epidemiology
Cancer Overdiagnosis: A Dermatopathologist’s Perspective
Dr. Bennett shared his perspective on melanoma overdiagnosis and how to address the problem. First, Dr. Bennett advised dermatologists to be careful about the language they use to describe melanoma screening and diagnosis. “Overdiagnosis” means using current diagnostic criteria to correctly diagnose a condition that may not harm the patient. Overdiagnosis does not mean misdiagnosis….
Skin Cancer Disparities in Patients with Skin of Color
The incidence of basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma is significantly lower in darker skin types. In Black people, BCC is 2000-fold less common, and SCC is 500–1000-fold less common compared to non-Hispanic white people. Melanoma-related mortality rates in the US-based Black population has been declining during the past 20 years. Non-white race is associated with later melanoma detection and lower survival rates. Multiple risk factors have been proposed for skin cancers in skin of color including immunosuppression and previous scaring. More research is needed to understand the primary drivers of skin cancer in skin of color.