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To the Editor.—Dr Robinson¹ discusses the epidemiology and pathogenesis of malignant melanoma and risk factors for development of this malignancy, and provides highly useful guidance for the primary care physician regarding screening for malignant melanoma. In her discussion, Robinson recommends triage of pigmented lesions and refers to a table that describes a 6-step algorithm for this purpose (Table 3, page 1696). This algorithm closely resembles one we published in the Journal of the American Academy of Dermatology in 1996.² Our 9-step algorithm was designed to be a component of a skin cancer prevention and early detection curriculum for primary care providers that we developed under a grant from the National Institute of Arthritis, Musculoskeletal, and Skin Diseases. Our algorithm for basic skin cancer triage is somewhat more detailed than the one published in Robinson's article, including steps to triage lesions that met criteria for basal cell and squamous cell . . . [Full Text of this Article]

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