Dr Geoffrey Fairris DM FRCP(Consultant in Surgical Laser & Cosmetic Dermatology)
Risk factors for Malignant Melanoma are: having red or blond hair, having more than 100 moles or having lived in a country with strong sun shine during childhood and having experienced painful, blistering sunburn during childhood.
Adult sun exposure does not seem to increase the risk of Malignant Melanoma.
Malignant Melanoma is a cancer of the mole cells or melanocytes that live in the outer half millimetre of the skin called the epidermis. Their job is to manufacture a brown chemical called melanin in response to sunlight and injected it into the normal skin cells (keratinocytes) to protect them.
Eighty five percent of Malignant Melanomas grow sideways parallel to the surface of the skin for several months. If they can be found during this stage they are always cured by surgery.
Around fifteen percent grow downwards into the body early in their life. It is the downward growth phase that is dangerous because cells can then spread to other parts of the body.
Surgery during the early phases of growth is the only known cure.
Wearing sunscreen during the first fifteen years of life will probably reduce the chance of developing a Malignant Melanoma. Otherwise early detection is the best policy.
Further reading: http://www.bad.org.uk/public/leaflets/melanoma.asp