Skip Navigation LinksHome > Current Issue > Long-term Survival after Metastatic Childhood Melanoma
Plastic and Reconstructive Surgery - Global Open:
doi: 10.1097/GOX.0000000000000122
Case Reports

Long-term Survival after Metastatic Childhood Melanoma

Larsen, Anne Kristine MD*; Jensen, Mette Bybjerg MD; Krag, Christen MD; PhD*

Open Access
Collapse Box

Abstract

Summary: Malignant melanoma in children is very rare and accounts for only 1–3% of all melanomas. A congenital melanocytic nevus depending on the size of the lesion is one of the risk factors for developing childhood melanoma because of the possible malignant transformation. Childhood malignant melanoma is a potentially fatal disease. Surgical excision is the primary treatment of choice for malignant melanoma. Clinicians need to be aware of the possible malignant transformation in children with congenital melanocytic nevus because early diagnosis and treatment improves prognosis. The suspicion of malign melanoma must be in mind when evaluating a pigmented lesion in a pediatric patient. We present a case of a patient born with a congenital nevus diagnosed with metastatic childhood malignant scalp melanoma at the age of 6 years. The patient underwent surgical ablation and reconstruction and has survived 26 years without recurrence, thus representing an uplifting case of long-term survival of childhood melanoma.

© 2014 American Society of Plastic Surgeons