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Melanoma: differences between Asian and Caucasian patients
Haur Yueh Lee1, Wen Yee Chay, Mark By Tang
1Dermatology Unit, Singapore General Hospital, Singapore.
Annals of the Academy of Medicine, Singapore
|April 14, 2012
Summary
Melanoma presentation varies by ethnicity in Singapore. Asian patients, particularly those with acral lentiginous melanoma (ALM), experience delayed diagnosis compared to Caucasians.
Area of Science:
- Dermatology
- Oncology
- Epidemiology
Background:
- Cutaneous melanoma is uncommon in Asia, with limited data on its clinical presentation and outcomes in Southeast Asia.
- Ethnic variations in melanoma presentation among different racial groups remain unclear.
Purpose of the Study:
- To describe the clinical characteristics of melanoma in Singapore.
- To identify and highlight ethnic differences in melanoma presentation between Asians and Caucasians in Singapore.
Main Methods:
- Retrospective data collection from 48 patients with histologically confirmed melanoma.
- Patients were recruited from the National Skin Centre and National Cancer Centre of Singapore.
Main Results:
- Acral lentiginous melanoma (ALM) was the predominant subtype (50%).
- Non-ALM subtypes had higher rates of early-stage diagnosis (48% vs. 25% for ALM).
- Asian patients showed a trend towards older age, higher ALM prevalence, and longer diagnostic delays (27 months for ALM vs. 12 months for others) compared to Caucasians.
Conclusions:
- Geographical and ethnic factors influence melanoma's clinical presentation.
- Targeted awareness programs are crucial for the Asian population, emphasizing examination of palms and soles to reduce diagnostic delays.
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