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美国西班牙裔人群中的黑色素瘤:减少治疗结果差异的推荐策略

Melanoma in US Hispanics: recommended strategies to reduce disparities in outcomes.

作者信息

Harvey Valerie M

机构信息

Hampton University Skin of Color Research Institute, Virginia, and the Hampton Roads Center for Dermatology, Newport News, Virginia, USA.

出版信息

Cutis. 2018 Apr;101(4):243-246.

Abstract

Cutaneous melanoma is the most fatal form of skin cancer and presents a considerable public health concern in the United States. Although the age-adjusted incidence of melanoma among US Hispanics is lower than that of non-Hispanic whites (NHWs), Hispanics who are diagnosed with melanoma are more likely to present with thicker primary tumors, metastatic disease, and lower 5-year melanoma-specific survival rates than NHWs. Melanoma risk factors and reasons for late presentation among Hispanics are not completely understood. In this review, the epidemiology and clinical presentation of melanoma in Hispanics is summarized, and recommendations for a research agenda to advance understanding of this disease in the most rapidly growing segment of the US population is provided.

摘要

皮肤黑色素瘤是最致命的皮肤癌形式,在美国引起了相当大的公共卫生关注。尽管美国西班牙裔人群中黑色素瘤的年龄调整发病率低于非西班牙裔白人(NHW),但被诊断患有黑色素瘤的西班牙裔患者比NHW更有可能出现原发性肿瘤更厚、转移性疾病以及5年黑色素瘤特异性生存率更低的情况。西班牙裔人群中黑色素瘤的危险因素和就诊延迟的原因尚未完全明确。在本综述中,总结了西班牙裔人群中黑色素瘤的流行病学和临床表现,并针对推进对美国人口增长最快的这一群体中该疾病的理解提出了研究议程建议。

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