title: Congenital malignant melanoma.
abstract: The diagnosis and management of a 3-day-old infant with an exophytic pigmented growth on her back and chest are discussed. At 3 days of age, the child underwent a complete surgical excision of this lesion with immediate coverage by partial-thickness skin grafts. Pathologically, the lesion proved to be a thoracolumbar congenital melanocytic nevus with multiple focal areas of malignant melanoma. The child is now 3 years past surgery and shows no evidence of recurrence or distant metastases. The importance of this case lies in the presence of overt malignant melanoma at birth within a giant congenital nevocytic nevus.
authors.affiliation: Department of Surgery, Children's Hospital and Medical Center, Seattle, Wash.
authors.forename: W
authors.initials: W
authors.lastname: Baader
authors.forename: R
authors.initials: R
authors.lastname: Kropp
authors.forename: D
authors.initials: D
authors.lastname: Tapper
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008161:Lumbosacral Region; D008545:Melanoma / Q000151:congenital / Q000601:surgery*; D009378:Neoplasms, Multiple Primary / Q000151:congenital / Q000601:surgery*; D009508:Nevus, Pigmented / Q000151:congenital / Q000601:surgery*; D012878:Skin Neoplasms / Q000151:congenital / Q000601:surgery*