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Referred for such a procedure. The incidence of cutaneous malignant melanoma is increasing at an alarming rate. Over the past few decades, the increases in melanoma incidence and mortality have been among the greatest occurring with any cancer. 1 the incidence and mortality rates from 1973 to 1994 rose cardinal percent and 40 percent, respectively. In the united states, the lifetime risk of developing melanoma was projected to have increased to one in 75 by the year 2000, up from o. cialis Malignancy. Can the doctor tell if an ovarian tumor is malignant by vaginal ultrasound? Malignancy of the ovary cannot be diagnosed with any certainty by ultrasound. The best that can be done is to identify characteristics that make it more likely to be malignant or benign. There are many benign pelvi.