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Challenges and Controversy in Determining UV Exposure as a Risk Factor for Cutaneous Melanoma in Skin of Color

Challenges and Controversy in Determining UV Exposure as a Risk Factor for Cutaneous Melanoma in... Opinion EDITORIAL Challenges and Controversy in Determining UV Exposure as a Risk Factor for Cutaneous Melanoma in Skin of Color Nkanyezi N. Ferguson, MD Despite the lower prevalence of melanoma in people of color Assessment of risk factors based on melanoma subtype and compared with the White population, there is increased mor- location was not possible, as this information was not consis- tently reported in the articles reviewed. In addition, the con- bidity and mortality as evidenced by more advanced stage at 1,2 diagnosis and lower 5-year survival rates. This disparity per- clusions cannot be extrapolated to immunosuppressed per- sists in all racial minority sons, including transplant recipients, and individuals with groups with localized mela- established elevated melanoma risk, as these groups were ex- Related article noma and increasingly in His- cluded from the authors’ review. panic patients with regional or distant disease. Exposure to UV radiation, especially high intermittent exposure during Measuring UV Exposure Is Not an Easy or Reliable Task childhood, is a significant environmental risk factor for mela- How UV radiation exposure is determined in the literature var- noma in individuals with fair skin. However, for populations ies widely across studies. When evaluating the association be- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Dermatology American Medical Association

Challenges and Controversy in Determining UV Exposure as a Risk Factor for Cutaneous Melanoma in Skin of Color

JAMA Dermatology , Volume 157 (2) – Feb 16, 2021

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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2168-6068
eISSN
2168-6084
DOI
10.1001/jamadermatol.2020.4615
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Challenges and Controversy in Determining UV Exposure as a Risk Factor for Cutaneous Melanoma in Skin of Color Nkanyezi N. Ferguson, MD Despite the lower prevalence of melanoma in people of color Assessment of risk factors based on melanoma subtype and compared with the White population, there is increased mor- location was not possible, as this information was not consis- tently reported in the articles reviewed. In addition, the con- bidity and mortality as evidenced by more advanced stage at 1,2 diagnosis and lower 5-year survival rates. This disparity per- clusions cannot be extrapolated to immunosuppressed per- sists in all racial minority sons, including transplant recipients, and individuals with groups with localized mela- established elevated melanoma risk, as these groups were ex- Related article noma and increasingly in His- cluded from the authors’ review. panic patients with regional or distant disease. Exposure to UV radiation, especially high intermittent exposure during Measuring UV Exposure Is Not an Easy or Reliable Task childhood, is a significant environmental risk factor for mela- How UV radiation exposure is determined in the literature var- noma in individuals with fair skin. However, for populations ies widely across studies. When evaluating the association be-

Journal

JAMA DermatologyAmerican Medical Association

Published: Feb 16, 2021

References

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