McCarthy et al.

 
"Generally, small melanomas are asymmetrical, poorly circumscribed with notched, scalloped, or jagged borders, and mottled in pigmentation with nuances of brown that sometimes are tinged with black, blue , and even pink . . ."
 
" . . . Of course there are instances when an early melanoma cannot be clinically distinguished from a dysplastic naevus, or even from an evolving Spitz naevus. In short, small, flat lesions of melanoma are clinically diagnosable."
 
McCarthy WH, et al. Can early melanoma be diagnosed? In: Cascinelli N, Santinami M, Veronesi U, eds. Cutaneous Melanoma Biology and Management. Italy: Masson, 1990:120.
 

Brief critique

 
That McCarthy borrowed directly from Ackerman may be inferred by the fact that his last sentence, "In short, small, flat lesion of melanoma are clinically diagnosable," is identical to the last sentence in the quotation on page 231 taken from Ackerman's essay in 1985 in the journal Pathology (17:298) titled, "Malignant melanoma in situ: The flat curable stage of malignant melanoma."