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KMID : 0191120120270040454
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Journal of Korean Medical Science
2012 Volume.27 No. 4 p.454 ~ p.457
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A Case of Spitzoid Melanoma with Lymph Node Metastasis in a Child
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Kim Jong-Yeob
Choi Jae-Eun
Ahn Hyo-Hyun
Kye Young-Chul
Seo Soo-Hong
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Abstract
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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-α2b subcutaneously at a dose of 8 MIU per day, 3 times weekly for 12 months, and shows no recurrence.
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KEYWORD
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Child, Lymph Node Metastasis, Spitz Nevus, Spitzoid Melanoma
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