ABSTRACT

People of colour constitute most of the world’s population but are less represented in published literature on skin cancer. Migration and globalisation have resulted in people of colour settling in territories traditionally inhabited by white people, so in these people non-melanoma skin cancer (NMSC) may be associated with different clinical presentation, epidemiologic profile, and biologic behaviour. While sun exposure and skin phototype are major factors, cultural, environmental, and genetic factors may explain clinical and prognostic differences, and may guide approach to diagnosis, treatment, and surveillance in various peoples. Finally, different skin phototypes are associated with different reactions to radiotherapy. Cultural and environmental factors influence local practices regarding the management of radiodermatitis.