Cutaneous malignant melanoma--the party line and more--with a word on "safe sun"

Although the incidence of melanoma in adults seems to be increasing in recent decades, the survival rate has improved too, largely because of early diagnosis. Early diagnosis results in definition of a low risk primary group, for which conservative therapy is warranted. High risk primary patients still face controversial decisions regarding more radical surgery, a topic for another opinion paper. Patients with recurrences where fresh tissue can be made available should be considered for autologous tumor vaccine.