title: Malignant Melanoma Arising in Patients with a Large Congenital Melanocytic Naevus: Retrospective Study of 10 Cases with Cytogenetic Analysis.
abstract: Large congenital melanocytic naevi (LCMN) represent the main risk factor for development of melanoma in childhood. This retrospective study of 10 cases of melanoma in patients with LCMN used fluorescence in situ hybridization (FISH) and comparative genomic hybridization (CGH) (6 cases) to elucidate the clinical, histological, and cytogenetic characteristics of this rare disorder. Six melanomas were found within the LCMN, the others in lymph nodes, subcutis and brain. The LCMN was located on the trunk in 8 cases, with satellite naevi in 6 cases. Two distinct groups emerged: 5 melanomas that developed before the age of 10 years and the other after 20 years. The mortality rate was 60% and clearly correlated with clinical stage at diagnosis. Histological diagnosis was difficult in only 2 patients in whom neither immunohistochemistry nor FISH were helpful. Otherwise, CGH showed a high number of chromosomal aberrations leading to a formal diagnosis.
authors.affiliation: Department of Pathology, Necker-Enfants Malades Hospital, APHP, Paris Descartes - Sorbonne Paris Cité university, Institut Imagine, 75015 Paris, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Lacoste
authors.forename: Marie-Françoise
authors.initials: MF
authors.lastname: Avril
authors.forename: Annonciade
authors.initials: A
authors.lastname: Frassati-Biaggi
authors.forename: Nicolas
authors.initials: N
authors.lastname: Dupin
authors.forename: Bertrand
authors.initials: B
authors.lastname: Chrétien-Marquet
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Mahé
authors.forename: Christine
authors.initials: C
authors.lastname: Bodemer
authors.forename: Béatrice
authors.initials: B
authors.lastname: Vergier
authors.forename: Arnaud
authors.initials: A
authors.lastname: de la Fouchardière
authors.forename: Sylvie
authors.initials: S
authors.lastname: Fraitag
mesh_terms: D000293:Adolescent; D000328:Adult; D001365:Axilla; D001932:Brain Neoplasms / Q000235:genetics / Q000473:pathology*; D002648:Child; D002675:Child, Preschool; D055028:Comparative Genomic Hybridization; D005260:Female; D006119:Groin; D006801:Humans; D017404:In Situ Hybridization, Fluorescence; D007223:Infant; D019394:Ki-67 Antigen / Q000032:analysis; D008198:Lymph Nodes / Q000473:pathology; D008206:Lymphatic Diseases / Q000235:genetics / Q000473:pathology; D008297:Male; D008545:Melanoma / Q000235:genetics / Q000473:pathology*; D058950:Melanoma-Specific Antigens / Q000032:analysis; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000235:genetics / Q000473:pathology*; D009508:Nevus, Pigmented / Q000151:congenital / Q000235:genetics / Q000473:pathology*; D012189:Retrospective Studies; D012878:Skin Neoplasms / Q000151:congenital / Q000235:genetics / Q000473:pathology*; D055815:Young Adult; D058951:gp100 Melanoma Antigen
chemical_list: D019394:Ki-67 Antigen; D058950:Melanoma-Specific Antigens; C548637:PMEL protein, human; D058951:gp100 Melanoma Antigen