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University of Toronto, Toronto, Ontario, Canada Of all the people exposed to this article, only a handful will have seen a lethal melanoma develop in a congenital nevus during childhood. More will see a primary melanoma in childhood, not associated with a congenital nevus. Those whose practice is not confined to the pediatric group will see many melanomas in their adult population, and probably will never see a melanoma in their pediatdc population. A childhood melanoma is fortunately a very rare event. Our perception of how commonly this occurs in the setting of congenital nevi is influenced by publications in the literature. Rarely is a melanoma of childhood ever published as a case report, unless a large congenital nevus is involved. If you were an editor, would you publish a melanoma arising on normal skin, in a dysplastic nevus, or in a large congenital nevus? The striking photos of a large congenital nevus, with or without a melanoma, seem to achieve case report status easily. The same case is often reported by different authors in different journals emphasizing the interest of the author (dermatologic, surgical, oncologic, pediatric, or neurologic). Series of giant congenital nevi are gathered by various
Pediatric Dermatology – Wiley
Published: Dec 1, 1992
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