Skip to main content

Advertisement

Log in

Risk factors for basal cell carcinoma: Results from the case-control study

  • Research Article
  • Published:
Central European Journal of Medicine

Abstract

The aim of the present case-control study was to assess the risk factors for Basal cell carcinoma (BCC) in the Montenegrin population. The study group was comprised of 100 consecutive patients with a diagnosis of BCC, while the control group consisted of patients who did not present skin cancer and who were individually matched to the cases by sex and age. The increased risk for BCC was associated with: the presence of nevi (odds ratio [OR] = 3.77; 95% confidence interval [CI] = 1.12–12.73), type of skin concerning to burn rather than to tan after repeated sun exposure in childhood or adolescence (OR = 3.14; 95% CI = 1.59–6.18), the skin reaction to burn after two or more hours of sunlight during childhood or adolescence (OR = 4.53; 95% CI = 2.37–8.63), the number of severe and painful sunburns during their lifetime(OR = 3.52; 95% CI = 1.68–7.38), outdoor work during the summer-time (OR = 2.73; 95% CI = 1.00–7.45), occupational exposure to chemicals (OR = 17.89; 95% CI = 2.82–113.52), history of eczema (OR = 4.17; 95% CI = 1.53–11.39), and history of previous BCC (OR = 3.86; 95% CI = 1.40–10.65). Our study confirms the role of environmental and constitutional factors in development of BCC.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Zak-Prelich M., Narbutt J., Sysa-Jedrzejowska A., Environmental risk factors predisposing to the development of basal cell carcinoma, Dermatol Surg, 2004, 30, 248–52

    Article  PubMed  Google Scholar 

  2. de Vries E., Louwman M., Bastiaens M., de Gruijl F., Coebergh JW., Rapid and continuous increases in incidence rates of basal cell carcinoma in the southeast Netherlands since 1973, J Invest Dermatol, 2004, 123, 634–38

    Article  PubMed  Google Scholar 

  3. Leman J.A., McHenry PM., Basal Cell Carcinoma Still an Enigma, Arch Dermatol, 2001, 137, 1239–40

    CAS  PubMed  Google Scholar 

  4. Rigel D.S., Cutaneous ultraviolet exposure and its relationship to the development of skin cancer, J Am Acad Dermatol, 2008, 58, S129–32

    Article  PubMed  Google Scholar 

  5. Kyrgidis A., Tzellos T.G., Vahtsevanos K., Triaridis S., New Concepts for Basal Cell Carcinoma. Demographic, Clinical, Histological Risk Factors, and Biomarkers. A Systematic Review of Evidence Regarding Risk for Tumor Development, Susceptibility for Second Primary and Recurrence, J Surg Res, (in press), DOI, 10.1016/j.jss.2008.11.834

  6. Lim J.L., Stern RS., High levels of ultraviolet B exposure increase the risk of non-melanoma skin cancer in psoralen and ultraviolet A-treated patients, J Invest Dermatol, 2005, 124, 505–13

    Article  CAS  PubMed  Google Scholar 

  7. Neale R.E., Davis M., Pandeya N., Whiteman D.C., Green A.C., Basal cell carcinoma on the trunk is associated with excessive sun exposure, J Am Acad Dermatol, 2007, 56, 380–86

    Article  PubMed  Google Scholar 

  8. Lock-Andersen J., Drzewiecki K.T., Wulf H.C., Eye and Hair Colour, Skin Type and Constitutive Skin Pigmentation as Risk Factors for Basal Cell Carcinoma and Cutaneous Malignant Melanoma. A Danish Case-Control Study, Acta Derm Venerol, 1999, 79, 74–80

    Article  CAS  PubMed  Google Scholar 

  9. Naldi L., DiLandro A., D’Avanzo B., Parazzini F., Host-related and environmental risk factors for cutaneous basal cell carcinoma: evidence from an Italian case-control study, J Am Acad Dermatol, 2000, 3, 446–52

