Journal article
Basal cell carcinoma and squamous cell carcinoma growth rates and determinants of size in community patients
Journal of the American Academy of Dermatology, Vol.70(3), pp.456-464
03/2014
PMID: 24373780
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Source: InCites
Abstract
Background: Cutaneous basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs) have poorer outcomes if treated when large.
Objective: We sought to estimate the growth rate of BCCs and SCCs and examine the relationship of personal, pathway, and cancer factors with cancer size (diameter).
Methods: We surveyed patients, pathology, and treatment for invasive BCCs and SCCs in 1 Australian region in 2000 through 2001.
Results: BCC size increased with increasing time since first noticed. Relative to mean size at 0 to 2 months, the mean size ratio was 1.10 at 2 to 8 months and increased steadily to 1.81 at 5 to 10 years (P\.001). Few BCCs were untreated beyond 10 years. There was no consistent evidence that SCC size increased with increasing time. Larger BCCs were independently associated with older age, male sex, no skin checks by a physician, aggressive tumor type, ulceration and lesion-associated scar tissue, and larger SCCs with male sex, skin checks by a physician every 1 to 3 months, and location on limbs.
Limitations: Patient recall of dates and lack of thickness for SCCs are limitations.
Conclusion: Earlier diagnosis of BCCs, perhaps through skin checks by a physician, may reduce their size and improve outcome. SCC size did not evidently increase with time. (J Am Acad Dermatol 2014;70:456-64.)
Details
- Title
- Basal cell carcinoma and squamous cell carcinoma growth rates and determinants of size in community patients
- Creators
- Anne Kricker - University of SydneyBruce Armstrong - University of SydneyVibeke Hansen - University of SydneyAlan Watson - Royal Newcastle CentreGurpreet Singh-Khaira - Hunter HistoChristophe Lecathelinais - Hunter New England HealthChris Goumas - University of SydneyAfaf Girgis - University of New South Wales
- Publication Details
- Journal of the American Academy of Dermatology, Vol.70(3), pp.456-464
- Publisher
- Elsevier Inc.
- Grant note
- Supported by the National Health and Medical Research Council of Australia grant number 100920.
- Identifiers
- 991012937799702368
- Copyright
- © 2013 by the American Academy of Dermatology, Inc.
- Academic Unit
- Faculty of Health; School of Health and Human Sciences; Student Outreach
- Language
- English
- Resource Type
- Journal article