Amid a growing appreciation of the harms associated with cancer screening, there has been recent emphasis on education and opportunistic screening for acral lentiginous melanoma (ALM) in dark-skinned individuals.1 Furthermore, articles have highlighted disparities in melanoma education and detection in dark-skinned individuals.2,3 While early detection has the greatest potential for reducing melanoma mortality in the short term, it is important to carefully consider incidence, survival, and mortality in populations targeted for screening. In dark-skinned patients, could increased pressure to detect ALM lead to significant harms in return for minimal benefit?
Marchetti MA, Chung E, Halpern AC. Screening for Acral Lentiginous Melanoma in Dark-Skinned Individuals. JAMA Dermatol. 2015;151(10):1055-1056. doi:10.1001/jamadermatol.2015.1347