The incidence of melanoma has more than doubled in the past 20 years in the United States. At Spectrum Dermatology of Seattle, we are dedicated to routine skin cancer screening with the use of dermoscopy (also termed epiluminescence microscopy), a non invasive method which allows inspection of skin lesions unobstructed by skin surface reflections. Our priority is the early detection and treatment of atypical moles and skin cancers including basal cell carcinoma, squamous cell carcinoma and melanoma. We offer photodynamic therapy for field therapy of actinic keratoses and prevention of non melanoma skin cancers. With recent advances in molecular genetics that facilitated further understanding of skin cancers, not only do we have better diagnostic and prognostic tools, we now have access to more effective, targeted treatment options for more advanced disease.