کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6070567 1587533 2014 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Original articleRisk of subsequent cutaneous squamous cell carcinoma in patients with melanoma
ترجمه فارسی عنوان
مقاله اصل خطر کارسینوم سلول سنگفرشی پوستی در بیماران مبتلا به ملانوم
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی امراض پوستی
چکیده انگلیسی

BackgroundPatients with melanoma are at increased risk for cutaneous squamous cell carcinomas (SCCs).ObjectiveWe sought to examine the incidence of subsequent SCC among melanoma survivors and the impact of patient and melanoma characteristics on SCC risk.MethodsKaiser Permanente Northern California members given the diagnosis of melanoma from 2000 to 2005 (n = 6378) were followed up through 2009 for a pathology-confirmed SCC. Cox models were used to estimate SCC risk.ResultsThe crude SCC incidence rate was 2.41 per 100 person-years, and was higher among males and older subjects. In adjusted models stratified by age, SCC risk was higher among males (hazard ratio [HR] 1.43, 95% confidence interval [CI] 1.22-1.67), those with history of nonmelanoma skin cancer (HR 2.56, 95% CI 2.19-2.98), and those with higher tumor sequence numbers (HR 1.35, 95% CI 1.01-1.80). SCC risk was lower among non-Hispanic whites (HR 0.39, 95% CI 0.17-0.86).LimitationsSCC risk was not examined among members without melanoma.ConclusionsSCCs arise in approximately 12% of patients with melanoma over a 5-year period and are more common among males, whites, patients older than 60 years, those with prior reportable cancers, and those with history of nonmelanoma skin cancer. Clinicians should be vigilant for SCCs among these individuals at high risk, and counsel melanoma survivors about their increased risk for SCCs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American Academy of Dermatology - Volume 71, Issue 3, September 2014, Pages 521-528
نویسندگان
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