This article has a correction

Please see: BMJ Case Reports 2011;2011

BMJ Case Reports 2011; doi:10.1136/bcr.09.2010.3343
  • Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

Cutaneous Spitzoid melanoma in a very young girl of Asian descent

  1. Stanley P L Leong1
  1. 1Department of Surgery, University of California at San Francisco, San Francisco, California, USA
  2. 2Department of Dermatology, California Pacific Medical Center, San Francisco, California, USA
  3. 3Department of Dermatopathology, University of California at San Francisco, San Francisco, California, USA
  1. Correspondence to Dr Suzette Genevieve Miranda, suzette.miranda{at}


Cutaneous melanoma is extremely uncommon in children. Further, Asian-Americans appear to be at decreased risk for cutaneous melanoma. The authors present the case of a prepubescent Asian girl who presents with the rare spitzoid variant of cutaneous melanoma. The patient is a 4-year-old girl of Chinese descent who presented with a red, raised nodule, which increased in size over a 3-month period. She underwent wide local excision with sentinel lymph node dissection. On histopathologic analysis, she was found to have Spitzoid melanoma of childhood/adolescence. Spitzoid melanoma in children is rare and incompletely understood. A recent systematic review was only able to identify 82 such cases published over a 57-year period. To our knowledge, this is the first report of Spitzoid melanoma in a paediatric age patient of Asian descent. While this clearly is an uncommon demographic, it seeks to highlight important differences in racial predilection for Spitzoid melanoma.


  • Competing interests None.

  • Patient consent Obtained.

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