“…In the years since this study, other studies have confirmed that females have a significant survival advantage compared to males (38%), fewer and delayed metastases, longer delay before relapse, and higher cure rates than males, strongly suggesting a biological basis for the observed gender bias (Bidoli et al, 2012; de Vries et al, 2007; Fisher and Geller, 2013; Gamba et al, 2013; Geller et al, 2002; Joosse et al, 2012; Joosse et al, 2011; Schwartz et al, 2002; Swetter et al, 2009). Differences in expression or activity of sex-hormone receptors, including the estrogen receptor or AR, have long been considered a plausible explanation for the melanoma gender bias (de Giorgi et al, 2011; Morvillo et al, 2002). Recent studies favor a deleterious role for AR and androgens in melanoma, as (1) the female advantage persists even in post-menopausal women, suggesting against an estrogen-related advantage (de Vries et al, 2008; Joosse et al, 2011; Micheli et al, 2009) and (2) there is an increased risk of melanoma following prostate cancer, and vice-versa, suggesting an AR-based connection between the two cancers (Li et al, 2013b; Spanogle et al, 2010).…”