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December 25, 1967

Malignant Melanoma in Infancy

JAMA. 1967;202(13):1153. doi:10.1001/jama.1967.03130260075024

To the Editor:—  A 12-month-old boy was admitted to University Hospital on June 28, 1965, after an axillary biopsy performed elsewhere one week previously. He had been born with a raised pigmented lesion on the tip of the middle finger of the right hand. This had grown slowly, and at age 6 months surgical removal had been recommended. For one reason or another this had not been done, until the appearance of an enlarged axillary node about ten days before admission demanded attention.

Physical Examination:—  A purplishblack, raised lesion with a roughened surface invading the nail bed of the right middle finger and measuring 1.3× 0.6×9.5 cm (Fig 1) was revealed. No satellite nodules were present. On the medial aspect of the right axilla was a recently made biopsy incision 4-cm long, with the sutures still in place. Underlying postoperative induration was present but it was felt that there were