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October 7, 1961

Surgical Excision of Nevi

Author Affiliations

1513 Gregg St., Columbia 1, S.C.

JAMA. 1961;178(1):91. doi:10.1001/jama.1961.03040400093029

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To the Editor:—  In reference to Dr. Gordon McNeer's article on melanomas (JAMA176:1-4 [April 8] 1961), I would like to ask the basis for his statement that surgical removal is recommended for moles, situated at anatomic pressure points. Such a statement in a summary is misleading since the author in his paragraph on trauma concludes with the statement that "It is therefore difficult for us to concede the possibility of the relationship of trauma to the growth and dissemination of melanoma." In addition, the article is further confusing in that his third sentence states that in reference to pigment "This very fact makes one suspect that the presence of pigment is of little or no importance in the pathogenesis of this disease." And later he suggests that all black moles in children be surgically excised.There is much that we do not know about melanomas and many of

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