Solar elastosis and cutaneous melanoma: a site-specific analysis.
Identifieur interne : 002821 ( Main/Exploration ); précédent : 002820; suivant : 002822Solar elastosis and cutaneous melanoma: a site-specific analysis.
Auteurs : Marina Kvaskoff ; Nirmala Pandeya ; Adèle C. Green ; Susan Perry ; Catherine Baxter ; Marcia B. Davis ; Rohan Mortimore ; Lorraine Westacott ; Dominic Wood ; Joe Triscott ; Richard Williamson ; David C. WhitemanSource :
- International journal of cancer [ 1097-0215 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Australie (épidémiologie), Cou, Dermatologie (), Face, Femelle, Humains, Indice de gravité médicale, Jeune adulte, Lumière du soleil, Maladies de la peau (diagnostic), Maladies de la peau (épidémiologie), Modèles logistiques, Mâle, Mélanome (diagnostic), Mélanome (épidémiologie), Naevus (diagnostic), Naevus (épidémiologie), Naevus pigmentaire (diagnostic), Naevus pigmentaire (épidémiologie), Peau (anatomopathologie), Peau (effets des radiations), Sujet âgé, Tumeurs cutanées (diagnostic), Tumeurs cutanées (épidémiologie).
- MESH :
- anatomopathologie : Peau.
- diagnostic : Maladies de la peau, Mélanome, Naevus, Naevus pigmentaire, Tumeurs cutanées.
- effets des radiations : Peau.
- épidémiologie : Australie, Maladies de la peau, Mélanome, Naevus, Naevus pigmentaire, Tumeurs cutanées.
- Adolescent, Adulte, Adulte d'âge moyen, Cou, Dermatologie, Face, Femelle, Humains, Indice de gravité médicale, Jeune adulte, Lumière du soleil, Modèles logistiques, Mâle, Sujet âgé.
- Wicri :
- geographic : Australie.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Australia (epidemiology), Dermatology (methods), Face, Female, Humans, Logistic Models, Male, Melanoma (diagnosis), Melanoma (epidemiology), Middle Aged, Neck, Nevus (diagnosis), Nevus (epidemiology), Nevus, Pigmented (diagnosis), Nevus, Pigmented (epidemiology), Severity of Illness Index, Skin (pathology), Skin (radiation effects), Skin Diseases (diagnosis), Skin Diseases (epidemiology), Skin Neoplasms (diagnosis), Skin Neoplasms (epidemiology), Sunlight, Young Adult.
- MESH :
- geographic , epidemiology : Australia.
- diagnosis : Melanoma, Nevus, Nevus, Pigmented, Skin Diseases, Skin Neoplasms.
- epidemiology : Melanoma, Nevus, Nevus, Pigmented, Skin Diseases, Skin Neoplasms.
- methods : Dermatology.
- pathology : Skin.
- radiation effects : Skin.
- Adolescent, Adult, Aged, Face, Female, Humans, Logistic Models, Male, Middle Aged, Neck, Severity of Illness Index, Sunlight, Young Adult.
Abstract
Cutaneous melanomas are postulated to arise through at least two causal pathways, namely the "chronic sun exposure" and "nevus" pathways. While chronic sun exposure probably causes many head/neck melanomas, its role at other sites is unclear. In a population-based, case-case comparison study conducted in Brisbane, Australia, we determined the prevalence and epidemiologic correlates of chronic solar damage in skin adjacent to invasive, incident melanomas on the trunk (n = 418) or head/neck (n = 92) among patients aged 18-79 in 2007-2010. Participants self-reported information about environmental and phenotypic factors, and a dermatologist counted nevi and actinic keratoses. Dermatopathologists assessed solar elastosis adjacent to each melanoma using a four-point scale (nil, mild, moderate, marked), and noted the presence or absence of adjacent neval remnants. We measured associations between various factors and solar elastosis using polytomous logistic regression. Marked or moderate solar elastosis was observed in 10% and 27%, respectively, of trunk melanomas, and 60% and 17%, respectively, of head/neck melanomas. At both sites, marked elastosis was positively associated with age (p(trend) < 0.0001) and inversely associated with neval remnants (p(trend) < 0.001). For trunk melanomas, marked elastosis was associated with highest quartiles of total sun exposure [odds-ratio (OR) = 5.47, 95% confidence interval (CI) = 1.08-27.60] and facial freckling (OR = 2.98, 95% CI = 1.17-7.56), and inversely associated with deeply tanning skin (OR = 0.29, 95% CI = 0.08-1.11) and high nevus counts (OR = 0.08, 95% CI = 0.01-0.66). Mostly similar associations were observed with moderate solar elastosis. About one in three trunk melanomas in Queensland have evidence of moderate-to-marked sun damage, and they differ in risk associations from those without.
