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Skin Cancer in Skin of Color

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Skin Cancer Management

Abstract

Skin cancer is the most common malignancy in the United States.1 While skin cancer is less common in people with skin of color, it is more often associated with an increased incidence of morbidity and mortality as compared to white counterparts.2,3 This imbalance has significant public health concerns. Current skin cancer campaigns focus on Caucasian patients in high-risk groups. There is a paucity of literature on skin cancer in skin of color. Most physicians do not immediately associate skin cancer with skin of color, and little is known about the sun-protective behaviors of those with skin of color. Similarly the collection of statistics for skin cancer in skin of color is challenging as non-melanoma skin cancers (NMSC) are not consistently reported to tumor registries, and many NMSCs in skin of color are reported as melanomas. According to the 2,000 census,4 by the year 2050, 50% of the US population will be non-white. This changing demographic, combined with the disparate mortality, makes it imperative that physicians become familiar with skin cancer in skin of color so that they may better educate these patients on risk factors and early detection.

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References

  1. US Department of Health and Human Services. Healthy People 2010. 2nd ed. Understanding and improving health and objectives for improving health. Vol 2. Washington, DC: US Government Printing Office; November 2000.

    Google Scholar 

  2. Gloster HM Jr, Brodland DG. The epidemiology of skin cancer. Dermatol Surg. 1996;22:217–226

    Article  PubMed  Google Scholar 

  3. Jemal A, Siegel R, Ward E, et al. Cancer Statistics, 2006. Ca Cancer J Clin. 2006;56:106–130.

    Article  PubMed  Google Scholar 

  4. US Census Bureau Population Division. Projections of the resident population by race, Hispanic origin, and nativity: middle series, 1999–2100. Washington, DC: US Census Bureau; 2000.

    Google Scholar 

  5. Montagna W. The architecture of black and white skin. J Am Acad Dermatol. 1991;24:29–37.

    Article  Google Scholar 

  6. Halder RM, Bridgeman-Shah S. Skin cancer in African Americans. Cancer. 1995;75:667–673.

    Article  CAS  PubMed  Google Scholar 

  7. Halder RM, Ara CJ. Skin cancer and photoaging in ethnic skin. Dermatol Clin. 2003;21:725–732

    Article  PubMed  Google Scholar 

  8. Halder RM, Ara CJ. Skin cancer and photoaging in ethnic skin. Dermatol Clin. 2003;21:725–732

    Article  PubMed  Google Scholar 

  9. American Cancer Society, Non melanoma skin cancer detailed guide. http://documents.cancer.org/118.00. Accessed 12/19/08.

  10. Naruse K, Ueda M, Nagana T, et al. Prevalence of actinic keratoses in Japan. J Dermatol Sci. 1997;15:183–187.

    Article  CAS  PubMed  Google Scholar 

  11. Scotto J, Fears TR, Fraumeni JF. Incidence of nonmelanoma skin cancer in the United States. Washington, DC: US Government Printing Office; 1983. NIH report no. 83–2433

    Google Scholar 

  12. Weinstock MA. Epidemiology of melanoma. Cancer Treat Res. 1993;65:29–56.

    CAS  PubMed  Google Scholar 

  13. Koh D, Wang H, Lee J, et al. Basal cell carcinoma, squamous cell carcinoma and melanoma of the skin: analysis of the Singapore Cancer Registry Data 1968–1997. Br J Dermatol. 2003;148:1161–1166.

    Article  CAS  PubMed  Google Scholar 

  14. Halder RM, Bang KM. Skin cancer in blacks in the United States. Dermatol Clin. 1988;6:397–405.

    CAS  PubMed  Google Scholar 

  15. Penello GA, Devesa S, Gail M. Association of surface ultraviolet B radiation levels with melanoma and nonmelanoma skin cancer in United States blacks. Cancer Epidemiol Biomarkers Prev. 2000;9:291–297.

    Google Scholar 

  16. Sing B, Bhaya M, Shaha A, et al. Presentation, course and outcome of head and neck cancer in African Americans: a case controlled study. Laryngoscope. 1998;108:1159–1163.

    Article  Google Scholar 

  17. Chorun L, Norris JE, Gupta M. Basal Cell carcinoma in Blacks: a report of 15 cases. Am Plast Surg. 1994;33:90–95.

    Google Scholar 

  18. Nadiminti U, Rakkhit T, Washington C. Morpheaform basal cell carcinoma in African Americans. Dermatol Surg. 2004;30:1550–1552.

    Article  PubMed  Google Scholar 

  19. Lesher JL, d’Aubermont PC, Brown VM. Morpheaform basal cell carcinoma in a young black woman. J Dermatol Surg Oncol. 1988;14:200–203.

    PubMed  Google Scholar 

  20. Cheng SY, Luk NM, Chong LY. Special features of non-melanoma skin cancer in Hong Kong Chinese patients: 10 year retrospective study. Hong Kong Med J. 2001;7:22–28.

    CAS  PubMed  Google Scholar 

  21. Matsuoka LY, Schauer PK, Sordillo PP. Basal cell carcinoma in black patients. J Am Acad Dermatol. 1981;4(6):670–672.

    Article  CAS  PubMed  Google Scholar 

  22. Briley JJ, Chaveda K, Lynfield YL. Sunscreen use and usefulness in African Americans. J Drugs Dermatol. 2007;6(1):19–22.

