Dr. Om clears up misconceptions about skin cancer in patients of color.
Following up on our last blog post about the advancements in laser treatment options {link here} for our patients with darker skin, we’re touching on a very important subject surrounded by myths and misinformation: skin cancer among patients of color.
Skin cancer is a significant health concern, but there are many misconceptions, particularly when it comes to people with darker skin tones. While it’s true that individuals with more melanin are less likely to develop skin cancer than their fair-skinned counterparts, they are not immune. In fact, skin cancer in people with darker skin tones often presents unique challenges and considerations. In this post, Dr. Om explores some important facts about skin cancer and skin of color
Myth: People with Darker Skin Tones Are Immune to Skin Cancer
“It’s a common misconception that individuals with darker skin tones are immune to skin cancer. While it’s true that they have more melanin, or as I like to call it, “built-in sunscreen,” melanin provides some natural protection against harmful UV radiation. This means they are less likely to develop skin cancer, but it doesn’t make them entirely immune.” Dr. Om shares. Moreover, skin cancer can be caused by factors other than UV exposure, such as HPV infection, radiation exposure, chronic wounds or conditions (like lupus or HS), and exposure to substances like arsenic. Certain types of skin cancer, like melanoma and basal cell carcinoma (BCC), are more heavily influenced by UV damage, but others, such as cutaneous T-cell lymphoma (CTCL), dermatofibrosarcoma protuberans (DFSP), and Kaposi’s sarcoma (KS), are less associated with UV damage and are relatively more common in skin of color.
Recognizing Skin Cancer in Darker Skin Tones
Recognizing skin cancer in individuals with darker skin tones can be more challenging because healthcare providers may not be as familiar with the diverse ways it can present. Skin cancer can also appear in atypical locations, making early detection crucial. Additionally, the color of skin lesions may differ. Lesions that appear red in Caucasian skin may appear more purple in darker skin tones.
Considerations for Mohs Surgery on Skin of Color
Mohs surgery is a specialized technique for removing skin cancer layer by layer, which several of our providers are deeply experienced in. It is an incredible option for treating skin cancer when detected early. Due to longer delays in diagnosing skin cancer in darker skin, many of these patients have not sought treatment in time for Mohs surgery and require more aggressive treatments. This is why it is so important for people of all skin tones to make a priority of skin checks with a professional!
When dark-skinned patients are able to be treated with Mohs surgery, hyperpigmentation is an issue our providers keep in mind. With more melanin, this skin can be triggered after a surgical procedure and could form keloids (a thick, raised scar). “One of the primary concerns during healing after Mohs surgery is hyperpigmentation. Patients should follow their surgeon’s advice for post-operative wound care, which often includes using sunscreen to protect the healing area.” Dr. Om advises.
Skin Cancer Prevention for People with Darker Skin Tones
Preventing skin cancer in individuals with darker skin tones is essential for their long-term health. Here are some key tips to keep in mind, from Dr. Om’s expertise in the area:
- No One Is Immune: Regardless of your skin tone, you can get skin cancer. Regular self-skin exams at home, at least monthly, are essential. Pay particular attention to areas like your fingers, toes, and nails, where skin cancers can sometimes hide.
- Sunscreen Matters: While individuals with darker skin tones have some natural protection, sunscreen is still crucial. UV radiation can harm anyone, so apply sunscreen with at least SPF 30, especially when spending time outdoors. Avoid tanning beds altogether.
- Learn from History: Remember that skin cancer can occur in unexpected places. Legendary Jamaican musician Bob Marley tragically died from melanoma under his toenail, highlighting the importance of thorough self-examinations.
Skin cancer is a threat that affects people of all skin tones, and early detection and prevention are key. Understanding the unique challenges and considerations for skin cancer in people with darker skin tones is crucial for both patients and healthcare providers. Regular self-exams, sunscreen use, and seeking professional medical advice for any suspicious skin changes are essential steps toward a healthier, cancer-free future.
If you have specific questions about your skin or are overdue for a skin check, call to make an appointment today! (704) 375-6766