A Case of Spitzoid Melanoma with Lymph Node Metastasis in a Child
Journal of Korean Medical Science
;
: 454-457, 2012.
Article
in English
| WPRIM
| ID: wpr-25812
ABSTRACT
The distinction of a spitz nevus from a melanoma can be difficult and in some cases, impossible. A misdiagnosed spitz nevus can metastasize and lead to fatal outcomes, especially in children. A 5-yr-old girl presented with a 1-yr history of a solitary pinkish nodule on her left hand. On physical examination, she had a palpable left axillary lymph node. We performed biopsy and checked 3 sentinel lymph nodes (SLN) on her axillary area. The biopsy specimen showed multiple variably sized and shaped nests with large spindle or polygonal cells and SLN biopsy showed 3 of 3 lymph nodes that were metastasized. Under the diagnosis of spitzoid melanoma, she was treated with excision biopsy and complete left axillary lymph nodes were dissected. She received interferon-alpha2b subcutaneously at a dose of 8 MIU per day, 3 times weekly for 12 months, and shows no recurrence.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin Neoplasms
/
Recombinant Proteins
/
Interferon-alpha
/
Nevus, Epithelioid and Spindle Cell
/
Lymphatic Metastasis
/
Melanoma
/
Antineoplastic Agents
Limits:
Child, preschool
/
Female
/
Humans
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2012
Type:
Article
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