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Risk factors and outcomes of melanoma in children and adolescents: A retrospective multicenter study. J Am Acad Dermatol 2023 Nov 29

Date

12/02/2023

Pubmed ID

38040338

DOI

10.1016/j.jaad.2023.10.067

Scopus ID

2-s2.0-85181126235 (requires institutional sign-in at Scopus site)

Abstract

BACKGROUND: Pediatric melanoma presents with distinct clinical features compared to adult disease.

OBJECTIVE: Characterize risk factors and negative outcomes in pediatric melanoma.

METHODS: Multicenter retrospective study of patients under 20 years diagnosed with melanoma between January 1, 1995 and June 30, 2015 from 11 academic medical centers.

RESULTS: Melanoma was diagnosed in 317 patients, 73% of whom were diagnosed in adolescence (age ≥11). Spitzoid (31%) and superficial spreading (26%) subtypes were most common and 11% of cases arose from congenital nevi. Sentinel lymph node biopsy was performed in 68% of cases and positive in 46%. Fatality was observed in 7% of cases. Adolescent patients with melanoma were more likely to have family history of melanoma (P = .046) compared to controls.

LIMITATIONS: Retrospective nature, cohort size, control selection, and potential referral bias.

CONCLUSION: Pediatric melanoma has diverse clinical presentations. Better understanding of these cases and outcomes may facilitate improved risk stratification of pediatric melanoma.

Author List

Hawryluk EB, Moustafa D, Barry KK, Bahrani E, Reusch DB, Brahmbhatt M, Chen L, Coughlin CC, Gerami P, Haddock E, Hook K, Humphrey SR, Kao PC, Kruse LL, Lawley LP, Mansour D, Marghoob AA, Nguyen J, Phung TL, Pope E, Raisanen T, Robinson S, Rogers T, Schmidt B, Tran G, Travis K, Wolner Z, London WB, Eichenfield LF, Huang J

Author

Stephen R. Humphrey MD Associate Professor in the Dermatology department at Medical College of Wisconsin