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Shasa Hu, MD; Rita M. Soza-Vento, PhD; Dorothy F. Parker, MHS; Robert S. Kirsner, MD, PhD

Arch Dermatol. 2006;142:704-708.

Objective  To compare stage at diagnosis of melanoma between non-Hispanic white, non-Hispanic black, and Hispanic patients.

Design  Retrospective analysis.

Setting  Melanoma cases reported to the Florida Cancer Data System, with known stage and race/ethnicity information, for residents of Miami-Dade County, Florida, from 1997 to 2002.

Patients  Those diagnosed as having melanoma according to the Florida Cancer Data System.

Main Outcome Measure  Stage of melanoma at diagnosis.

Results  Of the 1690 melanoma cases reported with both stage and race/ethnicity information, 1176 (70%) were among non-Hispanic white patients, 485 (29%) were among Hispanic patients of any race, and 29 (2%) were among non-Hispanic black patients. Late-stage (regional and distant) diagnosis was more common among Hispanic (26%) and non-Hispanic black patients (52%) compared with non-Hispanic white patients (16%) (P<.001).

Conclusion  Advanced stage of melanoma diagnosis among Hispanic and black patients suggests suboptimal secondary prevention efforts in minority populations.

Author Affiliations: Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine (Drs Hu and Kirsner), and Department of Epidemiology and Public Health, University of Miami/Sylvester Comprehensive Cancer Center (Drs Soza-Vento and Kirsner and Ms Parker), Miami, Fla.

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