Two cases of malignant melanoma with metastases in children are reported, (boy—2 years; girl—11 years). From these 2 cases and from 43 previously reported cases in the literature it appears that the disease is at least as aggressive in children as in adults. The 3‐year survival rate in children compares with the 5‐year survival rate in adults at a similar stage in the disease. Special attention is drawn to the relatively high likelihood of malignant melanomas arising in pre‐existing nevus pigmentosus giganticus and the poor prognosis in these cases, probably due to difficult and hence late diagnosis.
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