Cutaneous apocrine adenocarcinoma in a PALB2 germline pathogenic variant carrier

has not increased with time and has even diminished, whereas the proportion of people of foreign origin is increasing in Finland. The underrepresentation of SoC images in paediatric dermatology has been also pointed out, even though the results are better than for adults. The lack of SoC images in the paediatric textbooks is detrimental. There is now a second generation of infants and children born in Finland with SoC. Furthermore, Finnish parents who have adopted a foreign child with SoC have expectations from Finnish physicians. The underrepresentation of SoC images in public sources also affect parents with SoC, as they do not find reference images of skin disease in SoC. Limitations include that evaluation of skin colour was subjective. Photoexposure of old pictures was rather poor and evaluation of skin colour was difficult. Some pictures depicting brown skin may have been misclassified as light skin. There are textbooks and atlases dedicated to SoC in English; however, specialized textbooks are of more interest for dermatologists. Other specialists may prefer lighter textbooks in their own language. SoC pictures should be integrated directly within the same chapters and not put ‘apart’ in a specific chapter or textbook.