The Role of Genetics in Malignant Melanoma: A Comprehensive Review.

Publication date: Aug 01, 2026

Malignant melanoma represents a lethal cutaneous malignancy. This review article highlights somatic mutations as well as high- and moderate-penetrance germline genetic mutations frequently found in melanoma. BRAF and CDKN2A remain the most frequently identified somatic and germline mutations respectively; however, numerous others have been implicated including KRAS, c-KIT, CDK4, BAP1, TERT, POT1, ACD/TERF2IP and ATM. Approximately half of patients with familial melanoma syndrome do not have clearly identified or documented mutations. Thus, screening recommendations vary and polygenic risk scoring systems aid in personalized risk stratification and screening approaches. Collectively, this review synthesizes genetic insights to support precision-based clinical decision making.

Concepts Keywords
Familial Cutaneous malignancy
Genetic Familial melanoma syndrome
Lethal Genetic screening guidelines
Melanoma Genetic Testing
Terf2ip Germ-Line Mutation
Germline mutation
Humans
Malignant melanoma
Melanoma
Melanoma genetics
Mutation
Polygenic risk scoring
Skin Neoplasms
Somatic mutation

Semantics

Type Source Name
disease MESH Malignant Melanoma
disease MESH malignancy
pathway KEGG Melanoma
disease MESH ACD
disease MESH familial melanoma
disease MESH syndrome
disease MESH Genetic Predisposition to Disease
disease MESH Skin Neoplasms

Original Article

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