Pediactric Melanocytic Hyperplasia
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Pediactric Melanocytic Hyperplasia

› Forums › General Melanoma Community › Pediactric Melanocytic Hyperplasia

  • Post
    • December 20, 2016 at 11:40 pm
    emilykmorgan
    Participant

      LENTIGINOUS COMPOUND NEVUS WITH ATYPICAL MELANOCYTIC HYPERPLASIA, EXTENDING TO MARGINS …

      This is the diagnoses for my blonde hair blue eyed pail skin 6 year old daughter. She had a tiny mole rapidly start changing. It grew, and swelled, it burned and itched and started bleeding. All within weeks. From zero to 100. Peditrician and Derm both said it was nothing but would do a shave biopsy to remove it because it was bothering her. We didnt hear anything for  6 weeks. Then we went into office and they asked if we could schedule a wide local excision because they found atypical rapidly dividing cells with no margins. Can anyone lend me some knowledge. From what I understand pediactric stuff is different then adult… She was transferd to a pediactric specialist at the local childrens hospital. We go tomorrow. 

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        • December 21, 2016 at 12:26 am
        Janner
        Participant

          Yes, pediatric melanoma lesions are different from adult lesions.  But the one thing here is this isn't a "typical" pediatric lesion.  Those are 'spitz" nevi or "spitzoid" tumors.  Yours is lentigo which essentially is a mole gone bad.  (Not melanoma, but having atypical cells).  Most pediatric lesions are not pigmented.  So I'm not sure you have to look at "pediatric" info as much as just concentrate on the diagnosis which is more in line with "dysplastic" or "atypical" nevi seen in adults.  Depending upon how atypical the cells are, they will want at least clean margins and maybe as much as 5mm margins. 

          • December 21, 2016 at 12:26 am
          Janner
          Participant

            Yes, pediatric melanoma lesions are different from adult lesions.  But the one thing here is this isn't a "typical" pediatric lesion.  Those are 'spitz" nevi or "spitzoid" tumors.  Yours is lentigo which essentially is a mole gone bad.  (Not melanoma, but having atypical cells).  Most pediatric lesions are not pigmented.  So I'm not sure you have to look at "pediatric" info as much as just concentrate on the diagnosis which is more in line with "dysplastic" or "atypical" nevi seen in adults.  Depending upon how atypical the cells are, they will want at least clean margins and maybe as much as 5mm margins. 

              • December 21, 2016 at 3:07 pm
              emilykmorgan
              Participant

                Thank you so much for the response! Means the world. 

                • December 21, 2016 at 3:07 pm
                emilykmorgan
                Participant

                  Thank you so much for the response! Means the world. 

                  • December 21, 2016 at 3:07 pm
                  emilykmorgan
                  Participant

                    Thank you so much for the response! Means the world. 

                  • December 21, 2016 at 12:26 am
                  Janner
                  Participant

                    Yes, pediatric melanoma lesions are different from adult lesions.  But the one thing here is this isn't a "typical" pediatric lesion.  Those are 'spitz" nevi or "spitzoid" tumors.  Yours is lentigo which essentially is a mole gone bad.  (Not melanoma, but having atypical cells).  Most pediatric lesions are not pigmented.  So I'm not sure you have to look at "pediatric" info as much as just concentrate on the diagnosis which is more in line with "dysplastic" or "atypical" nevi seen in adults.  Depending upon how atypical the cells are, they will want at least clean margins and maybe as much as 5mm margins. 

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