< Current issue
Dermatopathology: Practical & Conceptual July - September 2001
Evolution in Thinking: Criteria for Clinical Diagnosis of Melanoma, 1947–2000: A Critique in Historical Perspective
Mary Aldrene L. Tan, M.D.
A. Bernard Ackerman, M.D.
Becker and Obermayer
Ormsby and Montgomery
Sulzberger and Wolf
Pillsbury, Shelley, and Kligman
Fitzpatrick and Clark
Lewis and Wheeler
Callen, Stawiski, and Voorhees
Roses, Harris, and Ackerman
Dobson and Abele
Friedman, Rigel, and Kopf
Fitzpatrick, Rhodes, Sober, and Mihm
Koh and Rogers
McCarthy et al.
Mooi WJ and Krausy
Fitzpatrick, Milton, Balch, Shaw, McCarthy, and Sober
National Institutes of Health Consensus Conference
Holzle, Kind, Plewig, and Burgdorf
Marghoob, Slade, Kopf, Rigel, and Friedman
Arndt, Wintroub, Robinson, and LeBoit
Elder and Elenitsas
Maize et al.
Langley, Fitzpatrick, and Sober
Farmer and Hood
Fleischer, Feldman, Katz, and Clayton
Ackerman, Kerl, Sánchez, et al.
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.
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
(17:298) titled, "Malignant melanoma
The flat curable stage of malignant melanoma."
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