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Is Routine Screening for Melanoma a Benign Practice?
Richard L. Edman, MD;
Sidney N. Klaus, MD
JAMA. 2000;284:883-886.
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In many countries throughout the world, the incidence of malignant melanoma is rising rapidly. In the United States in the last 20 years, there has been an estimated 4% increase per year in incidence and nearly a 2% increase per year in mortality.1 Another alarming aspect of melanoma is its frequency in the younger population. In the United States, about 1 in 4 new cases of melanoma occur in people younger than 40 years,2 and the median age at diagnosis of melanoma is 53 years. This malignancy ranks second among adult cancers (behind adult leukemia) in potential years of life lost.3
Recommendations by various organizations have addressed the issue of routine screening for skin cancer (essentially for melanoma). The US Preventive Services Task Force concluded that there is insufficient evidence to recommend for or against routine screening for skin cancer. The Canadian . . . [Full Text of this Article] Increased Incidence of Melanoma
Author Affiliations: Dr Edman is a family physician who has been in private practice in Philadelphia, Pa [relocating to Haifa, Israel]. Dr Klaus is affiliated with the Department of Medicine (Dermatology), Dartmouth-Hitchcock Medical Center, Lebanon, NH.
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