title: Non-pigmented melanoma with nodal metastases masquerading as pyogenic granuloma in a 1-year old.
abstract: Malignant melanomas are the most common skin cancer in the pediatric population. Melanoma incidence is extremely low in infants, and metastatic disease is even less common. We present the case of an 11-month-old girl who presented with a non-pigmented lesion that progressed to an ulcerated lesion. Pathology was found to be Spitzoid melanoma of 7.6-mm thickness. Micrometastases were found on examination of the sentinel lymph node. The family chose expectant observation following the excision procedure. A pediatric melanoma registry may be helpful in developing future analyses of incidence in survival in this specialized population.
authors.affiliation: DeWitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Jun
authors.initials: J
authors.lastname: Tashiro
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Pediatric Surgery, Miami Children's Hospital, Miami, FL.
authors.forename: Chad A
authors.initials: CA
authors.lastname: Perlyn
authors.affiliation: Department of Pathology, Miami Children's Hospital, Miami, FL.
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Melnick
authors.affiliation: Division of Surgical Oncology, Department of Surgery, Herbert Wertheim College of Medicine, Florida International University, Miami, FL.
authors.forename: Seza A
authors.initials: SA
authors.lastname: Gulec
authors.affiliation: Department of Pediatric Surgery, Miami Children's Hospital, Miami, FL. Electronic address: Cathy.Burnweit@mch.com.
authors.forename: Cathy A
authors.initials: CA
authors.lastname: Burnweit
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D017789:Granuloma, Pyogenic / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D008207:Lymphatic Metastasis; D008545:Melanoma / Q000175:diagnosis* / Q000473:pathology; D061206:Neoplasm Micrometastasis; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000473:pathology
keywords: Melanoma; Sentinel lymph node biopsy