Skin Cancer In Patients Of Color
Kristen Richardson, PA-C • September 12, 2018
There is a wide spread myth that only fair skinned individuals are at risk for developing skin cancer, and this a very dangerous misconception. Skin of all colors, including brown and black toned skin, can develop skin cancer. By “skin of color” we are referring to everyone of African, Asian, Latin, Mediterranean, Middle-Eastern, and Native American decent. The incidence of melanoma is higher among the Caucasian population; however it can be deadlier in people with skin of color because it is all too often detected in a late stage. Even if you never sunburn, you can get skin cancer. Darker skin produces more of the pigment called melanin that does help protect skin — but only to a certain extent, which means that people of color can still in fact get sunburnt, and just one sunburn has been shown to significantly increase the risk of developing skin cancer. Recently, there was an African American football player for the University of Kentucky who was diagnosed with melanoma – he was only a Sophomore. He has since undergone a couple surgeries to remove the tumor.
In a survey done by the skin cancer foundation it was discovered that 63% of the African American participants said they had never used sunscreen. This is quite alarming. When skin cancer develops in people of color, it’s often in a late stage when diagnosed. This can be deadly when the person has melanoma, a type of skin cancer that can spread quickly to other organs. Treatment for any type of skin cancer can be difficult in the late stages. Dermatologists stress skin exams because skin cancer is most treatable when detected earlier.
Additionally, certain skin cancers are caused by factors other than UV — such as genetics or environmental influences — and may occur on parts of the body rarely exposed to the sun. For example, people who have dark skin are more susceptible to acral lentiginous melanoma (ALM), an especially dangerous form of melanoma that typically appears on the palms of the hands and soles of the feet. This is actually what killed Bob Marley when he was only 36.
One of the reasons that skin cancer in people of color are discovered in a later stage of development is because they may not know what exactly to look for. They are simply unaware of the warning signs. So how do you stay alert? What do you need to look for?
Look out for:
- A bump, patch, sore or growth that bleeds, oozes, crusts, doesn’t heal or lasts longer than a month. This may indicate basal cell carcinoma.
- An ulcer, scaly red patch, wart-like growth or sore that sometimes crusts or bleeds could be a sign of squamous cell carcinoma. This type of skin cancer can also develop in old scars or areas of previous physical trauma or inflammation.
- New or existing moles that are asymmetrical, have an irregular border, more than one color, are larger than a pencil eraser or change in any way may indicate melanoma. Pay special attention to suspicious spots on the hands, soles of the feet or under the nails, which could signify ALM.
We encourage everyone to have routine skin checks. Whether you prefer to do them yourself or you want an extensive one done with one of our providers, it doesn’t matter. The most important thing is that you are having them done so that changes in your skin are monitored. If there is a spot you are unsure about, you can always utilize our mobile app to send us questionable lesions.
Below are some examples of lesions that were cancerous in various ethnicities:
Asian: The most common sign of skin cancer in Asians is often a roundish, raised brown or black growth. Skin cancer also shows up in other ways, so be sure to check your skin carefully.
African: In people with brown or black skin, skin cancer often develops on parts of the body that get less sun like the bottom of the foot, lower leg, and palms. Skin cancer may also begin under a nail, around the anus, or on the genitals. It’s important to check these areas.
Latino: Skin cancer can appear on the skin in many ways. If you have a growth on your skin that is getting bigger, a patch of scaly skin, or a dark streak under or around a nail, make an appointment to see a dermatologist.
