The case reported in this paper is the first case of epithelioma seen in a large and long-established clinic for Negroes at Charity Hospital in New Orleans. Conversations with dermatologists who have clinics attended by Negroes in other cities have confirmed our belief that cancers of the skin rarely if ever occur in Negroes. The interest of the case lies, it is thought, not only in the fact that epitheliomas with very destructive tendencies occurred in a child of a race naturally immune to cutaneous cancers, but also in the character of the dermatosis to which the epitheliomas apparently were a sequence. REPORT OF A CASE Race.— By the word Negro it is meant that the patient had all the Negro characteristics. His skin was black and his hair "kinky," and his general appearance was such that he created the impression of being a full-blooded Negro. He was, however, not