“…Malignant transformation of melanocytes with further progression to advanced stages, collectively called melanomagenesis, is initiated and driven by environmental, genetic (inheritable), constitutional, and epigenetic factors, as well as by acquired mutations with the accumulation of genomic changes further amplified by local and systemic neuroimmunoendocrine factors affecting progression of the disease [ 1 , 2 , 4 , 6 , 9 , 11 , 12 , 13 , 14 , 30 , 32 , 50 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 ]. Since these factors have been discussed in many review articles, we will only provide a brief overview of them.…”