Skin Cancer Is a Risk No Matter the Skin Tone. But It May Be Overlooked in People With Dark Skin

OfTheCross

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I put on sunblock all the time. Have been doing so for a few years...don't get caught slippin out here folks.




The initial lab work didn’t give a clear diagnosis, but her new doctor said he was confident she had acral lentiginous melanoma, a form of skin cancer. Additional testing proved him right. While rare, it is the most common subtype of melanoma in Black people, like Shelton. It is the disease that killed reggae star Bob Marley at age 36, and is most often found on skin less frequently exposed to the sun, such as the hands, the soles of the feet, and under nails. Researchers do not understand what causes acral lentiginous melanoma, and they don’t know how to prevent it. It is often overlooked in skin checks or misdiagnosed.

Skin cancer, in general, is often missed or misdiagnosed in Black patients.

Historically, Black people and those with dark skin have been left out of efforts to combat skin cancer. Long neglected by sunscreen manufacturers and a medical community lagging in diversity and cultural competency — the acknowledgment of a patient’s heritage, beliefs, and values — many have not been informed about sun safety or how to check their skin for signs of damage or cancer.

To be sure, skin cancer rates are lower for people with dark skin tones. Melanoma is more than 20 times as common in white people as in African Americans, with an overall lifetime risk of 1 in 38 for white people compared with 1 in 1,000 for Black people. Melanin does provide some protection against sun damage, so those with more of it — those with darker skin — are better protected than those with fairer skin.

But overall, Black patients are more likely to be diagnosed with various forms of skin cancer at more advanced stages and have a higher mortality rate, said Dr. Janiene Luke, with the Skin of Color Society, a nonprofit that works to educate doctors and the public on skin health.

The five-year melanoma survival rate among non-Hispanic Black people is 66%, compared with 90% for non-Hispanic white people, according to a report by the Centers for Disease Control and Prevention. And 1 in 3 Black men or women diagnosed with melanoma in the U.S. die of the disease, compared with at least 1 in 7 for non-Hispanic white people, says the American Cancer Society.

Given the known disparities in outcomes, Dr. Valerie Harvey, president of the Skin of Color Society, said two areas of research are needed: studying educational initiatives to see if awareness might lead to earlier diagnosis and improved survival; and determining risk factors in patients with dark skin, especially factors leading to the occurrence of melanoma in places less exposed to the sun.
 

Laidbackman

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It's always been a misconception that dark-skinned people don't get skin cancer. If you notice, people in the hottest climates in Africa always wear long shirts or long pants to protect their skin from the sun. It's not like what you saw in those Tarzan movies.
 
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Professor Emeritus

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To be clear, it isn't known whether melanoma in Black folk is actually caused by sun exposure or by other factors. So sunscreen could be irrelevant to preventing it. The most important takeaway from the article is to be aware of the possibility of skin cancer (especially on your palms and soles) and report anything unusual to a doctor so that it can be addressed ASAP.
 

Majestyx

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It's always been a misconception that dark-skinned people don't get skin cancer. If you notice, people in the hottest climates in Africa always wear long shirts or long pants to protect their skin from the sun. It's not like what you saw in those Tarzan movies.
i be having arguments with people, especially women about this shyt :russ:. these people in the desert and in the hot AF ass places be wearing clothes. they not out here exposing themselves to the elements. them clothes be keeping them way cooler than if their bare skin was exposed, while blocking the UV
 

King Static X

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Yeah, when I was 13, I got sunburned while visiting family in Jamaica. Never even thought about being sunburned before.

That sh!t is nothing to play with. My shoulders got burnt and I could barely sleep for a couple days - it was painful as f*ck :francis:


Wear sunscreen y'all! #TeamSunscreen #SunscreenGang
 

NZA

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to be honest, i dont wear sunscreen, but i did learn to stop standing in the sun for long periods of time when i got a sunburn on my nose as a kid.
 

The Bilingual Gringo

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I lost my dad to skin cancer nearly 10 years ago and he was from the generation that did everything outside, and shirtless in the 60’s through the 80’s.

I actually had a spot removed from my head a few years ago so I have a goofball circumference sized spot missing up there. Now I go to the doctor twice a year for a check.

But I wear long sleeve shirts at the beach now, spf 55, and only out in the sun for 15 mins every hour. It’s honestly better though, I’m never burnt now and don’t have to worry about being uncomfortable, etc. Plus I’ll use sunscreen anytime I’m outside even at home. shyt is no joke regardless of who you are.
 

phcitywarrior

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Lmao, my folks never wore sunscreen / sunblock and they're good. If the Nigerian sun hasn't given me skin cancer yet then it aint here in the US that Ima be got :yeshrug:
 

FAH1223

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I’ve been swimming much more this summer outdoors since I injured my ankle/foot a couple months ago. I keep forgetting to use sunblock. But I always thought my Somali melanin kept me safe.

In Egypt I got burnt to a crisp. Darkest I’ve ever been
 
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