DOI: 10.1002/ijc.29335
PubMed: 25403328
Affiliations:
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Le document en format XML
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<term>Dermatology (methods)</term>
<term>Face</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Melanoma (diagnosis)</term>
<term>Melanoma (epidemiology)</term>
<term>Middle Aged</term>
<term>Neck</term>
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<term>Nevus, Pigmented (epidemiology)</term>
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<term>Skin (radiation effects)</term>
<term>Skin Diseases (diagnosis)</term>
<term>Skin Diseases (epidemiology)</term>
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<term>Adulte d'âge moyen</term>
<term>Australie (épidémiologie)</term>
<term>Cou</term>
<term>Dermatologie ()</term>
<term>Face</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Jeune adulte</term>
<term>Lumière du soleil</term>
<term>Maladies de la peau (diagnostic)</term>
<term>Maladies de la peau (épidémiologie)</term>
<term>Modèles logistiques</term>
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<term>Mélanome (épidémiologie)</term>
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<term>Naevus (épidémiologie)</term>
<term>Naevus pigmentaire (diagnostic)</term>
<term>Naevus pigmentaire (épidémiologie)</term>
<term>Peau (anatomopathologie)</term>
<term>Peau (effets des radiations)</term>
<term>Sujet âgé</term>
<term>Tumeurs cutanées (diagnostic)</term>
<term>Tumeurs cutanées (épidémiologie)</term>
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<term>Nevus</term>
<term>Nevus, Pigmented</term>
<term>Skin Diseases</term>
<term>Skin Neoplasms</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maladies de la peau</term>
<term>Mélanome</term>
<term>Naevus</term>
<term>Naevus pigmentaire</term>
<term>Tumeurs cutanées</term>
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<term>Nevus, Pigmented</term>
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<term>Maladies de la peau</term>
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<front><div type="abstract" xml:lang="en">Cutaneous melanomas are postulated to arise through at least two causal pathways, namely the "chronic sun exposure" and "nevus" pathways. While chronic sun exposure probably causes many head/neck melanomas, its role at other sites is unclear. In a population-based, case-case comparison study conducted in Brisbane, Australia, we determined the prevalence and epidemiologic correlates of chronic solar damage in skin adjacent to invasive, incident melanomas on the trunk (n = 418) or head/neck (n = 92) among patients aged 18-79 in 2007-2010. Participants self-reported information about environmental and phenotypic factors, and a dermatologist counted nevi and actinic keratoses. Dermatopathologists assessed solar elastosis adjacent to each melanoma using a four-point scale (nil, mild, moderate, marked), and noted the presence or absence of adjacent neval remnants. We measured associations between various factors and solar elastosis using polytomous logistic regression. Marked or moderate solar elastosis was observed in 10% and 27%, respectively, of trunk melanomas, and 60% and 17%, respectively, of head/neck melanomas. At both sites, marked elastosis was positively associated with age (p(trend) < 0.0001) and inversely associated with neval remnants (p(trend) < 0.001). For trunk melanomas, marked elastosis was associated with highest quartiles of total sun exposure [odds-ratio (OR) = 5.47, 95% confidence interval (CI) = 1.08-27.60] and facial freckling (OR = 2.98, 95% CI = 1.17-7.56), and inversely associated with deeply tanning skin (OR = 0.29, 95% CI = 0.08-1.11) and high nevus counts (OR = 0.08, 95% CI = 0.01-0.66). Mostly similar associations were observed with moderate solar elastosis. About one in three trunk melanomas in Queensland have evidence of moderate-to-marked sun damage, and they differ in risk associations from those without.</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Baxter, Catherine" sort="Baxter, Catherine" uniqKey="Baxter C" first="Catherine" last="Baxter">Catherine Baxter</name>
<name sortKey="Davis, Marcia B" sort="Davis, Marcia B" uniqKey="Davis M" first="Marcia B" last="Davis">Marcia B. Davis</name>
<name sortKey="Green, Adele C" sort="Green, Adele C" uniqKey="Green A" first="Adèle C" last="Green">Adèle C. Green</name>
<name sortKey="Kvaskoff, Marina" sort="Kvaskoff, Marina" uniqKey="Kvaskoff M" first="Marina" last="Kvaskoff">Marina Kvaskoff</name>
<name sortKey="Mortimore, Rohan" sort="Mortimore, Rohan" uniqKey="Mortimore R" first="Rohan" last="Mortimore">Rohan Mortimore</name>
<name sortKey="Pandeya, Nirmala" sort="Pandeya, Nirmala" uniqKey="Pandeya N" first="Nirmala" last="Pandeya">Nirmala Pandeya</name>
<name sortKey="Perry, Susan" sort="Perry, Susan" uniqKey="Perry S" first="Susan" last="Perry">Susan Perry</name>
<name sortKey="Triscott, Joe" sort="Triscott, Joe" uniqKey="Triscott J" first="Joe" last="Triscott">Joe Triscott</name>
<name sortKey="Westacott, Lorraine" sort="Westacott, Lorraine" uniqKey="Westacott L" first="Lorraine" last="Westacott">Lorraine Westacott</name>
<name sortKey="Whiteman, David C" sort="Whiteman, David C" uniqKey="Whiteman D" first="David C" last="Whiteman">David C. Whiteman</name>
<name sortKey="Williamson, Richard" sort="Williamson, Richard" uniqKey="Williamson R" first="Richard" last="Williamson">Richard Williamson</name>
<name sortKey="Wood, Dominic" sort="Wood, Dominic" uniqKey="Wood D" first="Dominic" last="Wood">Dominic Wood</name>
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