability of the Histopathologic Diagnosis of Malignant Melanoma in Childhood. Arch Dermatol 138: 625-628 [Abstract] [Full Text]  
• Bono, A., Bartoli, C., Del Prato, I., Pappo, A. S., Pratt, C. B., Ceballos, P. I., Ruiz-Maldonado, R., Mihm, M. C. (1995). Melanoma in Children. NEJM 333: 255-257 [Full Text]