Difficult management of an extremely rare case of giant pigmented epithelioid melanocytoma

Pigmented epithelioid melanocytoma (PEM), a heavily pigmented and highly uncommon melanocytic lesion, is extremely rare. It comes under several forms and names. We report the case of a three-year-old boy born with an isolated right lumbopelvic and femoral giant PEM. The boy was unable to walk due to...

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Main Authors: Mengu Ma Tooh, Oumama El Ezzi, Samuel Rotman, Mirko Dolci, Raymond Bossou, Anthony de Buys Roessingh, MD, PhD
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576617300167
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author Mengu Ma Tooh
Oumama El Ezzi
Samuel Rotman
Mirko Dolci
Raymond Bossou
Anthony de Buys Roessingh, MD, PhD
author_facet Mengu Ma Tooh
Oumama El Ezzi
Samuel Rotman
Mirko Dolci
Raymond Bossou
Anthony de Buys Roessingh, MD, PhD
author_sort Mengu Ma Tooh
collection DOAJ
description Pigmented epithelioid melanocytoma (PEM), a heavily pigmented and highly uncommon melanocytic lesion, is extremely rare. It comes under several forms and names. We report the case of a three-year-old boy born with an isolated right lumbopelvic and femoral giant PEM. The boy was unable to walk due to the size and the shape of the lesion. He underwent two stages of intra lesional resections, one in Benin and the second in Switzerland. The first surgery was followed by hypothetic hypovolemic and anaphylactic shocks, and the second surgery by a continuous lymphatic leakage from the wounds for months. The strategic management approach, the surgery and follow-up of this case of giant PEM presented a real challenge.
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spelling doaj.art-7cce64ecb9ad4d19961bfeb7e3abfe522022-12-22T01:21:03ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662017-06-0121C192110.1016/j.epsc.2017.04.003Difficult management of an extremely rare case of giant pigmented epithelioid melanocytomaMengu Ma Tooh0Oumama El Ezzi1Samuel Rotman2Mirko Dolci3Raymond Bossou4Anthony de Buys Roessingh, MD, PhD5Department of Pediatric Surgery, University Hospital of Lausanne (CHUV), 1011 Lausanne, SwitzerlandDepartment of Pediatric Surgery, University Hospital of Lausanne (CHUV), 1011 Lausanne, SwitzerlandDepartment of Pathology, CHUV, 1011 Lausanne, SwitzerlandDepartment of Anesthesiology, CHUV, 1011 Lausanne, SwitzerlandDepartment of Pediatrics, Department of Zou and Colline, Abomey, BeninDepartment of Pediatric Surgery, University Hospital of Lausanne (CHUV), 1011 Lausanne, SwitzerlandPigmented epithelioid melanocytoma (PEM), a heavily pigmented and highly uncommon melanocytic lesion, is extremely rare. It comes under several forms and names. We report the case of a three-year-old boy born with an isolated right lumbopelvic and femoral giant PEM. The boy was unable to walk due to the size and the shape of the lesion. He underwent two stages of intra lesional resections, one in Benin and the second in Switzerland. The first surgery was followed by hypothetic hypovolemic and anaphylactic shocks, and the second surgery by a continuous lymphatic leakage from the wounds for months. The strategic management approach, the surgery and follow-up of this case of giant PEM presented a real challenge.http://www.sciencedirect.com/science/article/pii/S2213576617300167Pigmented epithelioid melanocytomaLymphatic leakage
spellingShingle Mengu Ma Tooh
Oumama El Ezzi
Samuel Rotman
Mirko Dolci
Raymond Bossou
Anthony de Buys Roessingh, MD, PhD
Difficult management of an extremely rare case of giant pigmented epithelioid melanocytoma
Journal of Pediatric Surgery Case Reports
Pigmented epithelioid melanocytoma
Lymphatic leakage
title Difficult management of an extremely rare case of giant pigmented epithelioid melanocytoma
title_full Difficult management of an extremely rare case of giant pigmented epithelioid melanocytoma
title_fullStr Difficult management of an extremely rare case of giant pigmented epithelioid melanocytoma
title_full_unstemmed Difficult management of an extremely rare case of giant pigmented epithelioid melanocytoma
title_short Difficult management of an extremely rare case of giant pigmented epithelioid melanocytoma
title_sort difficult management of an extremely rare case of giant pigmented epithelioid melanocytoma
topic Pigmented epithelioid melanocytoma
Lymphatic leakage
url http://www.sciencedirect.com/science/article/pii/S2213576617300167
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