The Changing Incidence and Mortality of Melanoma in Australia

  • Robin Marks
Part of the Recent Results in Cancer Research book series (RECENTCANCER, volume 160)


For many years Australia has had the highest incidence and mortality rates in the world for melanoma. The incidence rate has been increasing at around 5% per year and the mortality rate, at a rate slightly lower than that. Epidemiology studies have shown clearly that there is both a constitutional and an environmental contribution to melanoma risk, with sunlight being the major risk factor in the environment. The data also clearly show that the thickness of a melanoma at the time it is removed is one of the major determinants of the likelihood of metastasis and thus of the long-term prognosis. Both of these components have been incorporated into major public health programmes aimed at melanoma control in Australia over the last 25 years. Primary prevention programmes have been aimed at reducing the desire for a tan and subsequent overexposure to sunlight. Secondary prevention (early detection) programmes have encouraged people in the community to seek early attention if they notice a new or changing pigmented lesion. Although the age-adjusted incidence and mortality rates for Australia continue to rise, cohort analysis of both incidence and mortality rates reveals that the overall rise is not reflected in all age groups. In the younger cohorts - groups that it has been possible to influence by our public health campaigns in recent decades - both incidence and mortality rates are dropping.


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  1. Armstrong B, Kricker A (1994) Cutaneous melanoma. Cancer Surv Trends Cancer Incidence 19:219–239.Google Scholar
  2. Balch CM, Soong SJ, Shaw HM et al. (1985) An analysis of prognostic factors in 4000 patients with cutaneous melanoma. In: Balch CM, Milton GW (eds) Cutaneous melanoma: clinical management and treatment results worldwide. Lippincott, Philadelphia, pp 321–352.Google Scholar
  3. Borland R, Marks R, Noy S (1992) Public knowledge about characteristics of moles and melanoma. Aust J Public Health 16:370–375.PubMedCrossRefGoogle Scholar
  4. Burton RC, Armstrong BK (1995) Current melanoma epidemic: a non-metastasizing form of melanoma World J Surg 19:330–333.PubMedCrossRefGoogle Scholar
  5. Carter R, Marks R, Hill D (1999) Could a national skin cancer primary prevention campaign in Australia be worthwhile? An economic evaluation. Health Promotion Int 14:73–82.CrossRefGoogle Scholar
  6. Elwood M, Jopson J (1997) Melanoma and sun exposure: an overview of published studies. Int J Cancer 73:198–203.PubMedCrossRefGoogle Scholar
  7. Evans RD, Kopf AW, Lew RA et al. (1988) Risk factors for the development of malignant melanoma. I. Reviews of case-control studies. J Dermatol Surg Oncol 14:393–406.Google Scholar
  8. Giles G, Thursfield V (1996) Trends in skin cancer in Australia. Cancer Forum 20:188–191.Google Scholar
  9. Giles G, Dwyer T, Coates M et al. (1989) Trends in skin cancer in Australia: an overview of the available data. Trans Menzies Found 15:143–147.Google Scholar
  10. Giles GG, Armstrong BK, Burton RC, Staples MP, Thursfield VJ (1996) Has mortality from melanoma stopped rising in Australia? Analysis of trends between 1931 and 1994. BMJ 312:1121–1125.PubMedGoogle Scholar
  11. Green AC, O’Rourke MG (1985) Cutaneous malignant melanoma in association with other cancers. J Natl Cancer Inst 74:977–980.PubMedGoogle Scholar
  12. Harper J (1998) Genetics and genodermatoses. In: Champion H, Burton JL, Burns DA, Breathnach SM (eds) Textbook of dermatology, 6th edn. Blackwell Scientific Publications, Oxford, pp 407–412.Google Scholar
  13. Hill D, White V, Marks R et al. (1992) Melanoma prevention: behavioural and non-behav-ioural factors in sunburn among an Australian population. Prev Med 21:654–669.PubMedCrossRefGoogle Scholar
  14. Hill D, White V, Marks R, Borland R (1993) Changes in sun-related attitudes and reduced sunburn prevalence in a population at high risk of melanoma. Eur J Cancer Prev 2:447–456.PubMedCrossRefGoogle Scholar
  15. Jelfs P, Coates M, Giles GG et al. (1996) Cancer in Australia, 1989–1990 (with projections to 1995). Aust Institute Health Welfare, Canberra, p 147 Marks R (1996) Prevention and control of melanoma: the public health approach. CA Cancer J Clin 46:199–216.Google Scholar
  16. Marks R (1996) Prevention and control of melanoma: the public health approach. CA Cancer J Clin 46:199–216PubMedCrossRefGoogle Scholar
  17. Marks R (1999) Two decades of the public health approach to skin cancer control in Australia: why, how and where are we now Aust J Dermatol 40:1–5.CrossRefGoogle Scholar
  18. Marks R, Jolley D, McCormack C, Dorevitch AP (1997) Who removes pigmented skin lesions? A study of the ratio of melanoma to other benign pigmented skin tumours re-moved by different category of physician in Australia, 1989 & 1994. J Am Acad Dermatol 36:721–726.PubMedCrossRefGoogle Scholar
  19. McGovern VJ (1952) Melanoblastoma Med J Aust I [Suppl 10]:139–143.Google Scholar
  20. Noy S, Houston J (1986) National Skin Cancer Awareness Week 1985: a new initiative in public education about skin cancer Cancer Forum 10:88–91.Google Scholar
  21. Parkin DM, Muir CS, Whelan SL et al. (1992) Cancer incidence in five continents, vol 6. (I ARC scientific publications 120) I ARC, Lyon.Google Scholar
  22. Swerdlow AJ, Weinstock MA (1998) Do tanning lamps cause melanoma? An epidemiologic assessment. J Am Acad Dermatol 38:89–90.PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2002

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  • Robin Marks

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