ESTIMATION OF LOSS OF EARNING CAPACITY IN THE GERMAN STATUTORY ACCIDENT INSURANCE, DEMONSTRATED BY OCCUPATIONALLY INDUCED MALIGNANT-TUMORS OF THE SKIN AND PRECANCEROUS STAGES .2. DIFFERENTIATED ESTIMATION OF THE LOSS OF EARNING CAPACITY OF OCCUPATIONALLY CAUSED MELANOMA OF THE SKIN AND PRELIMINARY STAGES

Malignoma of the skin and their preliminary stages can be recognized a nd compensated as occupational diseases in keeping with the social-leg al premises according to the presently valid list of occupational dise ases of the Federal Republic of Germany in cases of occupational expos ure to arsenic, ionizing radiation as well as to soot, paraffin, tar, anthrazene, pitch, or similar materials under figures 1108, 2402 and 5 102 of the German regulation for occupational diseases (BeKV Berufskra nkheitenverordnung). At present, standardized recommendations of exper ts for the assessment of the loss of earning capacity (MdE) with these diseases are lacking. In considering the special individual criteria of allocations in the statutory accident insurance, the histology of s kin affections, their number localisation and extent as well as possib ly increased sensitivity towards sunlight and cosmetic effects play, n ext to primary and secondary functional losses, in our opinion a leadi ng role in the assessment of loss of earning capacity due to occupatio nally caused malignoma of the skin and their preliminary stages.