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Lentigo Maligna

MAURICE J. COSTELLO, M.D.; STUART B. FISHER, M.D.; CHARLES P. DeFEO, M.D.

AMA Arch Derm. 1959;80(6):753-771.

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

Melanotic freckle is a pigmented, precancerous lesion that is clinically distinctive, sometimes difficult to interpret histopathologically, and which presents a problem in histological diagnosis, prognosis, and in treatment. It progresses slowly, sometimes to a malignant tumor stage (superficial melanocarcinoma) which may be indistinguishable from malignant melanoma, and yet its prognosis as to metastasis, morbidity, and mortality is comparatively favorable.

Dermatologic literature contains several comprehensive reports of this unusual entity since its original description by Hutchinson.¹ Noteworthy are those of Dubreuilh,^2,3 Meischer,^4,5 Justitz,⁶ and more recently, Klauder and Beerman.⁷ There have been two hundred cases reported in all. The purpose of this presentation is to record twelve additional cases seen in private practice and clinic practice.

Nomenclature

Melanotic freckle has been described under many names, such as senile freckle, infective melanotic freckle, melanose circonscrite precancereuse, lentigo malin des vieillards, . . . [Full Text PDF of this Article]

Author Affiliations
New York

From Lenox Hill Hospital, St. Clare's Hospital, and private practice.

Footnotes
Submitted for publication Sept. 17, 1959.

Read before the 79th Annual Meeting of the American Dermatological Association, Inc., Atlantic City, N.J., June 3, 1959.

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