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Upon review of the initial biopsy specimen and molecular data, we favored the diagnosis to be consistent with a high\u2010grade melanocytoma with balloon cell changes while considering the possibility of balloon cell melanoma due to concerning histopathologic and genetic abnormalities. In this case study, we discuss critical diagnostic considerations in this rare pediatric case and highlight important pathologic and clinical features of melanocytomas and balloon cell melanoma.<\/jats:p>","DOI":"10.1111\/cup.14664","type":"journal-article","created":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T11:37:28Z","timestamp":1717501048000},"page":"680-684","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of diagnostic uncertainty: High\u2010grade melanocytoma versus balloon cell melanoma in a pediatric patient"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9146-0480","authenticated-orcid":false,"given":"Serena","family":"Shimshak","sequence":"first","affiliation":[{"name":"Department of Dermatology Mayo Clinic  Jacksonville Florida 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