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Men have a significantly higher risk for melanoma, and two-thirds of melanoma deaths in the U.S. occur in men, but no convincing biological explanations for this phenomenon have been established.
Sameer and colleagues sought to identify gender differences in genomic data for melanoma. In 266 patients, men had 1.85 times as many mutations in their melanomas as women (298 vs. 211.5). Melanoma was unique among 20 cancers profiled in The Cancer Genome Atlas (TCGA) project, sponsored by the National Institutes of Health, in having a gender disparity in mutational load. When the investigators separated melanomas as high-mutational-load tumors versus low-mutational-load tumors, they found a consistently better survival in both sexes associated with…