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  • Presentation

Melanoma in Special Populations: Where We're Going in 2025

Description

The presentation by Jennifer Powers focuses on advancing melanoma care, particularly for special populations as we look toward 2025. Powers emphasizes the need to recognize specific groups at higher risk, including military personnel, veterans, firefighters, and individuals with skin of color. The discussion is rooted in clinical practice, highlighting the importance of understanding patients' backgrounds to improve melanoma screening and prevention. She addresses the higher melanoma mortality rates among military veterans, exploring possible links between their service, UV exposure, and the incidence of skin cancer. Powers shares insights from her research, illustrating the disparities faced by rural patients with melanoma and the importance of proactive health measures within these communities. Additionally, she discusses the unique challenges of diagnosing and treating melanoma in pregnant patients, drawing attention to the necessity for enhanced communication and frequent checks during such high-risk scenarios. The presentation serves as a call to action for dermatologists to adopt a more inclusive approach in skin cancer management, ensuring that high-risk populations receive the attention and screening they need.

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Conclusions

  • Melanoma risk is notably higher among military workers and veterans, firefighters, and patients with skin of color.
  • Identifying risk factors for melanoma requires thorough patient history-taking, including occupational exposures and personal health histories.
  • Early detection of melanoma is more effective when diagnosed by medical professionals compared to self or family detection, leading to improved outcomes.
  • Men, particularly those 50 years and older, exhibit higher mortality rates from melanoma, potentially due to behavioral factors and lower sunscreen use.
  • Rural areas have a significantly increased risk of distant or regional melanoma, highlighting geographical disparities in healthcare access and outcomes.
  • Pregnancy complicates melanoma management; frequent monitoring can lead to successful outcomes even in high-risk cases.
  • Disparities exacerbated by the COVID-19 pandemic have highlighted the necessity for targeted melanoma awareness and screening programs in vulnerable populations.
  • Masri GD, Clark WH Jr, Guerry D 4th, Halpern A, Thompson CJ, Elder DE. Screening and surveillance of patients at high risk for malignant melanoma result in detection of earlier disease. J Am Acad Dermatol. 1990 Jun;22(6 Pt 1):1042-8. doi: 10.1016/0190-9622(90)70149-c. PMID: 2370329.
  • Kantor J, Kantor DE. Routine Dermatologist-Performed Full-Body Skin Examination and Early Melanoma Detection. Arch Dermatol. 2009;145(8):873-876. doi:10.1001/archdermatol.2009.137.
  • Hall HI, Miller DR, Rogers JD, Bewerse B. Update on the incidence and mortality from melanoma in the United States. Journal of the American Academy of Dermatology. 1999;40(1):35-42. PubMed PMID: 9922010.
  • Swetter SMC, Keegan THM. Why do men have worse melanoma survival than women? Is it behavior, biology, or both? The Melanoma Letter. New York: The Skin Cancer Foundation; 2014.
  • Fisher DE, Geller AC. Disproportionate burden of melanoma mortality in young U.S. men: the possible role of biology and behavior. JAMA dermatology. 2013;149(8):903-4.
  • Kasparian NA, McLoone JK, Meiser B. Skin cancer-related prevention and screening behaviors: a review of the literature. J Behav Med. 2009 Oct;32(5):406-28.
  • Wuttke S, El Naggar S, Bluszcz T, Schrems O. Ship-borne measurements of erythemal UV irradiance and ozone content in various climate zones. Photochem Photobiol Sci. 2007;6(10):1081-8.
  • Chang et al. Sun exposure and melanoma risk at different latitudes: a pooled analysis of 5700 cases and 7216 controls International Journal of Epidemiology 2009;38:814-830.
  • Powers JG, Patel NA, Powers EM, Mayer JE, Stricklin GP, Geller AC. Skin Cancer Risk Factors and Preventative Behaviors among United States Military Veterans Deployed to Iraq and Afghanistan. J Invest Dermatol. 2015 Nov;135(11):2871-2873. doi: 10.1038/jid.2015.238. Epub 2015 Jun 25. PMID: 26110376.
  • Zafar FS, Abid R, Ginader T, Powers JG. Rural health disparities in Melanoma Staging and Prognostic Outcomes in Iowa. JAAD.