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November 1972

Philadelphia Dermatological Society

Arch Dermatol. 1972;106(5):753-756. doi:10.1001/archderm.1972.01620140091026

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Malignant Melanoma. Presented by Wallace Clark, MD, and A. J. Sumrall, MD.  When this 109-year-old Negro woman was admitted to Temple University Hospital with cellulitis, thrombophlebitis, and congestive heart failure, it was discovered that she had a black lesion on the right foot present for an unknown time. She claims that it developed after an injury to the site many years ago. In the past, she had an iridectomy of her right eye.Dermatologic examination revealed a 6×8-cm black macular lesion on the lateral aspect of the right foot extending to the midportion of the sole and a 3.5×3.5-cm nodular ulcerating lesion on the lateral aspect of the right foot.Medical examination showed a cataract on the left eye, 1+ ankle edema bilaterally, and enlargement of the right inguinal and femoral nodes.The patient received radiotherapy (2,000 rads in divided doses) as a palliative treatment.

Discussion  Dr. Clark: There is

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