    PubMed  Google Scholar 

  23. Ferdinand KC, Armani AM. The management of hypertension in African Americans. Crit Pathw Cardiol J Evid Based Med. 2007 June;6(2):67–71.

    Article  Google Scholar 

  24. Mora RG, Perniciaro C. Cancer of the skin in blacks: a review of 163 black patients with cutaneous squamous cell carcinoma. J Am Acad Dermatol. 1981;5:535–543.

    Article  CAS  PubMed  Google Scholar 

  25. Hale EK, Jorizzo JL, Nehal KS, et al. Current concepts in the management of actinic keratosis. J Drugs Dermatol. 2004, March–April;3(2 Suppl):S3–16.

    PubMed  Google Scholar 

  26. Suzuki T, Ueda M, Naruse K, et al. Incidence of actinic keratosis of Japanese in Kasai City, Hyogo. Dermatol Sci. 1997;16:74–78.

    Article  CAS  Google Scholar 

  27. Halder RM, Bang KM. Skin cancer in blacks in the United States. Dermatol Clin. 1988;6:397–405.

    CAS  PubMed  Google Scholar 

  28. Mora RG, Perniciaro C, Lee B. Cancer of the skin in blacks III: a review of nineteen black patients with Bowen’s disease. J Am Acad Dermatol. 1984;11:557–562.

    Article  CAS  PubMed  Google Scholar 

  29. Mora RG. Surgical and aesthetic considerations of cancer of the skin in the black American. Am J Dermatol Surg Oncol. 1986;12:24–31.

    CAS  Google Scholar 

  30. Fleming ID, Barnawell JR, Burlison PE, et al. Skin cancer in black patients. Cancer. 1975;35:600–605.

    Article  CAS  PubMed  Google Scholar 

  31. Schamroth JM, Weiss RM, Grieve TP. Verrucous Bowen’s disease in an African American patient. S Afr Med J. 1987;71:527–528.

    CAS  PubMed  Google Scholar 

  32. Krishnan R, Lewis A, Orengo IG, et al. Pigmented Bowen’s disease (squamous cell carcinoma in situ): a mimic of malignant melanoma. Dermatol Surg. 2001;27:673–674.

    Article  CAS  PubMed  Google Scholar 

  33. Ries LAG, Melbert D, Krapcho M, et al. SEER Cancer statistics review, 1975–2005, Bethesda, MD: National Cancer Institute. http://seer.cancer.gov/csr/1975_2005/. Accessed 12/18/08.

  34. Cress RD, Holly EA. Incidence of cutaneous melanoma among non-Hispanic whites, Hispanics, Asians and Blacks: an analysis of California Cancer Registry data, 1988–1993. Cancer Causes Control. 1997;8:246–252.

    Article  CAS  PubMed  Google Scholar 

  35. Greenlee RT, Murray T, Bolden S, et al. Cancer statistics, 2000. CA Cancer J Clin. 2000;50(1):7–33.

    Article  CAS  PubMed  Google Scholar 

  36. Washington CV, Grimes PE. Incidence and prevention of skin cancer. Cosmetic Dermatol. 2003;16:46–48.

    Google Scholar 

  37. Stone ML, Styles AR, Cockerell CJ, et al. Hypopigmented mycosis fungoides: a report of 7 cases and review of the literature. Cutis. 2001;67:133–138.

    Google Scholar 

  38. Akaraphanth R, Douglass MC, Lim HW. Hypopigmented mycosis fungoides: treatment and a 61/2 year follow up of 9 patients. J Am Acad Dermatol. 2000;42:33–39.

    Article  CAS  PubMed  Google Scholar 

  39. Wienstock MA, Horm JW. Mycosis fungoides in the United States. JAMA. 1988;260:42–46.

    Article  Google Scholar 

  40. Stone MC, Styles AR, Cockerell CJ. Hypopigmented mycosis fungoides: a report of 7 cases and review of the literature. Cutis. 2001;67:133–138.

    Google Scholar 

  41. Whitmore SE, Simmons-O’Brien E, Rotter FS. Hypopigmented mycosis fungoides. Arch Dermatol. 1994;130:476–480.

    Article  CAS  PubMed  Google Scholar 

  42. LeFlore IC. Misconceptions regarding elective plastic surgery in the black patient. J Natl Med Assoc. 1980;72:947–948.

    CAS  PubMed  Google Scholar 

  43. Arnold HL, Franer FH. Keloids: etiology and management by excision and intensive prophylactic radiation. Arch Dermatol. 1959;80:772

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Dermatology, Skin Wellness Center of Chicago, Northwestern Memorial Hospital, Chicago, IL, USA

    Brooke A. Jackson MD (Medical Director, Assistant Clinical Professor)

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  1. Brooke A. Jackson MD
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Editors and Affiliations

  1. One Hermann Museum Circle , Houston, 77004, U.S.A.

    Deborah F. MacFarlane

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Jackson, B.A. (2009). Skin Cancer in Skin of Color. In: MacFarlane, D.F. (eds) Skin Cancer Management. Springer, New York, NY. https://doi.org/10.1007/978-0-387-88495-0_16

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  • DOI: https://doi.org/10.1007/978-0-387-88495-0_16

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  • Online ISBN: 978-0-387-88495-0

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