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The Trojan congenital melanocytic naevus: harbinger of childhood melanoma: case report and review of the literature

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Abstract

A 17-month-old girl presented with a medium-sized congenital melanocytic naevus on the dorsum of the right foot. Histological examination of the excised specimen revealed a malignant melanoma (Breslow thickness 3.2 mm, Clark level IV) in a compound naevus. Wider excision with a 20-mm margin, according to protocol, followed. No metastases were discovered on complete systemic investigation. The patient remains tumour-free, 5 years later. The clinical dilemma posed by the medium-sized melanocytic naevus, in relation to small and large congenital melanocytic naevi is discussed.

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Acknowledgement

We would like to thank the Laboratory for Public Health, Friesland, The Netherlands, for kindly supplying the pictures of the histopathological samples.

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Authors and Affiliations

  1. Department of Plastic, Reconstructive and Hand Surgery, Medical Centre Leeuwarden, Henri Dunantweg 2, 8934, AD Leeuwarden, The Netherlands

    E. C. A. Verschuur, J. J. van der Biezen & J. J. van Wingerden

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  1. E. C. A. Verschuur
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  2. J. J. van der Biezen
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  3. J. J. van Wingerden
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Correspondence to J. J. van der Biezen.

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Verschuur, E.C.A., van der Biezen, J.J. & van Wingerden, J.J. The Trojan congenital melanocytic naevus: harbinger of childhood melanoma: case report and review of the literature. Eur J Plast Surg 29, 141–146 (2006). https://doi.org/10.1007/s00238-006-0054-1

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  • DOI: https://doi.org/10.1007/s00238-006-0054-1

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