1993
DOI: 10.1016/s0022-3468(05)80279-9
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Melanoma in childhood and adolescence: Clinical and pathological features of 48 cases

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Cited by 61 publications
(24 citation statements)
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“…40 In three of five problematic Spitz tumors and in many of the typical melanomas, those authors demonstrated supernumerary aberrations of chromosome 1 suggestive of aneuploidy, whereas Spitz nevi were euploid. 40 When these findings are coupled with reports of atypical, controversial, or problematic Spitz tumors disseminating with a lethal outcome, 2,7,14,15,26,[47][48][49] it is completely reasonable and tenable to regard an atypical Spitz tumor found in the lymph node parenchyma as biologically malignant.…”
Section: Discussionmentioning
confidence: 99%
“…40 In three of five problematic Spitz tumors and in many of the typical melanomas, those authors demonstrated supernumerary aberrations of chromosome 1 suggestive of aneuploidy, whereas Spitz nevi were euploid. 40 When these findings are coupled with reports of atypical, controversial, or problematic Spitz tumors disseminating with a lethal outcome, 2,7,14,15,26,[47][48][49] it is completely reasonable and tenable to regard an atypical Spitz tumor found in the lymph node parenchyma as biologically malignant.…”
Section: Discussionmentioning
confidence: 99%
“…5,6 Rates of disease-free survival in children are comparable to those in adults with stage I or II disease: approximately 77 percent at five years. 7 The thickness of the melanoma and the level of invasion are the most important predictors of long-term survival. 8,9 Nodal metastases develop in up to two thirds of children with deeply invasive melanomas (Clark's levels IV and V) or with melanomas more than 1.5 mm thick.…”
Section: Ncidence and P Rognosismentioning
confidence: 99%
“…6,9 The most common histologic subtypes of melanoma occurring in children are superficial spreading melanoma and nodular melanoma. 7,11 …”
Section: Ncidence and P Rognosismentioning
confidence: 99%
“…Furthermore, in a review of the literature, we found several patients who had Spitzoid melanoma that initially was misdiagnosed as Spitz nevus, leading to fatal outcomes. [3][4][5][6] Due to these diagnostic difficulties of Spitzoid melanoma clinically and histopathologically, misdiagnoses or delays in diagnosis occur. This diagnostic dilemma is much more obvious in children, because melanomas of all types are extremely rare in this age group, whereas Spitz nevi are common.…”
Section: Discussionmentioning
confidence: 99%