THE FOLLOWING case is perhaps the first to be reported of nonpigmented malignant melanoma d'emblée.
A 55-year-old white man was first seen by me on Jan. 22, 1951. He was sent to me because of a little tumor at the left side of the nose near the saddle; his family physician regarded it as a mole. Both the patient and the family physician were sure that the skin was normal before the lesion appeared. It was a round, firm, yellowish tumor 7 mm. in diameter and 1 mm. high. There was no pigmentation. The tumor was limited to the skin and was freely movable. The regional lymph glands were of normal size.
The little tumor was excised under local procaine anesthesia and the bleeding base thoroughly cauterized. It healed with a fine scar.
There were no signs or symptoms of a tumor in other parts of the body. The microscopic
HECHT H. NONPIGMENTED MALIGNANT MELANOMA D'EMBLÉE: Report of a Case. AMA Arch Derm Syphilol. 1953;67(4):380–387. doi:10.1001/archderm.1953.01540040038006
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