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Cutaneous melanoma

B K Armstrong1, A Kricker

  • 1International Agency for Research on Cancer, Lyon.

Cancer Surveys
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

Melanoma incidence and mortality rose significantly in European populations from the 1960s-1980s. Changes in sun exposure patterns and earlier diagnosis likely explain these trends, especially for thinner melanomas.

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Area of Science:

  • Epidemiology
  • Dermatology
  • Public Health

Background:

  • Melanoma incidence and mortality rates increased substantially in populations of European origin between the early 1960s and late 1980s.
  • Stable melanoma incidence rates were observed in most non-European populations, with exceptions in Japan and Puerto Rico.
  • Trends varied by age and location, with some populations showing a moderation in mortality among younger individuals.

Purpose of the Study:

  • To analyze trends in melanoma incidence and mortality across different populations and demographic groups.
  • To investigate factors contributing to the observed increases in melanoma rates.
  • To explore the impact of diagnostic practices and sun exposure patterns on melanoma trends.

Main Methods:

  • Analysis of age-specific and site-specific incidence and mortality data for melanoma.

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  • Comparison of trends in populations of European and non-European origin.
  • Examination of melanoma thickness trends in relation to incidence and diagnosis.
  • Main Results:

    • Melanoma incidence increased by 3-7% annually in European populations, with higher rates in specific groups like white populations in Hawaii.
    • Trunk melanomas showed the highest incidence increase, while head and neck melanomas showed the lowest.
    • Incidence of thinner melanomas increased disproportionately, suggesting earlier detection or increased detection of less aggressive lesions.

    Conclusions:

    • The rise in melanoma incidence is likely multifactorial, involving increased sun exposure (recreational vs. occupational) and improved diagnostic capabilities.
    • Moderation in mortality trends, particularly in younger populations, suggests benefits from earlier diagnosis and improved survival rates.
    • Continued monitoring and public health interventions are crucial to address melanoma incidence and mortality trends, especially in populations with European ancestry.