title: Giant melanocytic nevus with malignant melanoma: a rare disorder in a black African child.
abstract: BACKGROUND
  Giant congenital melanocytic nevus (GCMN) is rare in babies of African descent. Unfortunately, it has an increased potential for malignant transformation.
  
  
  METHODS
  A 3-year-old female child presented with a 6-month history of multiple nodules on an existing giant congenital melanocytic nevus and swelling in the right axilla of four weeks duration. Skin biopsy of the nodular skin lesions was in keeping with a metastatic malignant melanoma (Clark stage 4). She completed a full course of chemotherapy but subsequently died four months after presentation.
  
  
  CONCLUSIONS
  Patients with large GCMN should be counseled and followed up appropriately to improve and prolong life.
authors.affiliation: Department of Paediatrics, College of Health Sciences, University of Ilorin/Unilorin Teaching Hospital, Ilorin, Nigeria.
authors.forename: Oludolapo Sherifat
authors.initials: OS
authors.lastname: Katibi
authors.forename: Adebola
authors.initials: A
authors.lastname: Ogunbiyi
authors.forename: Biobele Jotham
authors.initials: BJ
authors.lastname: Brown
authors.forename: Oyedeji Oladele
authors.initials: OO
authors.lastname: Adeyemi
mesh_terms: D044383:Black People; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008545:Melanoma / Q000473:pathology*; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D009508:Nevus, Pigmented / Q000473:pathology*; D035583:Rare Diseases / Q000473:pathology*; D012878:Skin Neoplasms / Q000473:pathology*; D000096142:Cutaneous Malignant Melanoma