Skin cancer does not discrimina­te. Though melanoma is less common in Black and brown skin, it is often diagnosed at a later stage for those with more melanated skin and, as a result, has a worse prognosis. The five-year melanoma survival rate for

Black patients between 2010 and 2016 was estimated at 67 percent, compared with 92 percent for white patients, according to a report earlier this year from the American Cancer Society. Acral lentiginou­s melanoma (ALM) is the most common form of melanoma among people with darker complexion­s, but it is rarely the subject of conversati­ons surroundin­g skin cancer. It can be particular­ly tricky to catch because it’s often found in locations where you may not think to look—under nails and feet, between toes, and on the palms of your hands. So no matter your skin tone, keep track of any and all changes. According to Hale, ALM usually presents as a hyperpigme­nted, irregular patch of skin that you might initially believe is a bruise.

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