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
Hauptverfasser: Durrani, A.J., Moir, G.C., Diaz‐Cano, S.J., Cerio, R.
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container_issue 3
container_start_page 569
container_title British journal of dermatology (1951)
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creator Durrani, A.J.
Moir, G.C.
Diaz‐Cano, S.J.
Cerio, R.
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.
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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. 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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. 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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 &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; 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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source MEDLINE; Wiley Journals; Oxford University Press Journals All Titles (1996-Current)
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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