Basal cell carcinoma in young adults

Cox, N.H.; Moscona, Rony

doi:10.1097/00006534-199308000-00082

Cited by 12 publications

(25 citation statements)

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“…In particular a recent study indicated that the relative risk of a second BCC is greater at younger age and declines with advancing age. 29 In addition a number of papers have reported BCCs in younger people to be more aggressive 11,30 resulting in further long term morbidity. 11 We found that in age groups less than 50 years, women generally had higher incidence rate when compared to men, however these rates became comparable in the age group 50-54 years, thereafter the incidence rates were higher in men than women.…”

Section: Discussionmentioning

confidence: 99%

Trends in incidence of skin basal cell carcinoma. Additional evidence from a UK primary care database study

Bath‐Hextall

Leonardi‐Bee

Smith

et al. 2007

Intl Journal of Cancer

187

105

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We determined the trends in incidence of skin basal cell carcinoma (BCC) using a primary care population-based cohort study in the UK. 11,113 adults with a BCC diagnosis were identified from a total of 7.22 million person-years of data between 1996 and 2003 from the Health Improvement Network database. From a random subsample of BCC cases identified from the database, 93% were confirmed by hospital letter and/or pathology report. The incidence of BCC was 153.9 per 100,000 person-years (95% CI 151.1, 156.8) and was slightly higher in men as compared to women (Incidence Rate Ratio 1.10, 95% CI 1.06, 1.14). There was a 3% increase year on year across the study period (IRR 1.03, 95% CI 1.01, 1.04), with the largest increase in incidence seen in the 30-39 year age groups, although this did not reach statistical significance. Our study indicates 53,000 new cases of BCC are estimated every year in the UK and figures are continuing to rise on a yearly basis. Incidence rates are highest for men and in particular in the older age categories. These findings are consistent with those reported for various other populations. We have also found an increase in incidence in ages 30-39, which may suggest a cohort effect of increasing ultraviolet exposure in successive younger generations. This may have a huge public and service impact in future years in countries such as the UK, with predominantly fairskinned population, with high leisure exposure to ultraviolet light. Our findings underline the need for more elaborate preventive measures. ' 2007 Wiley-Liss, Inc.Key words: skin basal cell carcinoma; incidence; trend by age; UK The incidence of skin cancer is increasing worldwide 1-4 ; up to 10% annually. 5 Skin cancer is an increasing health problem placing a heavy burden on dermatologists and general practitioners (GP).Basal cell carcinoma (BCC) accounts for about 75% of all skin cancers, and along with squamous cell carcinoma and a few rarer types of skin cancer, is often referred to as non-melanoma skin cancer. BCC is the commonest cancer overall in white people. [6][7][8] Although the prevalence of metastasis and mortality is very low 9,10 BCCs may grow aggressively causing extensive tissue destruction. 11 Over 30,000 new cases are reported each year in the UK. This figure is likely to be a gross underestimate owing to Regional Cancer Registries 12 in the UK adopting different practices for registration of skin cancer, some registering only the first of each skin cancer type with others not registering BCCs at all. The situation is further complicated by the fact that some BCCs may be treated by destructive methods such as cryotherapy, with no resultant histology. Details of BCCs treated in this way may not reach the cancer registries, especially if they are treated in primary care.A sustained rise in the incidence of BCC has been documented using a validated register in South Wales. 13 In the US, the incidence of BCC has doubled approximately every 14 years 3 and similar changes have occurred in Australia. 14 Worryingly, th...

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Section: Discussionmentioning

confidence: 99%

Trends in incidence of skin basal cell carcinoma. Additional evidence from a UK primary care database study

Bath‐Hextall

Leonardi‐Bee

Smith

et al. 2007

Intl Journal of Cancer

187

105

View full text Add to dashboard Cite

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“…22,25 The location of the tumor was not stated for 24 of the 107 children. 9,21,22,24,26 The tumors ranged in size from 1 mm 3 1 mm to 60 mm 3 60 mm.…”

Section: Discussionmentioning

confidence: 99%

Basal cell carcinoma in childhood: Case report and literature review

Griffin¹,

Cohen²,

Tschen³

et al. 2007

Journal of the American Academy of Dermatology

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“…This marked regional difference dramatically underscores the direct effects of UVB radiation and ethnicity on BCC's pathogenesis. Typically a neoplasm of the elderly 2 , BCC can arise in younger individuals living in sunnier latitudes, [9][10][11][12][13] and in those carrying genetic mutations that lead to albinism 14,15 , nevoid basal cell carcinoma syndrome 16 and xeroderma pigmentosum 17,18 . Alarmingly, another factor increasing BCC occurrence among younger individuals are highly preventable habits such as tanning bed use and smoking 19,20 .…”

Section: Epidemiologymentioning

confidence: 99%