Cutaneous melanoma surveillance counterpoint: Australia

Abstract

Melanoma has been referred to as the Australian malignancy, and unfortunately this epithet is justified. The incidence in Australia (and New Zealand) is approximately three times higher than in the United States and four times higher than in the UK and Europe [1]. The reasons for this disparity in incidence for populations with a similar genetic background (predominantly Caucasian/Anglo Saxon) are multifactorial but include high ambient UV levels (Australia is located in comparatively low latitudes, close to the equator) and a favourable climate that predisposes to extended periods outdoors and, until recently, poor understanding of the importance of sun avoidance behaviours. Cutaneous malig..