“…Sunlight, or solar radiation, is an important etiologic factor, with epidemiologic studies indicating that severe childhood sunburns contribute the greatest risk (Gilchrest et al, 1999). There is also genetic susceptibility to melanoma as demonstrated by several familial cancer syndromes, xeroderma pigmentosum (Kraemer et al, 1989), familial atypical mole and malignant melanoma syndrome (Gibbs et al, 2002), retinoblastoma (Fletcher et al, 2004), and Li-Fraumeni syndrome (Cohen et al, 2005). Melanomagenesis is associated with defects in nucleotide excision repair of solar radiation-induced DNA damage, as in xeroderma pigmentosum, and cell cycle checkpoints that arrest growth after DNA damage and oncogene activation, as in familial atypical mole and malignant melanoma syndrome, retinoblastoma, and Li-Fraumeni syndrome.…”