Childhood melanoma is rare, accounting for approximately 2% of all pediatric malignant tumors. In pigmented melanoma, the multicomponent pattern is the most frequently observable dermatoscopic aspect, whereas in amelanotic melanoma a polymorphous vascular pattern, often associated with remnants of pigmentation, is usually detected. Less frequent features, but highly specific for nodular amelanotic melanoma, are the milky red globules, characterized by reddish-whitish color, irregular size, and blurred borders. Dermatoscopy, in addition to conventional and modified EFG (Elevation, Firmness, Growing) criteria, helps in detecting childhood melanoma, although histopathology is mandatory for the diagnosis.
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Ferrari A, Bono A, Baldi M et al (2005) Does melanoma behave differently in younger children than in adults? A retrospective study of 33 cases of childhood melanoma from a single institution. Pediatrics 115:649–654CrossRefPubMedGoogle Scholar
Zalaudek I, Sgambato A, Ferrara G, Argenziano G (2008) Diagnosis and management of melanocytic skin lesion in the pediatric praxis. A review of the literature. Minerva Pediatr 60:291–312PubMedGoogle Scholar
Richardson SK, Tannous ZS, Mihm MC Jr (2002) Congenital and infantile melanoma: review of the literature and report of an uncommon variant, pigment-synthesizing melanoma. J Am Acad Dermatol 47:77–90CrossRefPubMedGoogle Scholar
Sahin S, Levin I, Kopf AW et al (1998) Risk of melanoma in medium-sized congenital melanocytic nevi: a follow-up study. J Am Acad Dermatol 39:428–433CrossRefPubMedGoogle Scholar
Kanzler MH, Mraz-Gernhard S (2001) Primary cutaneous malignant melanoma and its precursor lesions: diagnosis and therapeutic overview. J Am Acad Dermatol 45:260–276CrossRefPubMedGoogle Scholar
Bonifazi E, Bilancia M, Berloco A et al (2001) Melanoma nel bambino da 0 a 12 anni: revisione di 289 casi di letteratura. Eur J Pediatr Dermatol 11:157–175Google Scholar
Cordoro KM, Gupta D, Frieden IJ et al (2013) Pediatric melanoma: results of a large cohort study and proposal for modified ABCD detection criteria for children. J Am Acad Dermatol 68:913–925CrossRefPubMedGoogle Scholar