Cutaneous melanoma in Asian‐Americans

Shin, Susanna; Palis, Bryan E.; Phillips, Jerri Linn; Stewart, Andrew K.; Perry, Roger R.

doi:10.1002/jso.21195

Cited by 28 publications

(35 citation statements)

References 38 publications

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“…10 Over the past 15 years, an increasing incidence of invasive ALM among Hispanics has also been documented. 11 Lack of awareness of melanoma in those with ethnic skin and prevalence in anatomical sites that are often not inspected by physicians may contribute to presentation at advanced stages of the disease.…”

mentioning

confidence: 99%

Effectiveness of a knowledge-based intervention for melanoma among those with ethnic skin

Kundu

Kamaria

Ortiz

et al. 2010

Journal of the American Academy of Dermatology

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confidence: 99%

Effectiveness of a knowledge-based intervention for melanoma among those with ethnic skin

Kundu

Kamaria

Ortiz

et al. 2010

Journal of the American Academy of Dermatology

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“…Based on data from the National Cancer Data Base, Shin et al reported that Asian-Americans represented 1237 of the 483 050 cutaneous melanoma diagnoses between 1986 and 2005, clearly suggesting an under-representation of these patients compared to the general population 2. Interestingly, Asian patients were more likely to have acral lentiginous melanoma, and to present with higher tumour stage compared to white patients, further suggesting a unique biology for these patients compared to Caucasians 2…”

Section: Introductionmentioning

confidence: 99%

Cutaneous Spitzoid melanoma in a very young girl of Asian descent

Miranda¹,

Kashani‐Sabet

Zedek

et al. 2011

Case Reports

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Cutaneous melanoma is extremely uncommon in children. Further, Asian-Americans appear to be at decreased risk for cutaneous melanoma. The authors present the case of a prepubescent Asian girl who presents with the rare spitzoid variant of cutaneous melanoma. The patient is a 4-year-old girl of Chinese descent who presented with a red, raised nodule, which increased in size over a 3-month period. She underwent wide local excision with sentinel lymph node dissection. On histopathologic analysis, she was found to have Spitzoid melanoma of childhood/adolescence. Spitzoid melanoma in children is rare and incompletely understood. A recent systematic review was only able to identify 82 such cases published over a 57-year period. To our knowledge, this is the first report of Spitzoid melanoma in a paediatric age patient of Asian descent. While this clearly is an uncommon demographic, it seeks to highlight important differences in racial predilection for Spitzoid melanoma.

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“…Conversely, Hispanics, blacks, and Asians are more likely to present with late-stage melanoma (regardless of subtype) at the time of diagnosis. 3–4 , 11 …”

Section: Discussionmentioning

confidence: 99%

“…12 Lee et al found greater delays in diagnosis among Asian patients with ALM 13 , and other studies have demonstrated thicker lesions at diagnosis in ethnic minorities. 4,9 …”

Section: Discussionmentioning

confidence: 99%

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Patient-reported frequency of acral surface inspection during skin examination in white and ethnic minority patients

Tsai

Chiu

2014

Journal of the American Academy of Dermatology

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Background Acral lentiginous melanomas (ALM) compose a higher proportion of melanomas and have a higher mortality in ethnic minorities than in whites. Early detection by acral surface inspection during skin examinations may lead to improved ALM outcomes. Objective This study compared patient-reported frequencies of acral skin examinations in ethnic and white populations. Methods Written surveys were collected from 1,040 dermatology clinic patients. Results More whites reported performing self-skin examinations (SSE) than ethnic minorities (p<0.01), but there was no difference in the rates of hand (p=0.7) or foot (p=0.87) inspection during SSE between whites and ethnic minorities. More whites (77.5%) than ethnic minorities (38.9%) reported having undergone a full body skin examination (FBSE) from a healthcare provider (HCP) (p<0.01). During their most recent FBSE by a HCP, more whites than ethnic minorities reported having their hands examined (p=0.02), but there was no difference in reported hand inspection (p=0.06) at any previous FBSE or foot inspection at any (p=0.07) or the most recent (p=0.59) FBSE between whites and ethnic minorities. Limitations Single-center study using a new unvalidated survey. Conclusion Whites were found to more frequently report SSE and FBSE than ethnic minorities, but significant differences in reported acral exams were not detected.

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Cutaneous melanoma in Asian‐Americans

Abstract: This is the largest study to date on melanoma in AsA. Compared to NHW, AsA are more likely to have acral lentinginous tumors, thick tumors, and higher stage. Despite this, their survival is similar to the NHW population.

Cited by 28 publications

References 38 publications

Effectiveness of a knowledge-based intervention for melanoma among those with ethnic skin

Effectiveness of a knowledge-based intervention for melanoma among those with ethnic skin

Cutaneous Spitzoid melanoma in a very young girl of Asian descent

Patient-reported frequency of acral surface inspection during skin examination in white and ethnic minority patients

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