New research from France may help explain why older people are less likely to survive melanoma. In a study of about 1,600 French individuals with melanomas that had not spread, researchers compared people who were older or younger than age 70 years. Melanomas in older people were three times more likely to be on the head and neck and nearly twice as likely to be thicker than 2 mm. In addition, older people were less likely to get regular skin exams and more likely to see general practitioners instead of dermatologists, which can compromise care — it took longer for older people to get their melanomas removed and the margins were less likely to be big enough to meet French guidelines. The researchers ask that general practitioners routinely give older people skin exams and then refer them to dermatologists as necessary.