Mrs. M. L. C., aged 56, with five children, seen, Oct. 9, 1930, had been tiring easily and had noticed numerous black lumps in her skin for several months. These lumps had been increasing in size, and she had been losing weight. Her family history was negative for melanoma. Her personal history had no bearing except for cholecystotomy in 1910.
Examination revealed several small black moles grouped together in the region of the insertion of the deltoid of the right arm. Information was obtained that she had bruised this area several weeks previously. No area of reaction or inflammation was found around these moles. Immediately above the outer end of the right clavicle was a tumor the size of a lime which had been present about two months and had grown rapidly. The tumor was fairly firm with some overlying skin discoloration. Other and smaller tumors were noted in the
Jones GW. MELANOMA OF AMPULLA OF VATER. JAMA. 1931;96(20):1682. doi:10.1001/jama.1931.27220460003007d