Auricular malignant melanoma of early childhood: the role of sentinel node biopsy.

Pediatric melanoma is a rare but lethal disease. These tumors tend to present at more advanced stages when compared to adult cases. Additionally, the inability to obtain accurate diagnosis often further delays the onset of treatment. Here, we present two cases of auricular melanoma in 3-year-old patients that were biopsied by the shave method prior to referral to an otolaryngologist. With the staging of the disease in question, sentinel lymph node biopsy were completed. Case 1 demonstrated positive sentinel nodes and underwent subsequent modified neck dissection. The second patient with negative sentinel nodes required no further surgery. Both patients remain disease free currently, at 16 and 22 months after the sentinel node biopsy. By discussing our experience and reviewing the current literature, we hope to shed some light in the diagnosis, staging and treatment of pediatric melanoma of the head and neck.