%0 Journal Article %T Novel MED15::ATF1 fusion in a pediatric melanoma with spitzoid features and aggressive presentation. %A Furtado LV %A Cardenas M %A Santiago T %A Ruiz RE %A Shi Z %A Pappo A %A Kacar M %J Genes Chromosomes Cancer %V 63 %N 3 %D 2024 03 %M 38459940 %F 4.263 %R 10.1002/gcc.23230 %X Childhood melanoma is a rare and biologically heterogeneous pediatric malignancy. The differential diagnosis of pediatric melanoma is usually broad, including a wide variety of spindle cell or epithelioid neoplasms. Different molecular alterations affecting the MAPK and PI3K/AKT/mTOR pathways, tumor suppressor genes, and telomerase reactivation have been implicated in melanoma tumorigenesis and progression. Here, we report a novel MED15::ATF1 fusion in a pediatric melanoma with spitzoid features and an aggressive clinical course.