Background: Several changing clinical and histopathologic melanoma tre
nds occurred from the 1950s to the 1980s. Objective: The purpose of th
is study was to evaluate melanoma trends during the past decade and to
compare present trends to those documented during the past four decad
es. Methods: Sex, age at diagnosis, location, tumor thickness, stage,
and histologic subtypes were evaluated from 1984 to 1995 and compared
with trends during the past four decades. Results: Most changing trend
s from the past four decades have slowed or stabilized during the past
decade. Conclusion: Complete reporting of all melanomas to central tu
mor registries is necessary to accurately analyze present and future m
elanoma trends. Ongoing and new prevention and control strategies begi
nning at birth may be necessary to continue the positive efforts to cu
rtail the melanoma epidemic.