4.5 Review

The World of Melanoma: Epidemiologic, Genetic, and Anatomic Differences of Melanoma Across the Globe

Journal

CURRENT ONCOLOGY REPORTS
Volume 20, Issue 11, Pages -

Publisher

SPRINGER
DOI: 10.1007/s11912-018-0732-8

Keywords

Melanoma; Epidemiology; Ethnicity; Melanoma genetics; Targeted therapy; Immunotherapy

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Funding

  1. MSD
  2. BMS
  3. Roche
  4. Novartis

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Purpose of ReviewAs cancer remains an increasing problem in industrial countries, the incidence of melanoma has risen rapidly in many populations during the last decades and still continues to rise. Current strategies aiming to control the disease have largely focused on improving the understanding of the interplay of causal factors for this cancer.Recent FindingsCutaneous melanoma shows clear differences in incidence, mortality, genomic profile, and anatomic presentation, depending on the country of residence, ethnicity, and socioeconomic status. Known risk factors are multiple atypical nevi, positive family and/or personal history, immune suppressive diseases or treatments, and fair skin phenotype. Besides new adjuvant therapeutic options, changed attitude toward leisure and sun exposure, primary prevention, and early detection are major contributors to disease control.SummaryMelanoma is a disease of multifactorial causality and heterogeneous presentation. Its subtypes differ in origin, anatomical site, role of UV radiation, and mutational profile. Better understanding of these differences may improve prevention strategies and therapeutic developments.

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