CE en no blancos
Risk Factors for Keratinocyte Carcinoma Skin Cancer in Nonwhite Individuals
TAKE-HOME MESSAGE
- In this retrospective chart review, squamous cell carcinoma (SCC) was the most common skin cancer in blacks and Asians and basal cell carcinoma was the most common skin cancer in Hispanics among a population of individuals who received a biopsy-proven diagnosis of skin cancer between June 2008 and June 2015. The majority of the SCC in blacks occurred in sun-protected areas (in particular, the anogenital region). Current smokers were diagnosed with skin cancer an average of 12.27 years earlier than former smokers and 9.36 years earlier than nonsmokers.
- Although rates of skin cancer overall are higher in the white population, nonwhite individuals may experience greater associated morbidity and mortality. Photoprotection and skin cancer screening are recommended for nonwhite patients, as is active examination of sun-protected areas. Smoking cessation should be part of dermatologic counseling of all patients.
– InYoung Kim, MD, PhD
Abstract
BACKGROUND
As the majority of the U.S. population will consist of nonwhite individuals by the year 2043, it is essential that both physicians and patients are educated about skin cancer in nonwhite individuals.
OBJECTIVE
To update the epidemiology, investigate specific risk factors, and facilitate earlier diagnosis and intervention of KC in nonwhite individuals
METHODS
RB-approved retrospective chart review of all non-white individuals who had received a biopsy-proven diagnosis of skin cancer at Drexel Dermatology from June 2008 to June 2015.
RESULTS
Squamous cell carcinoma (SCC) was the most commonly diagnosed skin cancer in Black and Asian populations, while basal cell carcinoma (BCC) was the most common skin cancer in Hispanics. Blacks exhibited the majority of their SCC lesions in sun-protected areas, particularly the anogenital area. On average, current smokers were diagnosed with skin cancer 12.27 years earlier than former smokers and 9.36 years earlier than nonsmokers.
LIMITATIONS
Single-center design and inter-practitioner variability of skin examination
CONCLUSIONS
The importance of photoprotection in nonwhite individuals should not go overlooked. However, emphasis should also be placed on active examination of sun-protected areas in nonwhites and recognition of the relationship between HPV and genital SCC lesions. Smoking cessation should be integrated in dermatologic counseling of all patients. Interventions tailored to each of these ethnic groups are needed.
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posted by dermatica at
February 15, 2019
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