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BMJ 2006;332:987-988 (29 April), doi:10.1136/bmj.332.7548.987
Is only possible with earlier diagnosis
| The first 150 words of the full text of this article appear below. |
Melanoma is a deadly but potentially curable disease. Its main cause, and the sole controllable factor, is excessive if intermittent exposure to sunlight, particularly in childhood and adolescence.1 2 The incidence of melanoma is rising faster than for any other cancer and is approximately doubling every decade, although survival rates are improving in developed countries (the United Kingdom, for example, has experienced a 30% improvement since the 1970s). Mortality in general increases with age, especially in men (figure).3
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The cause for the difference in mortality between men and women may be related to primary tumour site. Melanomas of the back may drain to several lymph node basins; they are more common in men than women and their position makes them difficult for patients
J Meirion Thomas, consultant surgeon
Royal Marsden Hospital, London SW3 6JJ
(meirion@roseway.demon.co.uk)
Victoria Giblin, research registrar
Royal Marsden Hospital, London SW3 6JJ
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Israeli students are refusing to perform intimate examinations on anaesthetised women without their informed consent.