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  • Title: Aggressive melanoma in an infant with congenital melanocytic nevus syndrome and multiple, NRAS and BRAF mutation-negative nodules.
    Author: de la Rosa Carrillo D, Vindenes H, Kinsler VA, Rønnestad A, Ringstad G, Müller LO, Tafjord S, Tønseth KA, Kvamme B, Clausen OPF.
    Journal: Pediatr Dermatol; 2018 Sep; 35(5):e281-e285. PubMed ID: 29999207.
    Abstract:
    We report the case of a newborn boy with multinodular NRAS and BRAF mutation-negative congenital melanocytic nevi and cerebral lesions compatible with congenital intraparenchymal melanosis. Histopathology from skin lesions showed atypical nodular melanocytic proliferation with marked melanocytic atypia and a large number of mitoses and apoptosis, indicating aggressive proliferation. The child developed several new subcutaneous tumors and multiple internal lesions, which were confirmed to be metastases, and died at 5 months of age. This case may represent an infantile melanoma developing from a giant congenital melanocytic nevus or a congenital melanoma.
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