Melanoma in Children, Adolescents, and Young Adults: A Clinical Pathological Study in a Brazilian Population

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSANCHEZ, Paula C. F.
dc.contributor.authorNODA, Aliene Y. I.
dc.contributor.authorFRANCO, Dilcilea D. G. S.
dc.contributor.authorLOURENCO, Silvia V.
dc.contributor.authorSANGUEZA, Martin
dc.contributor.authorNETO, Cyro F.
dc.date.accessioned2015-02-06T19:54:16Z
dc.date.available2015-02-06T19:54:16Z
dc.date.issued2014
dc.description.abstractMalignant melanoma in children, adolescents, and young adults is unusual, especially before puberty. In children (age, 0-14 years), most primary lesions are thick and atypical (amelanotic, simulating pyogenic granuloma). In the population of adolescents and young adults (age, 15-39 years), melanoma is the third most common cancer, only behind lymphoma and breast cancer. Our study investigated the records of 89 patients diagnosed with cutaneous melanoma at age 0-39 years at Hospital das Cl nicas, Medical School, University of Sao Paulo between 1992 and 2002. They were divided into group A (0-14 years of age) and group B (15-39 years of age). The histopathology of all cases was reexamined. Statistical analysis of the data presented was performed, and the obtained data were compared with the literature. The frequency of melanoma in the group aged 15-39 years was higher in women, and the most affected site was the trunk. Additionally, melanomas were more frequent at an earlier age in patients with family history of melanoma (P = 0.014). Most cases were diagnosed, at histopathology, as superficial spreading melanoma. Thick nodular melanomas with Breslow values higher than 2 mm were associated with lymph node metastasis (P < 0.05). Our study revealed that melanoma in children, adolescents, and young adults may present peculiar behavior and outcome, which might reflect the genetic and yet not fully unraveled pathogenesis of this complex disease.
dc.description.indexMEDLINE
dc.identifier.citationAMERICAN JOURNAL OF DERMATOPATHOLOGY, v.36, n.8, p.620-628, 2014
dc.identifier.eissn1533-0311
dc.identifier.issn0193-1091
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/8764
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartofAmerican Journal of Dermatopathology
dc.rightsrestrictedAccess
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINS
dc.subjectmelanoma
dc.subjectchildren
dc.subjectadolescents
dc.subjectyoung adults
dc.subject.othercutaneous malignant-melanoma
dc.subject.otherspitzoid melanocytic tumors
dc.subject.othersentinel lymph-nodes
dc.subject.otherpediatric melanoma
dc.subject.othersingle-institution
dc.subject.otherunited-states
dc.subject.otherrisk-factor
dc.subject.othersun
dc.subject.otherexperience
dc.subject.otherchildhood
dc.subject.wosDermatology
dc.titleMelanoma in Children, Adolescents, and Young Adults: A Clinical Pathological Study in a Brazilian Population
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryBolívia
hcfmusp.affiliation.countryisobo
hcfmusp.author.externalFRANCO, Dilcilea D. G. S.:Univ Sao Paulo, Sch Med, Dept Dermatol, BR-05403000 Sao Paulo, Brazil
hcfmusp.author.externalSANGUEZA, Martin:Hosp Pbrero, Dept Surg Pathol, La Paz, Bolivia
hcfmusp.citation.scopus8
hcfmusp.contributor.author-fmusphcPAULA CRISTINA DE FARIA SANCHEZ
hcfmusp.contributor.author-fmusphcALIENE YAYOI ISHIHARA NODA
hcfmusp.contributor.author-fmusphcSILVIA VANESSA LOURENCO
hcfmusp.contributor.author-fmusphcCYRO FESTA NETO
hcfmusp.description.beginpage620
hcfmusp.description.endpage628
hcfmusp.description.issue8
hcfmusp.description.volume36
hcfmusp.origemWOS
hcfmusp.origem.scopus2-s2.0-84905005350
hcfmusp.origem.wosWOS:000340144800004
hcfmusp.publisher.cityPHILADELPHIA
hcfmusp.publisher.countryUSA
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