Age | More common with increasing age | Peak frequency in early adulthood, but age-related incidence rises with increasing age. |
Chemicals and exposures | Use of coal-tar products, tobacco and psoralens (e.g., PUVA therapy) increase risk. | Radiation exposure increases risk. |
Family history | No influence on risk | Occurrence of melanoma in a first- or second-degree relative confers increased risk. Familial atypical mole–melanoma syndrome (FAMMS) confers even higher risk. |
Gender | Substantially more common in males | Slight male predominance |
Geographic location | Higher incidence in whites living near the equator because of greater ultraviolet (UV) light exposure per unit time | Higher incidence in whites living near the equator because of greater UV light exposure per unit time |
Medical conditions | Chronic 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. |
Nevi | No influence on risk | Nonfamilial 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. |
Occupation | Higher incidence in outdoor workers | Higher incidence in indoor workers, as well as those with higher education and income. |
Previous history of skin cancer | 36 to 52 percent chance of a new skin cancer of any kind within five years of index case | Previous melanoma is associated with increased risk. |
Race | More common in whites | More common in whites |
Skin type/ethnicity | Increased 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 | Increased 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 |
| Cumulative | Single greatest risk factor; 80 percent of lifetime sun exposure is obtained before 18 years of age. | Probably does not influence risk |
| Episodic | Probably does not influence risk | Intense, intermittent exposure and blistering sunburns in childhood and adolescence are associated with increased risk. |