Multiple skin neoplasms in subjects under 40 years of age in Goiania, Brazil
Neoplasias múltiplas de pele em indivíduos com menos de 40 anos em Goiânia, Brasil
Rev. saúde pública (Online); 49 (), 2015
Publication year: 2015
OBJECTIVE To describe the trend for malignant skin neoplasms in subjects under 40 years of age in a region with high ultraviolet radiation indices.METHODS A descriptive epidemiological study on melanoma and nonmelanoma skin cancers that was conducted in Goiania, Midwest Brazil, with 1,688 people under 40 years of age, between 1988 and 2009. Cases were obtained fromRegistro de Câncer de Base Populacional de Goiânia(Goiania's Population-Based Cancer File). Frequency, trends, and incidence of cases with single and multiple lesions were analyzed; transplants and genetic skin diseases were found in cases with multiple lesions.RESULTS Over the period, 1,995 skin cancer cases were observed to found, of which 1,524 (90.3%) cases had single lesions and 164 (9.7%) had multiple lesions. Regarding single lesions, incidence on men was observed to have risen from 2.4 to 3.1/100,000 inhabitants; it differed significantly for women, shifting from 2.3 to 5.3/100,000 (Annual percentage change - [APC] 3.0%, p = 0.006). Regarding multiple lesions, incidence on men was observed to have risen from 0.30 to 0.98/100,000 inhabitants; for women, it rose from 0.43 to 1.16/100,000 (APC 8.6%, p = 0.003). Genetic skin diseases or transplants were found to have been correlated with 10.0% of cases with multiple lesions - an average of 5.1 lesions per patient. The average was 2.5 in cases without that correlation.CONCLUSIONS Skin cancer on women under 40 years of age has been observed to be increasing for both cases with single and multiple lesions. It is not unusual to find multiple tumors in young people - in most cases, they are not associated with genetic skin diseases or transplants. It is necessary to avoid excessive exposure to ultraviolet radiation from childhood.
OBJETIVO Descrever a tendência da incidência de neoplasias malignas de pele em indivíduos com menos de 40 anos de idade em região de altos índices de raios ultravioleta.MÉTODOS Estudo epidemiológico descritivo de câncer de pele melanoma e não melanoma realizado em Goiânia, Brasil, com 1.688 pessoas com menos de 40 anos de idade, no período de 1988 a 2009. Os casos incidentes foram obtidos do Registro de Câncer de Base Populacional de Goiânia.