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September 1975

Malignant Melanoma From Thermal Burn Scar

Author Affiliations

San Francisco

Arch Dermatol. 1975;111(9):1214-1215. doi:10.1001/archderm.1975.01630210130023

To the Editor.—  We wish to report a case of malignant melanoma that arose in an occupationally related thermal burn scar. To our knowledge, there have been no prior reports of the development of a malignant melanoma in a thermal burn scar in the literature, based on our own review and that of the American Medical Association's staff (personal communication, George X. Trimble, MD, May 17, 1974).

Report of a Case.—  A 47-year-old, blue-eyed, light-complexioned fireman sustained burns over 40% of his body surface on May 5, 1964, when gasoline exploded in a fire he was fighting, igniting his clothes and skin. First and second degree burns were especially severe on the lower limbs. All burns healed without the need for skin grafting. In 1966, he first noted a pigmented growth on the upper outer part of the right leg in the center of one of the healed burn scars.

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