Melanoma in skin of color: Part II. Racial disparities, role of UV, and interventions for earlier detection

Advances in Early Detection of Melanoma and the Future of At-Home Testing

“…Greater transparency in these deeplearning technologies is required for them to become more socially acceptable and more useful for non-specialist use. Efforts must also be made to address the imbued racial and socioeconomic biases in the software such that they can serve to improve, rather than reinforce, the healthcare disparities already present in the diagnosis of melanoma [103][104][105]. Institutional Review Board Statement: Not applicable.…”

Melanoma Detection in Alaska Native, American Indian, Asian, Black, Hispanic, and Pacific Islander Patients in a Large Skin Cancer Screening Initiative

“…The low absolute number of melanomas but their more aggressive nature, particularly in Black individuals (one nodular and one acral lentiginous subtype), suggests that approaches other than routine skin cancer screening may be more useful in addressing screening disparities, including physician and public education about the variable presentation of melanomas in racial and ethnic minority groups (including common locations and unique locations, such as acral sites), timely access to high-quality care, and improved diagnostic tools for non–UV-induced melanomas (eg, acral lentiginous lesions) . All patients with melanoma had seen their primary care clinician at least once in the 6 months prior to diagnosis, suggesting potential missed opportunities for earlier diagnosis or that rapidly growing melanomas are less amenable to early physician detection through periodic screening.…”

“…While melanoma incidence is highest among non-Hispanic White individuals, other racial and ethnic populations have poorer melanoma survival . Proposed strategies to address this difference include expanded education and skin cancer screening, although no data exist to support either approach .…”

Dermatology in black skin

“… 93 Black individuals are less likely to use sun protection, as they believe it is unnecessary. 30 Table 3 93 , 94 , 95 illustrates the main characteristics and differences between non-melanoma and melanoma cancer in black skin.…”