Malignant melanoma in an 8‐year‐old Caribbean girl: diagnostic criteria and utility of sentinel lymph node biopsy
Summary The incidence of malignant melanoma (MM) is continuing to rise, although childhood MM remains rare. We describe an 8‐year‐old Afro‐Caribbean girl who developed a non pigmented lesion on the tip of her left thumb, which persisted despite treatment in primary care with cryotherapy. At biopsy s...
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Veröffentlicht in: | British journal of dermatology (1951) 2003-03, Vol.148 (3), p.569-572 |
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description | Summary The incidence of malignant melanoma (MM) is continuing to rise, although childhood MM remains rare. We describe an 8‐year‐old Afro‐Caribbean girl who developed a non pigmented lesion on the tip of her left thumb, which persisted despite treatment in primary care with cryotherapy. At biopsy she was found to have an acquired acral MM. She underwent amputation of the distal phalanx of her thumb, together with positive sentinel lymph node (SLN) biopsy and subsequent axillary lymph node clearance and adjuvant chemotherapy. MMs are very rare in this age and skin‐type group, therefore requiring strict diagnostic criteria. These criteria include the distinction from MM mimics, especially Spitz tumours, and an appropriate use of staging techniques such as SLN biopsy to influence management. |
doi_str_mv | 10.1046/j.1365-2133.2003.05182.x |
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We describe an 8‐year‐old Afro‐Caribbean girl who developed a non pigmented lesion on the tip of her left thumb, which persisted despite treatment in primary care with cryotherapy. At biopsy she was found to have an acquired acral MM. She underwent amputation of the distal phalanx of her thumb, together with positive sentinel lymph node (SLN) biopsy and subsequent axillary lymph node clearance and adjuvant chemotherapy. MMs are very rare in this age and skin‐type group, therefore requiring strict diagnostic criteria. These criteria include the distinction from MM mimics, especially Spitz tumours, and an appropriate use of staging techniques such as SLN biopsy to influence management.</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1046/j.1365-2133.2003.05182.x</identifier><identifier>PMID: 12653752</identifier><identifier>CODEN: BJDEAZ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Axilla ; Biological and medical sciences ; Child ; childhood ; Dermatology ; Diagnosis, Differential ; Female ; Humans ; Lymph Node Excision ; malignant melanoma ; Medical sciences ; Melanoma - pathology ; Melanoma - surgery ; Nevus, Epithelioid and Spindle Cell - pathology ; sentinel lymph node biopsy ; Sentinel Lymph Node Biopsy - methods ; Skin Neoplasms - pathology ; Skin Neoplasms - surgery ; Spitz naevus ; Thumb ; Tumors of the skin and soft tissue. Premalignant lesions</subject><ispartof>British journal of dermatology (1951), 2003-03, Vol.148 (3), p.569-572</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Blackwell Scientific Publications Ltd. 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We describe an 8‐year‐old Afro‐Caribbean girl who developed a non pigmented lesion on the tip of her left thumb, which persisted despite treatment in primary care with cryotherapy. At biopsy she was found to have an acquired acral MM. She underwent amputation of the distal phalanx of her thumb, together with positive sentinel lymph node (SLN) biopsy and subsequent axillary lymph node clearance and adjuvant chemotherapy. MMs are very rare in this age and skin‐type group, therefore requiring strict diagnostic criteria. These criteria include the distinction from MM mimics, especially Spitz tumours, and an appropriate use of staging techniques such as SLN biopsy to influence management.