Benign and malignant pigmented tumors are rare in the negro. In an exhaustive search through the literature only two cases of malignant melanoma were found, and correspondence with a number of dermatologists in the southern part of the United States reveals the fact that it is an uncommon disease, many observers never having seen a case. Only five reports were collected and these are included in this paper. Stevenson1 has reported eighteen cases of melanoma in Hindus, all but three of which originated on the sole or heel. A history of trauma was obtained in each instance, there being the additional fact that the Hindus usually go barefooted.
The normal dark pigmentation of the skin in the colored race makes an early diagnosis difficult. Malignant melanotic tumors usually exhibit themselves as nodules adjoining a primary nodule or mole or as metastatic nodules elsewhere in the body. In this case,
SUTTON LA, MALLIA WM. MALIGNANT MELANOMA IN THE NEGRO. Arch Derm Syphilol. 1923;8(3):325–343. doi:10.1001/archderm.1923.02360150002001
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