Missed Diagnoses, Missed Opportunities: Closing the Gap in Skin Cancer for Patients of Color

Source: Dermatology Times, May 2025

Key Takeaways

  • Skin cancer in people of color is often diagnosed at advanced stages, resulting in higher morbidity and mortality rates.
  • Misconceptions about melanin’s protective benefits contribute to disparities in skin cancer diagnosis and outcomes.
  • Medical education should integrate comprehensive training on skin cancer presentations in patients of color.

As a fellowship-trained Mohs surgeon, I spend most of my time treating skin cancer and reassuring patients as they face one of the scariest moments of their lives. Although this is a daily occurrence, some cases never leave your thoughts—even after clinic is over. One patient has never left my mind: A 50-year-old Black man who came to the emergency department because of a bleeding lesion on the bottom of his foot. By the time he was finally diagnosed with acral lentiginous melanoma (ALM), the cancer had already metastasized.

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