</description><subject>Axilla</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>childhood</subject><subject>Dermatology</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Lymph Node Excision</subject><subject>malignant melanoma</subject><subject>Medical sciences</subject><subject>Melanoma - pathology</subject><subject>Melanoma - surgery</subject><subject>Nevus, Epithelioid and Spindle Cell - pathology</subject><subject>sentinel lymph node biopsy</subject><subject>Sentinel Lymph Node Biopsy - methods</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - surgery</subject><subject>Spitz naevus</subject><subject>Thumb</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><issn>0007-0963</issn><issn>1365-2133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU2O1DAQhS0EYnoaroAsJNgllO3YSZBYQDP8aRAbWFuO4zRuOXZjJ2Ky4wickZPg0C1GYsWqSqrvlareQwgTKAlU4tmhJEzwghLGSgrASuCkoeXNHbT5O7iLNgBQF9AKdoEuUzoAEAYc7qMLQgVnNacbNH9Uzu698hMejVM-jApbj5XHza8fPxejYi7B9Xinou06kwd7G91z3Fu19yFNVmMd7WSiVVnV43myzk4LDgNOxk_WG4fdMh6_Yh96gzsbjml5gO4NyiXz8Fy36Mubq8-7d8X1p7fvdy-vC11RSgvdNFoPQy3aoeNVW_fAW0Mo0ZS2va64Fh2QRled0IMRTcfy36ZveC1g0KAI26Knp73HGL7NJk1ytEkblx81YU6yZoQRXtMMPv4HPIQ5-nybzP4SYG0jMtScIB1DStEM8hjtqOIiCcg1F3mQq_1ytX_VMfknF3mTpY_O--duNP2t8BxEBp6cAZW0ckNUXtt0y1WCCpE3btGLE_fdOrP89wHy1YfXa8d-Awgoqqk</recordid><startdate>200303</startdate><enddate>200303</enddate><creator>Durrani, A.J.</creator><creator>Moir, G.C.</creator><creator>Diaz‐Cano, S.J.</creator><creator>Cerio, R.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200303</creationdate><title>Malignant melanoma in an 8‐year‐old Caribbean girl: diagnostic criteria and utility of sentinel lymph node biopsy</title><author>Durrani, A.J. ; Moir, G.C. ; Diaz‐Cano, S.J. ; Cerio, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4222-c88ccff769fb5497d059e121c229dc45c6b018c4b6cfe68b3213ed85760fc0a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Axilla</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>childhood</topic><topic>Dermatology</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Lymph Node Excision</topic><topic>malignant melanoma</topic><topic>Medical sciences</topic><topic>Melanoma - pathology</topic><topic>Melanoma - surgery</topic><topic>Nevus, Epithelioid and Spindle Cell - pathology</topic><topic>sentinel lymph node biopsy</topic><topic>Sentinel Lymph Node Biopsy - methods</topic><topic>Skin Neoplasms - pathology</topic><topic>Skin Neoplasms - surgery</topic><topic>Spitz naevus</topic><topic>Thumb</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Durrani, A.J.</creatorcontrib><creatorcontrib>Moir, G.C.</creatorcontrib><creatorcontrib>Diaz‐Cano, S.J.</creatorcontrib><creatorcontrib>Cerio, R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Durrani, A.J.</au><au>Moir, G.C.</au><au>Diaz‐Cano, S.J.</au><au>Cerio, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Malignant melanoma in an 8‐year‐old Caribbean girl: diagnostic criteria and utility of sentinel lymph node biopsy</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2003-03</date><risdate>2003</risdate><volume>148</volume><issue>3</issue><spage>569</spage><epage>572</epage><pages>569-572</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><coden>BJDEAZ</coden><abstract>Summary The incidence of malignant melanoma (MM) is continuing to rise, although childhood MM remains rare. We describe an 8‐year‐old Afro‐Caribbean girl who developed a non pigmented lesion on the tip of her left thumb, which persisted despite treatment in primary care with cryotherapy. At biopsy she was found to have an acquired acral MM. She underwent amputation of the distal phalanx of her thumb, together with positive sentinel lymph node (SLN) biopsy and subsequent axillary lymph node clearance and adjuvant chemotherapy. MMs are very rare in this age and skin‐type group, therefore requiring strict diagnostic criteria. These criteria include the distinction from MM mimics, especially Spitz tumours, and an appropriate use of staging techniques such as SLN biopsy to influence management.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>12653752</pmid><doi>10.1046/j.1365-2133.2003.05182.x</doi><tpages>4</tpages></addata></record> |
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subjects | Axilla Biological and medical sciences Child childhood Dermatology Diagnosis, Differential Female Humans Lymph Node Excision malignant melanoma Medical sciences Melanoma - pathology Melanoma - surgery Nevus, Epithelioid and Spindle Cell - pathology sentinel lymph node biopsy Sentinel Lymph Node Biopsy - methods Skin Neoplasms - pathology Skin Neoplasms - surgery Spitz naevus Thumb Tumors of the skin and soft tissue. Premalignant lesions |
title | Malignant melanoma in an 8‐year‐old Caribbean girl: diagnostic criteria and utility of sentinel lymph node biopsy |
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