But despite improved survival rates, the incidence of melanoma is rising at an even faster rate. Because of the worldwide increase in melanomas, global factors need to be considered as potentially involved. Stratospheric ozone depletion, allowing more intense ultraviolet light to reach the earth's surface may, in part, be responsible. Lifestyle changes may also play a role since we have seen a progressive change from predominantly occupational to predominantly recreational patterns of sun exposure. Based on current observations, the struggle to bring down the incidence of melanoma in the 21 st century presents a formidable challenge.
Every indication points to increased melanoma incidents.
Dermatologists remain the best at diagnosing malignant melanoma, but the majority of melanomas are first presented to the primary care physician. Educational emphasis on sun protection and avoidance Public behaviors need to be modified to help impact melanoma incidences in the future. The dangers of sun exposure and tanning salon messages must continue. Development and integration of improved diagnostic techniques. Epiluminescence microscopy may also be used.