    Article  Google Scholar 

  10. Madan V., Hoban R.R., Strange R.C., Fryer A.A., Lear J.T., Genetics and risk factors for basel cell carcinoma, Br J Dermatol, 2006, 154, 5–7

    Article  CAS  PubMed  Google Scholar 

  11. van Rossum M.M., Wopereis D., Hoyer T., et al., Incidence of cancer in first-degree relatives of basal cell carcinoma patients, Arch Dermatol Res, 2009, 301, 295–299

    Article  PubMed  Google Scholar 

  12. Fitzpatrick T.B., Bolognia J.L., Human melanin pigmentation: Role in pathogenesis of cutaneous melanoma. In: Zeise L., Chedekel M.R., Fitzpatrick T.B., eds, Melanin: Its Role in Human Photoprotection. KS: Valdenmar Publishing Co, 1995, 177–82

    Google Scholar 

  13. Dubin N., Moseson M., Pasternack B.S., Epidemiology of Malignant Melanoma: Pigmentary traits, ultraviolet radiation and the identification of high-risk populations. In: Gallagher R.P, ed, Epidemiology of Malignant Melanoma. Berlin: Springer-Verlag, 1986, pp. 61–73

    Google Scholar 

  14. Bath-Hextall F.J., Perkins W., Bong J., et al., Interventions for basal cell carcinoma of the skin, Cochrane Database Syst Rev, 2007, CD003412

  15. Rocha F.P., Menezes A.M.B., Almeida Junior H.L., Tomasi H., Risk markers and risk factors for actinic keratosis and basal cell carcinoma: a case-control study, An bras Dermatol, 2004, 79, 441–54

    Article  Google Scholar 

  16. Vlajinac H.D., Adanja B.J., Lazar Z.F., et al., Risk Factors for Basal Cell Carcinoma, Acta Oncologica, 2000, 39, 611–16

    Article  CAS  PubMed  Google Scholar 

  17. Davies T.W., Treasure F.P., Welch A.A., Day N.E., Diet and basal cell skin cancer: results from the EPIC-Norfolk cohort. Br J Dermatol, 2002, 146, 1017–22

    Article  CAS  PubMed  Google Scholar 

  18. Zanetti R., Rosso S., Martinez C., et al., The multicentre south European study “helios” I: skin characteristics and sunburns in basal cell and squamous cell carcinomas of the skin, Br J Cancer, 1996, 73, 1440–46

    CAS  PubMed  Google Scholar 

  19. Rosso S., Zanetti R., Martinez C, et al., The multicentre south European study “helios” II: different sun exposure patterns in the aetiology of basal and squamous cell carcinomas of the skin, Br J Cancer, 1996, 73, 1447–54.

    CAS  PubMed  Google Scholar 

  20. Kricker A., Armstrong B.K., English D.R., Heenan P.J., Does intermittent sun exposure cause basal cell carcinoma? A case-control study in Western Australia, Int J Cancer, 1995, 60, 489–94.

    Article  CAS  PubMed  Google Scholar 

  21. Rosso S., Zanetti R., Pippone M., Sancho Garnier H., Parallel risk assesment of melanoma and basal cell carcinoma: skin characteristics and sun exposure, Melanoma Res, 1998, 573–83.

  22. Corona R., Dogliotti E., D’Errico M., et al., Risk factors for basal cell carcinoma in a Mediterranean population, Arch Dermatol, 2001, 137, 1162–68

    CAS  PubMed  Google Scholar 

  23. van Dam R.M., Huang Z., Rimm E.B, et al., Risk factors for basal cell carcinoma of the skin in men: results from the health profesionals follow-up study, Am J Epidemiol, 1999, 150, 459–68

    PubMed  Google Scholar 

  24. Ruiz Lascano A., Kuznitzky R., Garay I., Ducasse C., Albertini R., Risk factors for basal cell carcinoma. Case control study in Cordoba, Medicina (B Aires), 2005, 65, 495–500

