Julien N, Fournier G M, Robert M, Lejars O, Grangeponte M C, Lorette G
Service de Chirurgie Plastique et Viscérale, Hôpital G. de Clocheville, CHU de Tours.
Ann Dermatol Venereol. 1994;121(4):315-8.
Melanoma is rare in children. We report a new case.
A black tumor on the medial aspect of the right thigh was removed at the age of 5 years. Histologic diagnosis was melanoma. One year later, a metastasic inguinal lymph node appeared in the right inguinal fold. Exeresis with curetage was performed followed with chemotherapy. Outcome has been favourable to date.
The diagnosis of melanoma is difficult in children and is usually mistaken. In this case, the histologic diagnosis appears to have been exact and chemotherapy was performed. The rationale and modalities have been discussed.
黑色素瘤在儿童中较为罕见。我们报告一例新病例。
一名5岁儿童右侧大腿内侧的黑色肿物被切除。组织学诊断为黑色素瘤。一年后,右侧腹股沟皱襞处出现转移性腹股沟淋巴结。进行了刮除术并辅以化疗。迄今为止,预后良好。
儿童黑色素瘤的诊断较为困难,且常被误诊。在本病例中,组织学诊断似乎准确无误,并进行了化疗。已对其基本原理和方式进行了讨论。