Melanoma is on the rise in both adults and children. Paediatric melanoma, usually defined as melanoma happening in patients younger than 21 years, is rare. And because of its rarity, they are not well characterized. The diagnosis is often difficult to establish due to melanoma may present as a nonspecific, non-pigmented lesion or benign-appearing lesion. The fundamental difference of paediatric melanoma is that the process of mutation is accelerated by a genetic predisposition of the patient increasing the changes to get DNA damage by UV radiation.