Malignant melanoma in the pediatric population

Figure 1 Intra-operative photograph of wedge resection of the right ear as a primary treatment of the melanoma from case 2.

Figure 2 Intra-operative photograph of repair of wedge resection of right ear and sentinel lymph node biopsy of the right posterior triangle.

Figure 3 Photomicrography of the wedge resection of the right ear (H and E stain) (A) and higher magnification of malignant melanoma cells (B). In the deep dermis there were nests of large malignant appearing melanocytes with some mitotic figures.

Figure 4 H and E stain. A: Photomicrograph of primary lesion removed from the left forearm from case 3; B: Photomicrograph of the sentinel lymph node from case 3 - H and E stain - showing subcapsular deposits of pigmented cells (arrow).

Figure 5 Immunostaining (MART-1) of the sentinel lymph node from case 3.