Study Rundown: Mitotic rate, a marker of cell proliferation, has been previously associated with decreased disease-free survival in patients with melanoma. However, its clinicopathologic associations have not been well established. The authors of this study sought to identify characteristics associated with high mitotic rate melanoma, with the ultimate objective to aid earlier detection of these aggressive tumors. High mitotic rate melanoma was clinically associated with a distinct phenotype including rapidly growing lesions, amelanosis, age ?70, male gender and location on the head and neck. Low mitotic rate was associated with family history of melanoma and history of blistering sunburns.