In a combined analysis of 2952 melanoma patients and 3618 controls fro
m 8 case-control studies in white populations the risk of cutaneous me
lanoma was 2.24-fold higher (95% CI, 1.76-2.86) in subjects who report
ed at least one affected first-degree relative than in subjects who di
d not. There was no evidence for heterogeneity in the relative risk be
tween the studies, which were from a wide range of latitudes and hence
degrees of sun exposure. The effect of family history on melanoma ris
k was independent of age, naevus count, hair and eye colour, and freck
ling. There was no evidence for a relationship between family history
and primary site of melanoma but there was some suggestion that the fa
milial patients were more likely to have superficial spreading melanom
a or lentigo maligna melanoma than acral lentiginous melanoma or nodul
ar melanoma. (C) 1995 Wiley-Liss, Inc.