At Pine Belt Dermatology & Skin Cancer Center, we believe education is key to protecting and maintaining healthy skin. July is significant for skin health, featuring both UV Safety Awareness Month and World Skin Health Day on July 8 . These occasions highlight the importance of sun protection and raise awareness of common concerns, such as hyperpigmentation and melasma . Understanding how ultraviolet (UV) exposure affects your skin helps prevent long-term damage and supports a healthier, more even complexion. Why UV Protection Matters The sun emits ultraviolet rays that can damage skin even on cloudy days. While many associate UV exposure with sunburn, its effects are broader. Repeated UV exposure accelerates skin aging, increases skin cancer risk, and contributes to pigmentation disorders. Common effects of excessive UV exposure include: • Sunburn and skin irritation • Premature aging, including fine lines and wrinkles • Dark spots and uneven skin tone • Increased risk of skin cancer • Worsening of hyperpigmentation and melasma Daily sun protection is one of the most effective ways to maintain healthy skin and reduce preventable damage. What Is Hyperpigmentation? Hyperpigmentation is a common condition where areas of skin become darker than the surrounding tissue due to excess melanin production. Multiple factors can contribute to hyperpigmentation, including: • Sun exposure • Acne scars and inflammation • Hormonal changes • Skin injuries or irritation • Certain medications While hyperpigmentation is mostly harmless, many seek treatment to improve skin tone as well as restore confidence. Understanding Melasma Melasma is a type of hyperpigmentation that shows up as brown or gray-brown patches, typically on the cheeks, forehead, nose, and upper lip. Melasma is frequently associated with: • Hormone changes during pregnancy • Birth control medications • Hormone replacement therapy • Genetic predisposition • Sun exposure Although melasma is not dangerous, it can be difficult to treat because UV exposure frequently triggers or worsens it. Even minimal sun exposure can increase pigment production and make discoloration more noticeable. Protecting Your Skin from UV Damage Whether you are concerned about skin cancer, hyperpigmentation, or melasma, daily sun protection is essential. Dermatologists suggest: • Using sun lotion with SPF 30 or higher every day • Reapplying sunscreen every two hours when outdoors • Wearing wide-brimmed hats and protective clothing • Seeking shade during peak sunlight hours • Wearing UV-protective sunglasses • Avoiding tanning beds Consistent sun protection helps prevent new pigmentation issues. World Skin Health Day: A Reminder to Prioritize Skin Care Observed annually on July 8, World Skin Health Day encourages preventive steps to maintain healthy skin. This is a reminder to perform regular self-exams, schedule dermatology visits, and address concerns early. If you notice persistent dark spots, changes in pigmentation, or new skin lesions, seek an expert assessment to determine the cause and identify treatment options. Supporting Healthy Skin Year-Round UV Safety Awareness Month and World Skin Health Day remind us that protecting your skin is an investment in long-term health. Practicing sun safety and understanding conditions like hyperpigmentation and melasma help preserve your skin’s health, appearance, and function. At Pine Belt Dermatology & Skin Cancer Center, our team provides personalized evaluations and treatments for pigmentation concerns, sun-damaged skin, and overall skin health. Plan a visit and learn how we can help you achieve healthier, more confident skin.
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When a ‘Rash’ Might Be Something More Serious At Pine Belt Dermatology & Skin Cancer Center, we recognize that rashes are common and frequently resolve quickly with minimal treatment. However, some rashes may signify underlying conditions that require prompt medical attention. Identifying when a rash is more than a minor irritation is key to protecting your health. Comprehending Common vs. Concerning Rashes Most everyday rashes result from irritants, allergies, heat, or minor infections and typically improve within a few days with over-the-counter treatments. However, if a rash lasts longer, worsens, or appears with other symptoms, it may signal a more serious issue. Identifying the difference between a routine rash and one that requires medical evaluation helps avoid complications and ensure appropriate care. Warning Signs to Watch For Certain features may indicate a rash requires clinical assessment, including: Rapidly spreading or worsening rash Severe pain, swelling, or blistering Signs of infection such as pus, warmth, or red streaks Fever or flu-like symptoms accompanying the rash A rash that does not improve after several days of treatment Dark, purple, or bruised-looking areas on the skin For example, a rash with fever may indicate a viral or bacterial infection, whereas painful blistering can suggest conditions such as shingles. In rare cases, rashes may signal autoimmune disorders or severe allergic reactions. Rashes That May Point to Underlying Conditions Some rashes may be linked to broader health concerns, including conditions that cause inflammation in the skin and other organs: Allergic reactions that may escalate into further severe responses Infections that spread beyond the skin if untreated Medication reactions that require immediate adjustment Persistent or unusual skin changes may be early signs of skin cancer or precancerous conditions, especially if they do not heal or continue to change over time. Why Early Evaluation Matters Delaying care for a worrisome rash may allow the underlying condition to progress. Early diagnosis improves treatment outcomes and helps prevent discomfort and complications. A dermatology specialist can assess the rash’s appearance, location, and progression, and may recommend diagnostic tests if needed. This approach assures treatment addresses the underlying cause, not just the visible symptoms. When to See a Dermatology Specialist If you are unsure about your rash, it is best to err on the side of caution. Consider seeking care if: The rash is persistent, painful, or unusual in appearance Over-the-counter treatments are not effective You experience additional symptoms such as fever or fatigue The rash interferes with your daily comfort or quality of life At Pine Belt Dermatology & Skin Cancer Center, our experienced providers supply comprehensive skin evaluations and customized treatment plans. We take time to understand your symptoms and deliver clear, effective solutions tailored to your needs. Protecting Your Skin and Your Health While many rashes are minor, some may be early warning signs of more serious health concerns. Monitoring skin changes and pursuing prompt medical advice can produce a notable effect. If you notice a rash that does not seem right, do not ignore it. Schedule a consultation with Pine Belt Dermatology & Skin Cancer Center for expert evaluation and peace of mind. Your skin is an important indicator of your overall health, and taking it seriously supports ongoing well-being.
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