Malignant Melanoma in Oculocutaneous Albinism

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To the Editor.— The recent spate of articles on photography of dysplastic nevi certainly creates medicolegal problems. The standard of care must vary with the availability of elaborate equipment, facilities, and the cost. Although some patients have numerous suspicious lesions, most do not. It is about this latter group that I write. The Polaroid camera shots provide an accurate, immediate photograph of a suspicious lesion at a cost of about $2 (1989). Even such shots of ten lesions at $20 is far below the cost of $100 mentioned by Slue and Knopf1,2 (now $125). Also, consider that follow-up may be needed at 6- to 12-month periods. I am further intrigued by identification of the location of the photographic lesion. There are alternative ways to do this without photography! A recent article mentioned the use of tattooing to permanently mark the location of an important lesion, especially those needing surgical