Risk factorNonmelanoma skin cancerMelanoma
AgeMore common with increasing agePeak frequency in early adulthood, but age-related incidence rises with increasing age.
Chemicals and exposuresUse of coal-tar products, tobacco and psoralens (e.g., PUVA therapy) increase risk.Radiation exposure increases risk.
Family historyNo influence on riskOccurrence of melanoma in a first- or second-degree relative confers increased risk. Familial atypical mole–melanoma syndrome (FAMMS) confers even higher risk.
GenderSubstantially more common in malesSlight male predominance
Geographic locationHigher incidence in whites living near the equator because of greater ultraviolet (UV) light exposure per unit timeHigher incidence in whites living near the equator because of greater UV light exposure per unit time
Medical conditionsChronic osteomyelitis sinus tracts, burn scars, chronic skin ulcers, xeroderma pigmentosum and human papillomavirus infection all increase risk.Xeroderma pigmentosum, immunosuppression, other malignancies and previous nonmelanoma skin cancer all increase risk.
NeviNo influence on riskNonfamilial dysplastic nevi, a large number of benign pigmented nevi, and giant pigmented congenital nevi confer increased risk. Nondysplastic nevi are markers for risk, not precursor lesions.
OccupationHigher incidence in outdoor workersHigher incidence in indoor workers, as well as those with higher education and income.
Previous history of skin cancer36 to 52 percent chance of a new skin cancer of any kind within five years of index casePrevious melanoma is associated with increased risk.
RaceMore common in whitesMore common in whites
Skin type/ethnicityIncreased incidence in those with fair complexions; those who burn easily, tan poorly and freckle; those who have red, blonde or light brown hair; and those of Celtic ancestryIncreased incidence in those with fair complexions; those who burn easily, tan poorly and freckle; those who have red, blonde or light brown hair; and those of Celtic ancestry
Sun exposure
CumulativeSingle greatest risk factor; 80 percent of lifetime sun exposure is obtained before 18 years of age.Probably does not influence risk
EpisodicProbably does not influence riskIntense, intermittent exposure and blistering sunburns in childhood and adolescence are associated with increased risk.