The challenges facing dermatologists in the third millennium are many. Some of them are difficult to predict at the present time. For at least the first decade of the third millennium, however, it is reasonable to predict that the incidence of melanoma will continue to rise. Although public health exercises aimed at prevention have now been in place for over 15 years, there are very few data to suggest that the incidence of melanoma is leveling off. Thus, dermatologists should be prepared to see more cases of melanoma, and most likely at an earlier stage of disease. This, in turn, means that the relative proportion of melanoma-related clinical work will fall more heavily on the dermatologist than was previously the case, because it is unlikely that extensive surgery will be needed in most instances.
Rona M. MacKie. Melanoma and the Dermatologist in the Third Millennium. Arch Dermatol. 2000;136(1):71–73. doi:10.1001/archderm.136.1.71