    Google Scholar 

  25. Radespiel-Tröger M., Meyer M., Pfahlberg A., Lausen B., Uter W., Gefeller O., Outdoorwork and skin cancer incidence: a registry-based study in Bavaria, Int Arch Occup Environ Health, 2009, 82, 357–63

    Article  PubMed  Google Scholar 

  26. Walther U., Kron M., Sander S., et al., Risk and protective factors for sporadic basal cell carcinoma: results of a two-centre case-control study in southern Germany. Clinical actinic elastosis may be protective factor, Br J Dermatol, 2004, 151, 170–8

    Article  CAS  PubMed  Google Scholar 

  27. Hunter D.J., Colditz G.A., Stampfer M.J., Rosner B., Willett W.C., Speizer F.E., Risk factors for basal cell carcinoma in a prospective cohort of women, AEP, 1990, 1, 13–23

    CAS  PubMed  Google Scholar 

  28. Kricker A., Armstrong B., English D., Heenan P., Pigmentary and cutaneous risk factors for nonmelanocytic skin cancer: a case-control study. Int J Cancer, 1991, 48, 650–62

    Article  CAS  PubMed  Google Scholar 

  29. Lear J.T., Tan B.B., Smith A.G., et al., Risk factors for basal cell carcinoma in the UK: case-control study in 806 patients, J R Soc Med, 1997, 90, 371–74

    CAS  PubMed  Google Scholar 

  30. Maia M., Proenca N.G., de Moraes J.C., Risk factors for basal cell carcinoma: a case-control study, Rev Saude Publica, 1995, 29, 27–37

    Article  CAS  PubMed  Google Scholar 

  31. Zanetti R., Rosso S., Martinez C., et al., Comparison of risk patterns in carcinoma and melanoma of the skin in men: a multi-centre case-control study, Br J Cancer, 2006, 94, 743–51

    CAS  PubMed  Google Scholar 

  32. Friedman G.D., Tekawa I.S., Association of basal cell skin cancers with other cancers (United States), Cancer Causes Control, 2000, 11, 891–97

    Article  CAS  PubMed  Google Scholar 

  33. Carli P., Biggeri A., Nardini P., De Giorgi V., Giannotti B., Sun exposure and large numbers of common and atypical melanocytic naevi: an analytical study in a southern European population, Br J Dermatol, 1998, 138, 422–25

    Article  CAS  PubMed  Google Scholar 

  34. Fink A.M, Fialla R., Steiner A., Seasonal pattern of the excision rate of melanoma and naevi, Melanoma Res, 2001, 11, 531–34

    Article  CAS  PubMed  Google Scholar 

  35. Gallagher R.P., Bajdik C.D., Fincham S., et al., Chemical exposures, medical history and risk of squamous and basal cell carcinoma of the skin, Cancer Epidemiol Biomarkers Prev, 1996, 419–24

  36. Dybdahl M., Frentz G., Vogel U., Wallin H., Nexo B.A., Low DNA repair is a risk factor in skin carcinogenesis: a study of basal cell carcinoma in psoriasis patients, Mutat Res, 1999, 433, 15–22

    CAS  PubMed  Google Scholar 

  37. Marcil I., Stern R.S., Risk of developing a subsequent nonmelanoma skin cancer in patients with a history of nonmelanoma skin cancer, Arch Dermatol, 2000, 136, 1524–30

    Article  CAS  PubMed  Google Scholar 

  38. Primm A.N., Immunosuppression, Inflammation, and Skin Cancer: Will Eczema Treatment Enhance Ultraviolet Light-Induced Skin Cancer? A Senior Honors Thesis. The Ohio State University, 2006, https://kb.osu.edu/dspace/bitstream/1811/6433/1/Thesis.pdf

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Slavenka Janković.

About this article

Cite this article

Janković, S., Maksimović, N., Janković, J. et al. Risk factors for basal cell carcinoma: Results from the case-control study. cent.eur.j.med 5, 666–673 (2010). https://doi.org/10.2478/s11536-010-0042-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2478/s11536-010-0042-5

Keywords

Navigation