Malignant melanoma in the nasal or paranasal region is uncommon. In 1938 Ringertz1 added 6 cases of his own to the 50 cases reported in the literature to that date. Ewing2 stated that melanoma of the nares is a rare tumor, that he had studied only 1 instance and that in this instance the pigmentation was prominent and the structure carcinomatous. Kaufmann,3 too, in his textbook referred to only 1 case, previously reported by Cozzolino.4
De Santi5 in 1925 reported the case of a patient with melanosarcoma of the nasal septum. (This case was not included in the collective review of Ringertz.) In 1939 Smuts6 reported the case of a South African in whom the nasal septum was involved.
Recently, I have had occasion to treat 2 patients with primary malignant melanoma of the nostril, the first that I have seen in my seventeen years' service at Bellevue Hospital and