title: Basal cell carcinoma on the scalp of an Indian patient.
abstract: BACKGROUND
  Basal cell carcinoma (BCC) is the most common malignancy in whites, but it rarely occurs in dark persons.
  
  
  OBJECTIVE
  To report a BCC on the hairy scalp of an Asian Indian female with no obvious risk factors except previous scalp trauma.
  
  
  METHODS
  We review the English literature concerning BCC in Indians, and compare this with data for North American blacks and whites; and reports of BCC arising in areas of prior trauma.
  
  
  CONCLUSIONS
  Skin cancer accounts for 1-2% of malignancies in blacks and Indians, compared with one-third of neoplasms in whites. BCC comprises 75% of skin cancers in whites, but squamous cell carcinoma represents 60-65% of skin cancers in blacks and Indians. Although most BCCs occur in sun-exposed areas in whites, blacks, and Indians, a significant percentage also develop in photoprotected areas. Trauma may be a significant risk factor for BCC, either with actinic damage or alone, as in our case.
authors.affiliation: Department of Dermatology, Baylor College of Medicine, Houston, Texas, USA.
authors.forename: A
authors.initials: A
authors.lastname: Dhir
authors.forename: I
authors.initials: I
authors.lastname: Orengo
authors.forename: S
authors.initials: S
authors.lastname: Bruce
authors.forename: R V
authors.initials: RV
authors.lastname: Kolbusz
authors.forename: E
authors.initials: E
authors.lastname: Alford
authors.forename: L
authors.initials: L
authors.lastname: Goldberg
mesh_terms: D044383:Black People; D002280:Basal Cell Carcinoma / Q000208:ethnology* / Q000473:pathology; D002294:Carcinoma, Squamous Cell / Q000208:ethnology; D005260:Female; D006801:Humans; D007194:India / Q000208:ethnology; D008875:Middle Aged; D012535:Scalp; D012878:Skin Neoplasms / Q000208:ethnology* / Q000473:pathology; D012880:Skin Pigmentation; D014481:United States; D044465:White People; D001741:Black or African American