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Long-term Survival after Metastatic Childhood Melanoma

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

Plastic and Reconstructive Surgery – Global Open: June 2014 - Volume 2 - Issue 6 - p e163
doi: 10.1097/GOX.0000000000000122
Case Reports

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.

From the *Department of Plastic Surgery, Copenhagen University Hospital, Herlev, Denmark; and Department of Pathology, Copenhagen University Hospital, Herlev, Denmark.

Received for publication April 15, 2014; accepted April 23, 2014.

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

Anne Kristine Larsen, MD, Department of Plastic Surgery, Copenhagen University Hospital, Herlev Ringvej 75, 2730 Herlev, Denmark, E-mail:

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© 2014 American Society of Plastic Surgeons