“…Considerable psychosocial stress may result from a tumor disease in general [Greer et al, 1979[Greer et al, , 1989Pettingale et al, 1988] and especially from malignant melanoma [Söllner et al, 1996[Söllner et al, , 1998[Söllner et al, , 1999Tilkorn et al, 1990;Augustin et al, 1997;Cassileth et al, 1982;Perkins et al, 1993]. Affective disorders occur in a considerable percentage of patients, but certainly not in all.…”