Background. Previous Commission on Cancer studies have examined time t
rends in stage of disease and treatment patterns for melanoma. Reporte
d herein are the most current National Cancer Data Base (NCDB) data fo
r melanoma. Methods. Two calls for data have yielded 20,165 melanoma c
ases for 1985, 1988, and 1990 from hospital cancer registries across t
he country. Results. There was a marked increase in Stage 0 (in situ)
tumors between 1985 and 1990. NCDB data confirm a trend for more conse
rvative surgical excision of skin melanoma. Use of multimodality thera
py was infrequent. Conclusions. Survival data confirmed an excellent c
orrelation between stage of disease and outcome. Early skin melanoma i
s highly curable.