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June 13, 2017. Melanoma of the head and neck has poor outcomes, but not just because of high-stakes realty. Evaluation of a large, prospectively-obtained California database of >11K cutaneous melanomas indicate that poor prognosis is largely driven by scalp locations, which have thicker Breslow depth and more frequent ulcerations. Other head and neck sites fared about as well as other locations on the body. Poor outcomes could result from later presentation, more extensive lymphatic drainage, or inadequate excisions. In any case, summer is here and we just gave you reason to feel good about splurging on this summer’s top hat fashion.