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Black patients face heightened risk of developing second primary melanoma

Recent findings underscore significant health disparities in melanoma risk among different racial and ethnic groups in the United States. A study published in JAMA Dermatology reveals that individuals diagnosed with melanoma—regardless of their racial or ethnic background—face a heightened risk of developing a second primary melanoma. This risk is particularly alarming among Black patients, who exhibit the highest relative risk compared to other groups, challenging the narrative that melanoma is predominantly a concern for white patients.

Despite melanoma being less common in minority populations, the study found that the subsequent incidence of second melanomas rates in these groups can be comparable to those seen in white patients. Investigators analyzed data from over half a million patients, revealing that while Black patients had a high relative risk, white patients had the highest absolute numbers of secondary diagnoses. This disparity emphasizes the critical need for continued follow-up and skin examinations for all melanoma patients.

Such findings prompt important conversations among dermatologists about the necessity for equitable patient counseling across races. Adewole Adamson, a co-author of the study, notes that this research aims to bridge the knowledge gap regarding melanoma risk by highlighting the importance of absolute risk measures in informing patient care and improving health outcomes among diverse populations. The imperative for ongoing awareness and education could significantly enhance melanoma management in vulnerable communities.

See “Melanoma Risk Increases for All Racial and Ethnic Groups After First Diagnosis” (November 13, 2024)