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Stewart F. Cramer, MD
Rochester General Hosptial 1425 Portland Ave Rochester, NY 14621

Arch Dermatol. 1993;129(1):46.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The article by Dr Kelly in the May 1992 issue of the ARCHIVES was a very interesting case report, suggesting that management of lentigo maligna by careful observation at 6- to 12-month intervals might not prevent evolution to life-threatening lentigo maligna melanoma.¹ It brought to mind a remarkable case that was reported 10 years ago, wherein 14 lesions of evolving lentigo maligna melanoma were resected from the left cheek of a woman in her 50s over a period of 9 years.²

That patient presented for cosmetic surgery for a 3-mm pigmented lesion that was diagnosed histologically as lentigo maligna. Although margins were negative, a 12-mm lentigo maligna in the same region was resected 10 months later. In spite of constant surveillance, and surgery before any subsequent lesion attained 1 cm in diameter, four separate invasive melanomas developed, eventuating in a 7-mm amelanotic melanoma 9 years . . . [Full Text PDF of this Article]

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