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September 1977

Malignant Melanoma in a Thermal Burn Scar

Author Affiliations

San Francisco

Arch Dermatol. 1977;113(9):1295. doi:10.1001/archderm.1977.01640090143028

To the Editor.—  Last year we reported a case of malignant melanoma that arose in a thermal burn scar.1 It was alleged by us that this was the first report of such an association in the literature. It was also the first case of an occupationally induced malignant melanoma in a burn scar. The patient was a 47-year-old San Francisco fireman who sustained burns while in the line of duty in 1964. In 1973 a malignant melanoma was excised from burn-scarred skin on the leg. The pigmented lesion was first noted in 1966. (Despite conventional and aggressive surgery and immunoand chemotherapy, he died on Nov 30, 1975, of metastic disease).After publication of our previous letter—as is often the case—we came upon an incidental comment about a melanoma that arose in a burn scar, published in 1965.2 The authors presented 25 primary cancers that arose among 21