Spitzoid Melanom: On Yaşında Erkek Olgu

Yıl 2009, Cilt: 7 Sayı: 1, 127 - 129, 01.06.2009

İşıl Kılınç Karaarslan Meltem Türkmen Aslı Ürkmez Nezih Karaca Taner Akalın Fezal Özdemir

Öz

Spitzoid melanom, klinik ve histopatolojik olarak tanı konması oldukça güç olan nadir bir melanom alt tipidir. Melanomun çocuklarda oldukça nadir görülmesi nedeniyle literatürde çocukluk çağında görülen Spitzoid melanomların özelliklerine dair bilgi oldukça kısıtlıdır. Burada Spitzoid melanom saptanan 10 yaşında bir çocuk olgu sunulmuştur. Bu olgu vesilesiyle klinik ve dermoskopik özellikler karakteristik olmadıkça, hasta çocuk bile olsa, vasküler lezyon ayırıcı tanısında melanomun mutlaka akılda tutulması gerekliliği vurgulanmıştır

Anahtar Kelimeler

Spitzoid melanom, dermoskopi, melanom

Spitzoid Melanoma: A Ten Year-Old Boy

Öz

Spitzoid melanoma is a rare variant of melanoma, in which the clinical and histopathologic diagnoses are difficult. Data on the features of Spitzoid melanoma in children is limited in the literature, since melanoma is rarely seen in childhood. Here, we report a 10 year-old child with a Spitzoid melanoma. By the means of this case, it has been emphasized that melanoma should be considered in the differential diagnosis of vascular lesions even seen in childhood,unless the clinical and dermoscopic features are characteristic for an entity

Anahtar Kelimeler

Spitzoid melanoma, dermoscopy, melanoma

Kaynakça

• 1. Huynh PM, Grant-Kels JM, Grin CM. Childhood melanoma: update and treatment. Int J Dermatol 2005; 44:715-23.
• 2. Top H, Aygit AC, Bas S, Yalcin O. Spitzoid melanoma in childhood. Eur J Dermatol 2006;16:76-80.
• 3. Handfield-Jones SE, Smith NP. Malignant melanoma in childhood. Br J Dermatol 1996;134:607-16.
• 4. Schmid-Wendtner MH, Berking C, Baumert J, et al. Cutaneous melanoma in childhood and adolescence: an analysis of 36 patients. J Am Acad Dermatol 2002; 46:874-9.
• 5. Melnik MK, Urdaneta LF, Al-Jurf AS, Foucar E, Jochimsen PR, Soper RT. Malignant melanoma in childhood and adolescence. Am Surg 1986;52:142-7.
• 6. Barnhill RL. Childhood melanoma. Semin Diagn Pathol 1998;15:189-94.
• 7. Fabrizi G, Massi G. Spitzoid malignant melanoma in teenagers: an entity with no better prognosis than that of other forms of melanoma. Histopathology 2001;38:448-53.
• 8. Erkin G, Sahin S. Tan›n›z nedir? Türk Dermatoloji Dergisi 2008;2:31-3.
• 9. Walsh N, Crotty K, Palmer A, McCarthy S. Spitz nevus versus spitzoid malignant melanoma: an evaluation of the current distinguishing histopathologic criteria. Hum Pathol 1998;29:1105-12.
• 10. Lee DA, Cohen JA, Twaddell WS, et al. Are all melanomas the same? Spitzoid melanoma is a distinct subtype of melanoma. Cancer 2006 15;106:907-13.
• 11. Pol-Rodriquez M, Lee S, Silvers DN, Celebi JT. Influence of age on survival in childhood spitzoid melanomas. Cancer 2007 15;109:1579-83.
• 12. Smith KJ, Barrett TL, Skelton HG 3rd, Lupton GP, Graham JH. Spindle cell and epithelioid cell nevi with atypia and metastasis (malignant Spitz nevus). Am J Surg Pathol 1989;13:931-9.
• 13. Ferrari A, Bono A, Baldi M, et al. Does melanoma behave differently in younger children than in adults? A retrospective study of 33 cases of childhood melanoma from a single institution. Pediatrics 2005;115:649-54.