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Article
July 1946

NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS

Author Affiliations

Chairman; Secretary Jan. 2, 1945

Arch Derm Syphilol. 1946;54(1):100-108. doi:10.1001/archderm.1946.01510360104023

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Abstract

A Case for Diagnosis (Melanoma of Skin?). Presented by Dr. Charles Wolf.

I. M., a man aged 51, has had for many years a flat pigmented lesion in the epigastric region, covering an area 3 by 4 cm. Pigmentation is lighter on the lower third and darker on the upper two thirds. In the latter section there are three raised rather firm nodules, the size of a split-pea, covered with a scale.

The Wassermann reaction of the blood was negative.

DISCUSSION

Dr. Maurice J. Costello: Therapy for malignant melanoma is discouraging as a rule, but wide surgical excision of the lesion with resection of lymph nodes would probably be the best approach.

Dr. David Bloom: Clinically, the lesion may be a benign pigmented nevus. In order definitely to ascertain the diagnosis a biopsy is necessary.

Dr. Louis Chargin: I am in favor of Dr. Bloom's suggestion. It is difficult to

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